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Bupropion (Wellbutrin) Nursing Considerations

Bupropion (Wellbutrin) Nursing Considerations

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Outline

Name

Bupropion

Trade Name

Wellbutrin

Indication

Depression, smoking cessation, treat ADHD in adults

Action

Not well understood, ↑ dopaminergic and noradrenergic transmission via reuptake

Therapeutic Class

Antidepressants, smoking deterrents

Pharmacologic Class

Aminoketones

Nursing Considerations

• May lead to seizures, suicidal thoughts
• Do not administer if patient is taking MAOI
• Use caution with renal and liver impairment
• Assess mental status
• Instruct patient to avoid alcohol (may lead to hallucinations, seizures,
anxiety)

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Transcript

Hi guys, let’s talk about bupropion, also known as Wellbutrin. This is an oral medication, as you can see here in the picture. So remember when we’re talking about the therapeutic class and the Pharmacologic class, the therapeutic class is what the drug does in the body while the pharmacologic class is the actual chemical effect. So bupropion therapeutic class is it is an antidepressant and it’s also a smoking deterrent. The pharmacologic class is an aminoketone. So how does bupropion work? Well, to be honest, it’s not very understood. So it is thought that it functions by increasing dopaminergic and non-adrenergic transmission via reuptake. Bupropion is indicated for depression, smoking cessation and also for the treatment of adult ADHD. So some common side effects of bupropion include dry mouth, a decrease in appetite, anorexia, constipation, and agitation or irritability.

So let’s take a look at some of the nursing considerations for bupropion. You are going to want to assess your patient’s mental status. Bupropion may lead to seizures and suicidal thoughts. So that’s really important to know, do not administer to a patient who is on an MAOI. Use caution in patients with liver and renal impairment and teach your patient to avoid alcohol because it can cause hallucination seizures and even anxiety. Okay guys. So there have been more recent reports of Wellbutrin abuse because it creates a cocaine-like high. So be sure to keep this in mind when caring for patients. That is it for bupropion or Wellbutrin. Now go out and be your best self today. And as always happy nursing.

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Study Plan Lessons

Abdomen (Abdominal) Assessment

ABG (Arterial Blood Gas) Interpretation-The Basics

ABG (Arterial Blood Gas) Oxygenation

ABGs Nursing Normal Lab Values

ABGs Tic-Tac-Toe interpretation Method

Acetaminophen (Tylenol) Nursing Considerations

Acute Bronchitis

Acute Otitis Media (AOM)

Airborne Precaution Diseases Nursing Mnemonic (MTV)

Albuterol (Ventolin) Nursing Considerations

Alveoli & Atelectasis

Amoxicillin (Amoxil) Nursing Considerations

Anti-Infective – Antivirals

Anti-Infective – Macrolides

Anti-Infective – Penicillins and Cephalosporins

Anti-Infective – Fluoroquinolones

Appendicitis – Assessment Nursing Mnemonic (PAINS)

Appendicitis Case Study (Peds) (30 min)

Appendicitis for Certified Emergency Nursing (CEN)

Assessment of a Burn Nursing Mnemonic (SCALD)

Asthma Concept Map

Asthma management Nursing Mnemonic (ASTHMA)

Attention Deficit Hyperactivity Disorder (ADHD)

Autism Spectrum Disorders

Base Excess & Deficit

Bisacodyl (Dulcolax) Nursing Considerations

Blood Brain Barrier (BBB)

Blood Type O Nursing Mnemonic (Universally Odd)

Bronchiolitis and Respiratory Syncytial Virus (RSV)

Bronchodilators

Bupropion (Wellbutrin) Nursing Considerations

Burn Injury Case Study (60 min)

Burns for Certified Emergency Nursing (CEN)

Cardiac Glycosides

Care of the Pediatric Patient

Casting & Splinting

Cefaclor (Ceclor) Nursing Considerations

Cerebral Palsy (CP)

Cimetidine (Tagamet) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Cleft Lip and Palate

Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)

Congenital Heart Defects (CHD)

Constipation and Encopresis (Incontinence)

Corticosteroids

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

Cystic Fibrosis (CF)

Day in the Life of a NICU Nurse

Day in the Life of a Peds (Pediatric) Nurse

Defects of Decreased Pulmonary Blood Flow

Defects of Increased Pulmonary Blood Flow

Diarrhea – Treatment Nursing Mnemonic (BRAT)

Digoxin (Lanoxin) Nursing Considerations

Diphenhydramine (Benadryl) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

EENT Assessment

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

Epispadias and Hypospadias

Famotidine (Pepcid) Nursing Considerations

Fever Case Study (Pediatric) (30 min)

Flu Symptoms Nursing Mnemonic (FACTS)

Fluid Compartments

Fluid Pressures

Fluid Shifts (Ascites) (Pleural Effusion)

Fluid Volume Deficit

Fluticasone (Flonase) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Glucose Lab Values

