Clinical Consult to Psychiatric Nursing for Advanced Practice / Edition 1

by Jacqueline Rhoads PhD, APRN-BC, CNL-BC, PMHNP-BE, FAANP, Patrick J. M. Murphy PhD

Overview

This is the only advanced practice guide to provide an overview of the major DSM-5 disorders across the lifespan and complete clinical guidelines for their psychopharmacologic management. It has been compiled by expert practitioners in psychiatric care and is designed for use by nurse practitioners and other primary caregivers in clinical practice.

The guide is organized in an easy-to-access format with disorders for which drugs can play a significant therapeutic role. The listing for each disorder includes clinical features and symptoms, as well as information about the most current and effective drugs for management. A clearly formatted table identifies the first and second lines of drug therapy along with adjunctive therapies for each disorder. Drugs are organized according to classification, and each listing provides the essential information needed to safely prescribe and monitor a patient's response to a particular drug. Brand and generic names, drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations are addressed. Convenient, practical, and portable, this guide will be a welcome and frequently used resource.

Key Features:

• Presents psychopharmacological treatment guidelines for major DSM-5 disorders and parameters for use of each drug
• Prioritizes drugs according to their clinical efficacy and recommended treatment algorithms
• Includes brand and generic names, customary dosages, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations
• Provides easy-to-read tables for quick clinical consultation
• Offers information on clinical algorithms, lab evaluation, and preventive services

Product Details

ISBN-13:	9780826195951
Publisher:	Springer Publishing Company
Publication date:	08/29/2014
Edition description:	New Edition
Pages:	648
Product dimensions:	7.00(w) x 9.90(h) x 1.30(d)

About the Author

Jacqueline Rhoads, PhD, APRN-BC, CNL-BC, PMHNP-BE, FAANP, holds three board certifications as an acute care nurse practitioner, adult gerontology nurse practitioner, and clinical nurse leader. She is board eligible as a psychiatric mental health nurse practitioner. She has more than 30 years of clinical experience in leadership, critical care, acute care, and primary care nursing. Dr. Rhoads teaches in graduate and baccalaureate programs in acute and primary care and in the family and adult nurse partitioner tracks. She has special interest in advance health assessment and pharmacology. She has authored six major advanced practice textbooks related to advanced health assessment, differential diagnoses, and clinical management of psych/mental health, as well as numerous peer-reviewed articles. She has held research positions such as project director, principal investigator, and project coordinator in three major universities. Her areas of research include investigating posttraumatic stress disorder post-Vietnam, Desert Storm, and disaster-related situations.

Patrick J. M. Murphy, PhD, is an Assistant Professor at the Seattle University College of Nursing.

Table of Contents

Contributors xiii

Preface xvii

Acknowledgments xix

Part I. General Psychiatry

1. The Psychiatric Interview and Diagnosis 3

2. Psychotherapeutic Management 19

3. Behavioral Therapy, Cognitive Behavioral Therapy, and Psychoanalysis 25

Part II. Principles of Clinical Psychopharmacology

4. Clinical Neuroanatomy of the Brain 41

5. The Relationship of Psychopharmacology to Neurotransmitters, Receptors, Signal Transduction, and Second Messengers 51

6. Principles of Pharmacokinetics and Pharmacodynamics

7. Principles and Management of Psychiatric Emergencies 69

Part III. Syndromes and Treatments in Adult Psychiatry*

8. Behavioral and Psychological Disorders in the Elderly 81

9. Substance Use Disorders 93

10. Psychotic Disorders 111

11. Mood Disorders 143

12. Anxiety Disorders 187

13. Somatic Symptom and Related Disorders 219

14. Dissociative Disorders 227

15. Sexual Dysfunction 241

16. Paraphilic Disorders 257

17. Feeding and Eating Disorders 265

18. Personality Disorders 285

19. Sleep Disorders 299

Part IV. Syndromes and Treatments in Child and Adolescent Psychiatry*

20. Disorders Presenting in Infancy or Early Childhood (0–5 Years of Age) 317

21. Disorders Presenting in Middle Childhood (6–11 Years of Age) or Adolescence (12–18 Years of Age) 361

Part V. Drug Monographs

Alprazolam (Xanax/Xanax XR/Niravam; also Apo-Alpraz, Apo-Alpraz TS, Novo-Alprazol, Nu-Alpraz) 391

