January 26, 2023

Grab our free cheatsheet covering the 50 most commonly prescribed medications right here:

L’occitane is a common medication used for disorders like depressive disorder ocd bulimia panic disorder bipolar anorexia adhd diabetic neuropathy and obesity and it’s most often used with issues like adhd ocd and depressive disorder the trade name for fluoxetine is prozac it’s a therapeutic classes and 2 depressant and it’s pharmacologic classes ssri or selective

Serotonin reuptake inhibitor okay so what happens here what’s really doing is in our neural pathways we have synaptic cleft right and serotonin will go into this space and then try to go you know on as a neurotransmitter what these ssris do is they inhibit that serotonin from being taken back in okay so it allows for more serotonin to reside in that synaptic cleft

And serotonin thought to play a role in mood okay so if we have more serotonin available it should affect the mood and it should help the patient feel less depressed be able to control their adhd and be able to control their ocd so it’s medication like we said it’s fluoxetine or prozac some of the things to keep in mind here and with a lot of these antidepressants

It’s really important the patient is not taking one class of antidepressant with mao is or monoamine oxidase inhibitors so what really needs to happen is it needs to be about a two-week gap between stopping one and starting the other to make sure that it completely leaves the system these ssris can actually also cause suicidal thoughts drowsiness anxiety sexual

Dysfunction insomnia and palpitations because of these side effects a lot of patients that begin taking these medications stop taking them they don’t like feeling you know these drowsiness this anxiety the sexual dysfunction the insomnia they would almost rather deal with the depressive disorder or the ocd or whatever it is rather than have to deal with all of these

Side-effects we’d also want to be very closely watching our patients because fluoxetine can lead to a qt prolongation and when we’re talking about that we’re talking about our ekg we have our pqrst and our ukg ssris can actually lead to a qt prolongation and what that’s really doing is it’s elongating our ventricular contraction which could then lead to ventricular

Arrhythmias okay we we monitor our patient and assess for any sort of suicidal ideation we want to monitor nutritional status and we want to inspect the patient make sure that the medication is working for them we really want to see if they’re taking it we want instruct them to take it as prescribed and to make sure that they’re they’re using the medication that

Is actually working for them okay with a lot of patients who start antidepressants we have to adjust the medications to find something that really works for them so it’s really important that we watch them and that we monitor them and make sure it’s actually working so that is fluoxetine or prozac it’s pharmacologic classes ssri or selective serotonin reuptake

Inhibitor this has been another episode of the med master podcast by n r s ng comm to get our free cheat sheet cover the 50 most commonly prescribed medications head over to nrs ng comm slash 50 meds that’s in our s ng comm slash 50 meds thank you so much for joining me today and thank you for being part of the nrs ng family we’re here to help you succeed in nursing

School and in life so start your journey today over at nrs ng comm slash 50 meds we’re glad to have you aboard you know what time it is now it’s time to go out and be your best self today happy nursing yell you

Transcribed from video
Fluoxetine Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses By NURSINGcom