Paxil help

elkpark · Mar 21, 2008

Welcome to allnurses! :balloons:

We will be happy to try to help with specific questions you may have about what you've learned through your own research, but we are not here to do your assignmnents for you. :) What do your textbooks say? What have you found out about Paxil so far?

rn/writer, RN · Mar 21, 2008

You should be able to Google Paxil and find out all kinds of things.

I agree with elkpark. We don't want to short circuit the learning process. That's only cheating you and your future patients.

We are, however, very willing to help you sort out confusing data or help you organize your information.

Good luck.

kimmyp · Mar 21, 2008

welcome to allnurses! :balloons:
we will be happy to try to help with specific questions you may have about what you've learned through your own research, but we are not here to do your assignmnents for you. :) what do your textbooks say? what have you found out about paxil so far?

i guess my question wasn't clear enough. i have already completed my presentation however my textbook doesn't clarify which is the most common adverse effect and most important point in patient education. i was hoping current working nurses could help me out with that. i would never ask for anyone to give me all the information i agree that is cheating. i just wanted someones opinion who has "real life nursing" perspective and experience.

i would think the most important thing to assess nursing wise is their mood changes and i would stress the most important thing for the patient to lookout for their reaction to medication and make them aware that it takes about 1-4 weeks to feel benefits. am i on the right track?

this is what i have so far:

[color=#fe8637]¢cns

[color=#fe8637]anxiety, dizziness, drowsiness, headache, insomnia and weakness.

[color=#fe8637]¢gi

[color=#fe8637]constipation, diarrhea, dry mouth, nausea and anorexia

[color=#fe8637]¢gu

[color=#fe8637]ejaculatory disturbance (inability to achieve orgasm)

[color=#fe8637]¢derm

[color=#fe8637]sweating

[color=#fe8637]¢neuro

[color=#fe8637]tremor

[color=#fe8637]¢depression

[color=#fe8637]monitor mood changes

[color=#fe8637]¢ocd

[color=#fe8637]assess frequency and degree of obsessive-compulsive behaviors and how they affect adl's

[color=#fe8637]¢panic attacks

[color=#fe8637]assess frequency and severity of panic attacks

[color=#fe8637]¢social anxiety disorder

[color=#fe8637]assess frequency and episodes of anxiety

[color=#fe8637]¢post-traumatic stress disorder

[color=#fe8637]assess incidents periodically during therapy

[color=#fe8637]¢premenstrual dysphoria

[color=#fe8637]assess symptoms before and during therapy

¢take as directed. if you miss a dose take it as soon as possible. do not double dose

¢do not stop taking medication abruptly. abrupt withdrawal may cause dizziness, sensory disturbances, agitation, nausea, sweating and anxiety.

¢due to possible drowsiness avoid driving and operating heavy machinery until reaction to medication is known.

¢avoid alcohol or cns depressants. notify healthcare professional before taking other medications or herbal products with paxil.

¢advise patient therapeutics effects take anywhere from 1-4 weeks.

¢if experiencing dry mouth, maintain good oral hygiene and use of sugarless gum or candy minimize dry mouth. (if dry mouth persists for more than 2 weeks consult healthcare professional)

¢advise female patients to notify healthcare professional if planning pregnancy, suspected pregnancy or breastfeeding.

leslie :-D · Mar 22, 2008

as with any antidepressant, i ensure all my pts know the risk of suicidal ideations, and to get to an er immediately.

even though the risk is low, any antidepressant can have effects that cause these types of undesirable outcomes.

and with all antidepressants, i tell my pts never to discontinue abruptly...even if they're feeling better.

those are the 2 biggies, for me.

leslie

PsychNurseWannaBe, BSN, RN · Mar 24, 2008

Should talk about serotonin syndrome. And not to take with MAOIs