Amitriptyline Hydrochloride (Elavil) 394

Aripiprazole (Abilify, Abilify Discmelt, Abilify Maintena) 398

Armodafinil (Nuvigil) 401

Asenapine (Saphris) 404

Atomoxetine Hydrochloride (Strattera) 407

B Complex (Vitamin B1 /Thiamine Hydrochloride) 409

Bismuth Subsalicylate 410

Bromocriptine Mesylate (Parlodel, Cycloset) 412

Buprenorphine, Buprenorphine HCl, Buprenex, Butrans, and Naloxone HCl Dihydrate (Subutex, Suboxone) 415

Buprenorphine/Naloxone (Suboxone) 418

Bupropion (Wellbutrin, Bupropion Hydrobromide [Aplenzin]), and Bupropion Hydrochloride (Wellbutrin, Wellbutrin SR, Wellbutrin XL, Zyban) 421

Carbamazepine (Tegretol, Carbatrol, Teril, Tegretol XR, Equetro) 424

Chlordiazepoxide Hydrochloride (Librium) 428

Citalopram Hydrochloride (Celexa) 430

Clomipramine (Anafranil) 433

Clonazepam (Klonopin) 436

Clonidine Hydrochloride (Catapres, Dixarit, Duraclon, Jenloga, Kapvay, Catapres-TTS) 438

Clorazepate (Tranxene) 440

Clozapine (Clozaril,Fazaclo) 442

Cyclobenzaprine (Flexeril) 446

Cyproheptadine (Periactin) 448

Desipramine (Norpramin) 449

Desvenlafaxine (Pristiq) 451

Dexmethylphenidate (Focalin) 454

Dextroamphetamine and Amphetamine (Adderall) 456

Diazepam (Valium) 459

Dicyclomine (Bentyl) 461

Diphenhydramine Hydrochloride (Benedryl) 463

Divalproex Sodium (Depacon, Depakene, Depakote, Depakote ER, Depakote Sprinkle) 466

Donepezil Hydrochloride (Aricept) 469

Doxepin (Sinequan, Silenor) 471

Duloxetine (Cymbalta) 473

Escitalopram (Lexapro) 476

Eszopiclone (Lunesta) 479

Fluoxetine Hydrochloride (Prozac) 481

Fluoxetine Maleate (Luvox, Luvox CR) 485

Fluphenazine, Fluphenazine Hydrochloride (Modecate, Modecate Concentrate), Fluphenazine Decanoate (Prolixin) 489

Flurazepam (Dalmane, Dalmadorm) 492

Galantamine Hydrobromide (Razadyne, Razadyne ER) 494

Guanfacine Hydrochloride (Intuniv, Tenex) 496

Haloperidol Decanoate, Haloperidol Lactate (Haldol) 498

Hydroxyzine Hydrochloride (Atarax, Vistaril), Hydroxyzine Pamoate (Vistaril) 501

Ibuprofen (Motrin) 503

Iloperidone (Fanapt) 505

Imipramine (Tofranil) 507

Isocarboxazid (Marplan) 510

Lamotrigine (Lamictal, Lamictal CD, Lamictal ODT, Lamictal XR) 512

Levomilnacipran (Fetzima) 514

Lisdexamfetamine Dimesylate (Vyvanse) 516

Lithium Carbonate, Lithium Citrate (Cibalith-S, Eskalith, Lithobid) 518

Loperamide (Imodium) 521

Lorazepam (Ativan) 523

Lurasidone Hydrochloride (Latuda) 526

Memantine Hydrochloride (Namenda, Namenda XR) 528

Methadone Hci (Methadose Oral Concentrate) 530

Methadone Hci (Methadose Oral Concentrate, Dolophine, Methadose) 532

Methocarbamol (Robaxin) 534

Methylphenidate (Methylin) 537

Methylphenidate Transdermal (Methylphenidate Hydrochloride, Concerta, Metadate CD, Metadate ER, Methylin ER, Ritalin, Ritalin LA, Ritalin SR, Daytrana Patch) 540

