Fluoxetine (Prozac) Nursing Considerations
You're watching a preview. 300,000+ students are watching the full lesson.
Included In This Lesson
Study Tools For Fluoxetine (Prozac) Nursing Considerations
NURSING.com students have a 99.25% NCLEX pass rate.
Outline
Generic Name
Fluoxetine
Trade Name
Prozac
Indication
Depressive disorder, OCD, bulimia, panic disorder, bipolar, anorexia, ADHD, DM
neuropathy, obesity
Action
Inhibits reuptake of serotonin allowing it to persist longer in the synaptic cleft
Therapeutic Class
Antidepressant
Pharmacologic Class
SSRI
Nursing Considerations
• Do not use while taking MAOIs
• May cause suicidal thoughts, drowsiness, anxiety, sexual dysfunction,
insomnia, palpitations
• Monitor closely for serotonin syndrome
• Concurrent use with certain medications may lead to QT prolongation
• Monitor mood changes and assess for suicidal ideation
• Monitor nutrition status
• May cause elevated liver enzymes
• Instruct pt to maintain good oral hygiene
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
Transcript
Okay, let’s talk about fluoxetine also known as Prozac. This is an oral medication, as you can see here in the picture.
Since fluoxetine or Prozac is a pretty well-known medication, I am sure you are probably familiar with it being an antidepressant, which is its therapeutic class or how it works in the body. The pharmacologic class of fluoxetine is an SSRI or selective serotonin reuptake inhibitor. Remember the pharmacologic class is the chemical effect of the drug. Okay, so fluoxetine works by inhibiting the reuptake of serotonin, which is known as the happy chemical, allowing it to persist longer in the synaptic cleft right here. Fluoxetine has quite a long list of indications, including the treatment of depressive disorder, OCD, bulimia and anorexia, panic disorder, ADHD, diabetic neuropathy, obesity, and bipolar disorder. So antidepressants are known for coming along with some side effects sometimes that are difficult for patients to heal handle. These can include things like drowsiness, anxiety, sexual dysfunction, and insomnia.
Let’s take a look at a few nursing considerations for fluoxetine. Super important to assess your patient for suicidal ideations while on Prozac, as this can cause suicidal thoughts, as well as palpitations and elevated liver enzymes. Monitor for serotonin syndrome, mood changes, and nutrition status. Concurrent use of certain medications may cause QT prolongation, especially with antibiotics and antipsychotics. Be sure to teach your patient to maintain good oral hygiene. So in comparison with other SSRIs, fluoxetine or Prozac has a prolonged half-life of nearly a week in patients who take it chronically. So this means the tapering could take over a month to get the patient off of fluoxetine safely. That’s it for fluoxetine or Prozac. now go out and be your best self today. And as always happy nursing.
Study Faster with Full Video Transcripts
99.25% NCLEX Pass Rate vs 88.8% National Average
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
Nursing School Doesn't Have To Be So Hard
Go from discouraged and stressed to motivated and passionate
pharmacology
Concepts Covered:
- Pregnancy Risks
- Medication Administration
- Prenatal Concepts
- Labor Complications
- Newborn Care
- EENT Disorders
- Intraoperative Nursing
- Depressive Disorders
- Disorders of the Thyroid & Parathyroid Glands
- Postpartum Complications
- Bipolar Disorders
- Psychotic Disorders
- Anxiety Disorders
- Postoperative Nursing
- Cardiac Disorders
- Central Nervous System Disorders – Brain
- Peripheral Nervous System Disorders
- Shock
- Neurologic and Cognitive Disorders
- Vascular Disorders
- Lower GI Disorders
- Respiratory Disorders
- Urinary Disorders
- Substance Abuse Disorders
- Cardiovascular Disorders
- Acute & Chronic Renal Disorders
- Disorders of Pancreas
- Upper GI Disorders
- Gastrointestinal Disorders
- Neurological
- Noninfectious Respiratory Disorder
- Immunological Disorders
- Male Reproductive Disorders
- Infectious Respiratory Disorder
- Microbiology
- Female Reproductive Disorders
- Emergency Care of the Cardiac Patient
- Hematologic Disorders
- Integumentary Disorders
- Disorders of the Adrenal Gland
- Liver & Gallbladder Disorders
- Sexually Transmitted Infections
- Nervous System
- Learning Pharmacology
- Dosage Calculations
- Concepts of Pharmacology
- Disorders of the Posterior Pituitary Gland