Paroxetine (Paxil) Nursing Considerations

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Kara Tarr
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Drug Card Paroxetine (Paxil) (Cheatsheet)
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Outline

Generic Name

paroxetine

Trade Name

Paxil

Indication

major depressive disorder, OCD, anxiety, PTSD

Action

block reuptake of serotonin in CNS

Therapeutic Class

antianxiety agent, antidepressant

Pharmacologic Class

SSRI

Nursing Considerations

• do not use with MAOIs
• can cause neurolyptic malignant syndrome, suicidal thoughts, serotonin syndrome, constipation,
diarrhea, insomnia
• decrease effectiveness of digoxin
• increase bleeding with warfarin
• assess for suicidal thoughts

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Transcript

Hey guys, let’s talk about paroxetine also known as Paxil. This is an oral medication, as you can see here, The therapeutic class of Proxin is an anti-anxiety agent, as well as an anti antidepressant. Remember, this is how the drug works in the body and it’s pharmacologic class or the chemical effect of the drug is an SSRI, which is a serotonin selective reuptake inhibitor Perine works because it blocks the re uptake of serotonin. And in the central nervous system, we use Perine for major depressive disorder for obsessive compulsive disorder, for anxiety, and also for post traumatic stress disorder. 

So some of the side effects that we see with Paxil Oroxine and antidepressants in general are suicidal thoughts, constipation, diarrhea, and insomnia, a few nursing considerations for Perine do not use if the patient is also on mais, there are some drug interactions with Perine, including it increases bleeding. If the patient is on warfarin, it also decreases the effect of dein Proin may cause neuroleptic malignant syndrome, as well as serotonin syndrome. Be sure that you assess any suicidal thoughts in your patient and make sure that they know to report suicidal thoughts to the provider. So guys with antidepressants, they are known for not working right away. So be sure to teach your patient that it may take a few weeks to see any results of the drug. And also guys in patients who have a liver disease, they need to be started on a lower dose because Perine is dependent on the liver. That’s it for paroxetine or Paxil now go out and be your best self today. And as always happy nursing.

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Pharmacology Exam III

Concepts Covered:

  • Oncology Disorders
  • Concepts of Pharmacology
  • Medication Administration
  • Nervous System
  • Adulthood Growth and Development
  • Bipolar Disorders
  • Substance Abuse Disorders
  • Depressive Disorders
  • Disorders of Pancreas
  • Intraoperative Nursing
  • Anxiety Disorders
  • Disorders of the Adrenal Gland
  • Central Nervous System Disorders – Brain
  • Hematologic Disorders
  • Respiratory Disorders
  • Cardiac Disorders
  • Immunological Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Cardiovascular Disorders
  • Urinary System
  • Personality Disorders
  • Psychotic Disorders
  • Peripheral Nervous System Disorders
  • Urinary Disorders
  • Pregnancy Risks
  • Female Reproductive Disorders
  • Neurologic and Cognitive Disorders
  • Noninfectious Respiratory Disorder
  • Learning Pharmacology

Study Plan Lessons

Antineoplastics
Pharmacokinetics
Pharmacodynamics
Parasympathomimetics (Cholinergics) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Mood Stabilizers
Methadone (Methadose) Nursing Considerations
MAOIs
Interactive Pharmacology Practice
Insulin Mixing
Insulin Drips
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin
Glipizide (Glucotrol) Nursing Considerations
Barbiturates
Antidepressants
Antianxiety Meds
Addisons Assessment Nursing Mnemonic (STEROID)
Anticonvulsants
Antianxiety Meds
Barbiturates
MAOIs
Phenobarbital (Luminal) Nursing Considerations
TCAs
Anti Tumor Antibiotics
Alkylating Agents
Sedatives-Hypnotics
Lithium (Lithonate) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Corticosteroids
Antidiabetic Agents
Sympatholytics (Alpha & Beta Blockers)
Epoetin Alfa
Cyclosporine (Sandimmune) Nursing Considerations
Iodine Nursing Considerations
Levothyroxine (Synthroid)
Propylthiouracil (PTU) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
Histamine 2 Receptor Blockers
Histamine 1 Receptor Blockers
Cardiac Glycosides
Calcium Channel Blockers
ACE (angiotensin-converting enzyme) Inhibitors
Metoprolol (Toprol XL) Nursing Considerations
Renin Angiotensin Aldosterone System
Atypical Antipsychotics
Chlorpromazine (Thorazine) Nursing Considerations
Antipsychotics
Haloperidol (Haldol) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Neostigmine (Prostigmin) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Autonomic Nervous System (ANS)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Proton Pump Inhibitors
Ondansetron (Zofran) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Sertraline (Zoloft) Nursing Considerations
Paroxetine (Paxil) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Escitalopram (Lexapro) Nursing Considerations
SSRIs
Bupropion (Wellbutrin) Nursing Considerations
Antidepressants
Phenytoin (Dilantin) Nursing Considerations
Levetiracetam (Keppra) Nursing Considerations
Lamotrigine (Lamictal) Nursing Considerations
Gabapentin (Neurontin) Nursing Considerations
Carbamazepine (Tegretol) Nursing Considerations
Antianxiety Meds
Buspirone (Buspar) Nursing Considerations
Diazepam (Valium) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Lorazepam (Ativan) Nursing Considerations
Alprazolam (Xanax) Nursing Considerations
Benzodiazepines
Disease Specific Medications
Pharmacology Course Introduction
The SOCK Method – Overview