Midazolam Hydrochloride (Versed) 543

Mirtazapine (Remeron, Also Remeron Soltab) 546

Modafinil (Provigil) 549

Modafinil (Provigil, Alert-C) 551

Naloxone Hydrochloride (Narcan) 553

Naltrexone (Revia, Vivitrol) 555

Nicotine (Nicotrol NS, Nicotrol Inhaler, Commit, Habitrol, Nicoderm, Nicotrol Prostep, Nicorette Gum, Nicorette DS), Varenicline (Chantix) 559

Nortriptyline Hydrochloride (Pamelor, Aventyl) 561

Olanzapine (Zyprexa, Zyprexa Zydis), Olanzapine Pamoate (Zyprexa Relprevv) 564

Oxazepam (Serax) 567

Oxcarbazepine (Carbatrol) 569

Perphenazine (Trilafon) 573

Phenobarbital 575

Quetiapine Fumarate (Seroquel, Seroquel XR) 578

Risperidone (Risperdal, Risperdal M-Tab, Risperdal Consta) 582

Rivastigmine Tartrate (Exelon, Exelon Patch) 587

Sertraline Hydrochloride (Zoloft) 589

Tacrine Hydrochloride (Cognex) 593

Temazepam (Restoril) 595

Thioridazine Hydrochloride (Mellaril) 597

Thiothixene (Navane) 600

Trazodone Hydrochloride (Desyrel, Oleptro) 602

Triazolam (Halcion) 604

Zaleplon (Sonata) 606

Ziprasidone (Geodon) 608

Zolpidem (Ambien) 611

Zonisamide (Zonegran) 613

Index 615

Editorial Reviews

Reviewer: Laura Kelly, PhD, APN (Columbia University School of Nursing)
Description: This is a concise, very abbreviated book on the treatment of clients suffering from mental health disorders.
Purpose: According to the authors, the book provides "a concise, complete, easy to access clinical resource so the primary care provider can quickly access" information about assessing, diagnosing, and prescribing to clients exhibiting psychiatric symptoms. Short chapters written in an outline and bulleted format provide the information with little explanation.
Audience: The audience is clearly stated to be practitioners in primary care. It is not intended for psychiatric advance practice nurses or any other mental health professionals. One of the authors states she wrote the book after realizing that, as a nonpsychiatric nurse practitioner, she had very few resources to turn to when she encountered clients suffering from mental health disorders while working in New Orleans after Hurricane Katrina.
Features: The guide covers all of general psychiatry including assessment, diagnosis, and two forms of nonpharmacological therapeutic interventions in fewer than 25 pages. The 12 chapters on syndromes are basically a recapitulation of DSM-5 criteria along with some statistics about prevalence of the disorders. The bulk of the guide comprises 90 drug monographs of common psychiatric medications. Differential diagnoses and diagnostic workups are included in the chapters on the syndromes, a valuable feature for clinicians.
Assessment: This book raises a number of concerns. It is written for primary care providers who have no formal training in psychiatric assessment and diagnosis. It is also out of the scope of practice of a nurse practitioner who is not a psychiatric nurse practitioner to provide therapy. The drug monographs do not provide important information on when initial follow-up should be conducted after starting clients on these medications. It is well documented in the clinical literature that combination therapy (often medications and another psychotherapeutic modality) yields the best results. Nowhere in this guide does it encourage primary care providers to refer to a psychiatric specialist to manage patients with significant mental health disorders. Without this information, primary care providers may believe that this guide might be all they need to assess, diagnose, and treat these patients.

Doody's Review Service