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Sertraline (Zoloft) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

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Outline

Generic Name

sertraline

Trade Name

Zoloft

Indication

major depressive disorder, OCD, anxiety

Action

inhibits uptake of serotonin allowing for higher quantities available within synaptic cleft

Therapeutic Class

Antidepressant

Pharmacologic Class

SSRI

Nursing Considerations

• do not use with MAOIs
• can cause neurolyptic malignant syndrome, suicidal thoughts, drowsiness, insomnia, diarrhea,
dry mouth, tremors, serotonin syndrome, sexual dysfunction
• monitor mood changes in patient
• takes 1-4 weeks for therapy to be effective.

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Transcript

Okay, let’s take a look at the drug. Citraline also known as Zoloft. This is an oral medication. As you can see here, the therapeutic class, or how Citraline works in the body is an anti while the pharmacologic class or its chemical effect is an SS R I or serotonin selective reuptake inhibitor Erline works by inhibiting the uptake of serotonin, which remember this is sometimes known as the half chemical making higher quantities available within the synaptic cleft. So we use this drug for the treatment of major depressive disorder for O C D or obsessive compulsive disorder, and also for anxiety.

So some of the side effects that we see with Citraline or SSRIs in general are dry mouth tremors, drowsiness, and diarrhea, some nursing considerations for Citraline. This drug may cause neuroleptic malignant syndrome, suicidal thoughts, serotonin syndrome, and also sexual dysfunction. Be sure to monitor any mood changes in your patients. It’s important to teach the patient that this drug takes one to four weeks for therapy to be effective. And this is super important. Guys do not use Seline with Mao. So guys compared to other SSRIs Citraline has the fewest drug interactions. However, it does have the highest rate of diarrhea and male sexual dysfunction within this drug class and guys, most of the time, the side effects are way more important to the, than any drug interactions, and really can be a reason why they decide to stop taking this medication. That’s it for Citraline or Zoloft now go out and be your best self today and as always happy nursing.

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pharmacology

Concepts Covered:

Study Plan Lessons

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Lung Surfactant for Newborns

Eye Prophylaxis for Newborn

Phytonadione (Vitamin K) for Newborn

Hepatitis B Vaccine for Newborns

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Lidocaine (Xylocaine) Nursing Considerations

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Betamethasone and Dexamethasone in Pregnancy

Sedatives-Hypnotics

Opioid Analgesics in Pregnancy

Meds for Postpartum Hemorrhage (PPH)

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

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Antianxiety Meds

Magnesium Sulfate (MgSO4) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

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Nitroprusside (Nitropress) Nursing Considerations

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Methylprednisolone (Solu-Medrol) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

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Nalbuphine (Nubain) Nursing Considerations

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Ondansetron (Zofran) Nursing Considerations

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Loperamide (Imodium) Nursing Considerations

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Montelukast (Singulair) Nursing Considerations

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Methylphenidate (Concerta) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

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Amoxicillin (Amoxil) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

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Lisinopril (Prinivil) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

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Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

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Phenytoin (Dilantin) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

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Levetiracetam (Keppra) Nursing Considerations

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Midazolam (Versed) Nursing Considerations

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Glipizide (Glucotrol) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Furosemide (Lasix) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

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Famotidine (Pepcid) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

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Epinephrine (EpiPen) Nursing Considerations

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Diazepam (Valium) Nursing Considerations

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Benztropine (Cogentin) Nursing Considerations

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Atenolol (Tenormin) Nursing Considerations

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Ampicillin (Omnipen) Nursing Considerations

Amlodipine (Norvasc) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

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Alprazolam (Xanax) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Acetaminophen (Tylenol) Nursing Considerations

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

The SOCK Method – Overview

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

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IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Magnesium Sulfate

HMG-CoA Reductase Inhibitors (Statins)

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