Gluten Free Diet Nursing Mnemonic (BROW)

Guaifenesin (Mucinex) Nursing Considerations

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

Hematocrit (Hct) Lab Values

Hemoglobin (Hbg) Lab Values

Hierarchy of O2 Delivery

Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)

Ibuprofen (Motrin) Nursing Considerations

Immunizations (Vaccinations)

Imperforate Anus

Indomethacin (Indocin) Nursing Considerations

Influenza – Flu

Integumentary (Skin) Assessment

Intussusception

Intussusception for Certified Emergency Nursing (CEN)

Iron Deficiency Anemia

Isolation Precaution Types (PPE)

Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)

Lactulose (Generlac) Nursing Considerations

Levels of Consciousness (LOC)

Levetiracetam (Keppra) Nursing Considerations

Marfan Syndrome

Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)

Meningitis for Certified Emergency Nursing (CEN)

Methylphenidate (Concerta) Nursing Considerations

Mixed (Cardiac) Heart Defects

Nephrotic Syndrome

Nephrotic Syndrome Case Study (Peds) (45 min)

Neuro Assessment

Nursing Care Plan (NCP) for Acute Bronchitis

Nursing Care Plan (NCP) for Appendicitis

Nursing Care Plan (NCP) for Asthma

Nursing Care Plan (NCP) for Asthma / Childhood Asthma

Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)

Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)

Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)

Nursing Care Plan (NCP) for Celiac Disease

Nursing Care Plan (NCP) for Cerebral Palsy (CP)

Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate

Nursing Care Plan (NCP) for Clubfoot

Nursing Care Plan (NCP) for Congenital Heart Defects

Nursing Care Plan (NCP) for Constipation / Encopresis

Nursing Care Plan (NCP) for Cystic Fibrosis

Nursing Care Plan (NCP) for Decreased Cardiac Output

Nursing Care Plan (NCP) for Dehydration & Fever

Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis

Nursing Care Plan (NCP) for Enuresis / Bedwetting

Nursing Care Plan (NCP) for Epiglottitis

Nursing Care Plan (NCP) for Fluid Volume Deficit

Nursing Care Plan (NCP) for Hemophilia

Nursing Care Plan (NCP) for Hydrocephalus

Nursing Care Plan (NCP) for Impaired Gas Exchange

Nursing Care Plan (NCP) for Imperforate Anus

Nursing Care Plan (NCP) for Impetigo

Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye

Nursing Care Plan (NCP) for Influenza

Nursing Care Plan (NCP) for Intussusception

Nursing Care Plan (NCP) for Marfan Syndrome

Nursing Care Plan (NCP) for Meningitis

Nursing Care Plan (NCP) for Mumps

Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida

Nursing Care Plan (NCP) for Omphalocele

Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)

Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice

Nursing Care Plan (NCP) for Pertussis / Whooping Cough

Nursing Care Plan (NCP) for Phenylketonuria (PKU)

Nursing Care Plan (NCP) for Reye’s Syndrome

Nursing Care Plan (NCP) for Rheumatic Fever

Nursing Care Plan (NCP) for Rubeola – Measles

Nursing Care Plan (NCP) for Scoliosis

Nursing Care Plan (NCP) for Sickle Cell Anemia

Nursing Care Plan (NCP) for Tonsillitis

Nursing Care Plan (NCP) for Varicella / Chickenpox

Nursing Care Plan (NCP) for Vomiting / Diarrhea

Nursing Care Plan for (NCP) Autism Spectrum Disorder

Nursing Case Study for Pediatric Asthma

Obstructive Heart (Cardiac) Defects

Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)

Opioid Analgesics

Pancrelipase (Pancreaze) Nursing Considerations

Pediatric Bronchiolitis Labs

Pediatric Gastrointestinal Dysfunction – Diarrhea

Pediatric Oncology Basics

Pediatrics Course Introduction

Pediculosis Capitis

Pertussis – Whooping Cough

Phenylketonuria

Phenytoin (Dilantin) Nursing Considerations

Platelets (PLT) Lab Values

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

Pulmonary Function Test

Red Blood Cell (RBC) Lab Values

Respiratory Acidosis (interpretation and nursing interventions)

Reye’s Syndrome

Reyes Syndrome Case Study (Peds) (45 min)

Rheumatic Fever

ROME – ABG (Arterial Blood Gas) Interpretation

Rubeola – Measles

Salmeterol (Serevent) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Sickle Cell Anemia

Spina Bifida – Neural Tube Defect (NTD)

Steroids – Side Effects Nursing Mnemonic (6 S’s)

Stoma Care (Colostomy bag)

Sudden Infant Death Syndrome (SIDS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Thorax and Lungs Assessment

Topical Medications

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)

Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)

Umbilical Hernia

Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)

Varicella – Chickenpox

Varicella Case Study (Peds) (30 min)

Vitals (VS) and Assessment

White Blood Cell (WBC) Lab Values