Nurse administration {Ans: `SSRIs may be taken with food `Sleep disturbances minimize by taking meds in the morning `Take medication on a daily basis basis to establish therapeutic plasma levels `Inform client that it could take up to 4 weeks to acheive therapeutic effects}Interactions {Ans: ▪Concurrent use of MAOIs and St John's wort c/c serotonin syndrome ▪Discontinued MAOIs 14 days before starting an SSRI ▪Fluoxetine D/C 5 weeks before it start MAOIs ▪ Advise clients against current use of TCAs/St John's wort with SSRIs ▪NSAIDs increases the risk of bleeding ▪Notify provider indications of (bruising, haematuria)}Paroxetine expected pharm action {Ans: ~SSRIs selectively inhibit serotonin reuptake allowing more serotonin to stay at the junction of the neuron ~CNS stimulation which can cause insomnia long effective Half-Life up to 4 weeks to produce therapeutic medication levels ~SSRIs do not block uptake of dopamine or norepinephrine}Agraphia {Ans: Decreasing ability to read or write My partner is having trouble reading a newspaper}Apraxia {Ans: Characterized by loss of the ability to execute or carry out learned purposeful movements Lack of ability to accomplish one known task}Perseveration {Ans: Repetition of word or phrase My sister often repeats words}Contraindications/Precautions {Ans: