PIPRAMS

LESSON PLAN ON
TOPIC: ANTIDEPRESSANT
SUBJECT:MENTAL HEALTH
NURSING
 IDENTIFICATION DATA:
 NAME OF THE STUDENT TEACHER: ANKIT KUMAR
 NAME OF THE SUBJECT: MENTAL HEALTH NURSING
 NAME OF THE TOPIC: ANTIDEPRESSANT
 GROUP OF THE STUDENTS: B.SC.NURSING 3RD YEAR
 SIZE OF THE GROUP: 45
 DATE AND TIME OF PRESENTATION:
 VENUE/PLACE OF PRESENTATION:
 DURATION OF TEACHING:
 AV AIDS:
 PREVIOUS KNOWLEDGE ABOUT THE TOPIC: The group already have previous knowledge
About the topic antidepressant.
  GENERAL OBJECTIVES: At the end of the seminar the group will gain the knowledge about
the topic .

SPECIFIC OBJECTIVES:
 To introduce the topic
 To enlist the types of antidepressant
 To the uses of antidepressant
 To explain the sideffect of antidepressant
 To explain the mechanism of action
 To describe the nursing management
 Summary
 Conclusion
 Bibliograghy
S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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1. 2MINS To introduce INTRODUCTION. Lecture cum discussion What is the
the topic introduction Of
Antidepressants can Antidepressant
?
help relieve the
symptoms of
depression. They can
also help to treat
social anxiety
disorder, other
anxiety disorders,
and seasonal
affective disorder.
S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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3mins To enlist the TYPES . Lecture method
2. types What are the
types of
antidepressant?

Selective serotonin
reuptake inhibitors
(SSRIs)

SSRIs are a first-lineTrusted

Source treatment option
for depression.

Examples of SSRIs include:

 citalopram (Celexa)
 escitalopram (Lexapro)
 fluoxetine (Prozac,
Sarafem)
 fluvoxamine (Luvox)
  paroxetine (Paxil)
 sertraline (Zoloft)

Serotonin and
norepinephrine
reuptake inhibitors
(SNRIs)

SNRIs are a newer class of

antidepressant compared with
SSRIs. However, they work in a
similar way.

Doctors may prescribe SNRIs for:

 attention deficit
hyperactivity disorder
(ADHD)
 obsessive-compulsive
disorder (OCD)
 anxiety disorders
  menopausal symptoms
 fibromyalgia
 chronic neuropathic pain

Examples of SNRIs include:

 duloxetine (Cymbalta)
 venlafaxine (Effexor XR)
 desvenlafaxine (Pristiq)

Tricyclic
antidepressants
(TCAs)

Doctors may
recommend TCAs for
depression, fibromyalgia, some
types of anxiety, and chronic
pain.
Examples include:

 amitriptyline
 amoxapine
 clomipramine (Anafranil)
 desipramine (Norpramin)
 doxepin (Sinequan)
 imipramine (Tofranil)
 nortriptyline (Pamelor)
 protriptyline (Vivactil)
 trimipramine (Surmontil)

Monoamine oxidase
inhibitors (MAOIs)

Due to their adverse side effects

and drug-drug interactions,
doctors do not typicallyTrusted
Source suggest MAOIs as a first-
line treatment option for
depression. However, they may
be an option if SSRIs do not work
for depression.

Examples include:

 phenelzine (Nardil)
 tranylcypromine (Parnate)
 isocarboxazid (Marplan)
 selegiline (Emsam,
Eldepryl)

Noradrenaline and
specific
serotoninergic
antidepressants
(NaSSAs)

Doctors use NaSSAs to treat

 anxiety disorders and
depression.

Examples include mianserin

(Tolvon)
and mirtazapine (Remeron,
Avanza, Zispin).

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 OBJECTIVE ACTIVITY/
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3. 5MINS To define the By lecture method What is the side
side effects effect ?

Side effects
It is important to note that all
drugsTrusted Source have side
effects. Different antidepressants
have different side effects.
However, not everyone will
experience them.

SSRIs and SNRIs

SSRIs and SNRIs can lead to:

 nausea and anxiety for the

first couple of weeks,
according to 2010 research
 indigestion
  headache
 sexual dysfunction

SNRIs can also cause an

increase in blood pressure. A
person with a serious heart
condition should not take the
SNRI venlafaxine.

TCAs

TCAs may have the following

side effects:

 dry mouth
 tremor
 fast heartbeat
 constipation
 insomnia
 weight gain
MAOIs

MAOIs can interact with other

drugs. For example, if a person
combined an MAOI with an SSRI,
it could lead to serotonin
syndrome. Serotonin syndrome is
a serious condition in which a
person has too much serotonin in
their body.

MAOIs can also lead to:

 dry mouth
 diarrhea
 nausea
 drowsiness
 constipation
 dizziness
  insomnia
 lightheadedness
 sexual dysfunction

MAOIs prevent the breakdown of

tyramine. If a person consumes
foods that contain tyramine, such
as sausages, fish, and overripe
fruit, it can leadTrusted Source to
a hypertensive crisis. This is a
severe increase in blood
pressure that can lead to
a stroke.

NaSSAs

These antidepressants can lead

to side effects similar to SSRIs
and SNRIs. They can also cause
drowsiness and weight gain.
However, they are less likely to
cause sexual dysfunction,
according to 2010 research.

Rarer side effects

Suicide
prevention
If you know someone at
immediate risk of self-harm,
suicide, or hurting another
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4. 4MINS To define the Lecture method
uses What is the
uses of
Uses. antidepressant?

Doctors recommend
antidepressants to treat:

 depression and major

depressive disorder
 generalized anxiety
disorder
 panic attacks
 chronic pain
 OCD
 post-traumatic stress
disorder (PTSD)
 social anxiety disorder
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5. 3mins To explain the Lecture method
action of What is the
antidepressant. action of drug?
How do
antidepressants
work?
While different antidepressants
work in different ways, they all
affect neurotransmitters.
Neurotransmitters are chemicals
brain cells use to communicate
with each other.

According to a 2021
articleTrusted Source,
antidepressants work in the
following ways:
 SSRIs: These reduce the
amount of serotonin the
brain absorbs. This makes
it easier for the brain cells
to send and receive
messages, leading to more
stable moods.
 SNRIs: These raise the
levels of serotonin and
norepinephrine in the brain.
These neurotransmitters
play a key role in stabilizing
mood.
 TCAs: These regulate the
amount of serotonin and
norepinephrine the brain
absorbs. This helps to
reduce feelings of anxiety
and depression.
 MAOIs: These target the
brain enzyme.
S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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4mins To elaborate Nursing considerations Lecture method What is the
6. the nursing  Arrange for lower or less nursing role ?
managemengt. frequent doses in elderly
patients and patients with
hepatic or renal impairment.
 BLACK BOX WARNING:
Establish suicide precautions
for severely depressed
patients. ...
 Administer drug in the
morning.
 Monitor patient for response to
therapy for up to 4 wk before
increasing dose.
 Switch to once a week therapy
by starting weekly dose 7 days
after last 20 mg/day dose. ...
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7.

Summary
Antidepressants can help relieve
symptoms of conditions such as
depression and anxiety
disorders. They work by
correcting the balance of
neurotransmitters in the brain.

Examples of antidepressants
include SSRIs, SNRIs, TCAs,
and NaSSAs. MAOIs may also
be an option, though doctors
prescribe these less often due to
the risk of adverse side effects
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CONCLUSION.
8.

Deciding to discontinue
antidepressant use needs
serious consideration. With
appropriate support, many
people stop safely, although they
may experience uncomfortable
adverse effects.

A person should always seek a

doctor’s advice before stopping
and follow the plan they suggest.
 BIBLIOGRAPHY
Bharat pareek text book of psychiatric nursing (For UG student ), Published by Vision Health
Science
R.sreevani text book of mental health nursing ,Published by Jaypee brother