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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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My Study Plan

Concepts Covered:

Study Plan Lessons

Pharmacology Course Introduction

12 Points to Answering Pharmacology Questions

54 Common Medication Prefixes and Suffixes

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Essential NCLEX Meds by Class

6 Rights of Medication Administration

Pharmacodynamics

Pharmacokinetics

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Disease Specific Medications

Antianxiety Meds

Benzodiazepines

Alprazolam (Xanax) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Diazepam (Valium) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Procainamide (Pronestyl) Nursing Considerations

Clopidogrel (Plavix) Nursing Considerations

Warfarin (Coumadin) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

Alteplase (tPA, Activase) Nursing Considerations

Streptokinase (Streptase) Nursing Considerations

Carbamazepine (Tegretol) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

Antidepressants

Bupropion (Wellbutrin) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Paroxetine (Paxil) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

Glipizide (Glucotrol) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Long Acting (Lantus) Nursing Considerations

Histamine 1 Receptor Blockers

Diphenhydramine (Benadryl) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

Histamine 2 Receptor Blockers

Cimetidine (Tagamet) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Renin Angiotensin Aldosterone System

Atenolol (Tenormin) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

ACE (angiotensin-converting enzyme) Inhibitors

Captopril (Capoten) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Lisinopril (Prinivil) Nursing Considerations

Angiotensin Receptor Blockers

Losartan (Cozaar) Nursing Considerations

Calcium Channel Blockers

Amlodipine (Norvasc) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Nifedipine (Procardia) Nursing Considerations

Verapamil (Calan) Nursing Considerations

Cardiac Glycosides

Digoxin (Lanoxin) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Clindamycin (Cleocin) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Anti-Infective – Penicillins and Cephalosporins

Amoxicillin (Amoxil) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Cephalexin (Keflex) Nursing Considerations

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Tetracycline (Panmycin) Nursing Considerations

Atypical Antipsychotics

Chlorpromazine (Thorazine) Nursing Considerations

Haloperidol (Haldol) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Autonomic Nervous System (ANS)

Methylphenidate (Concerta) Nursing Considerations

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

Dobutamine (Dobutrex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Parasympathomimetics (Cholinergics) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Parasympatholytics (Anticholinergics) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Benztropine (Cogentin) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Salmeterol (Serevent) Nursing Considerations

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Furosemide (Lasix) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Proton Pump Inhibitors

Omeprazole (Prilosec) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Glucagon (GlucaGen) Nursing Considerations

Iodine Nursing Considerations

Levothyroxine (Synthroid)

Propylthiouracil (PTU) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

HMG-CoA Reductase Inhibitors (Statins)

Atorvastatin (Lipitor) Nursing Considerations

Magnesium Sulfate

Magnesium Sulfate in Pregnancy

Magnesium Sulfate (MgSO4) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

Calcium Carbonate (Tums) Nursing Considerations

Ferrous Sulfate (Iron) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Mood Stabilizers

Lithium (Lithonate) Nursing Considerations

Acetaminophen (Tylenol) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Ibuprofen (Motrin) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

Meds for Postpartum Hemorrhage (PPH)

Methylergonovine (Methergine) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Prostaglandins in Pregnancy

Rh Immune Globulin in Pregnancy

Lung Surfactant for Newborns

Eye Prophylaxis for Newborn

Phytonadione (Vitamin K) for Newborn

Hepatitis B Vaccine for Newborns

Opioid Analgesics in Pregnancy

Butorphanol (Stadol) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Fentanyl (Duragesic) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Oxycodone (OxyContin) Nursing Considerations

Sedatives-Hypnotics

Phenobarbital (Luminal) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Lidocaine (Xylocaine) Nursing Considerations

Corticosteroids

Betamethasone and Dexamethasone in Pregnancy

Cortisone (Cortone) Nursing Considerations

Dexamethasone (Decadron) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Nitro Compounds

Nitroglycerin (Nitrostat) Nursing Considerations

Nitroprusside (Nitropress) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations