Significant depressive condition

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Reference no: EM133894990

Question

John a 54-year-old man, has a significant depressive condition. He comes to visit you because he wants to hear another point of view. James claims he has tried practically every medication and has had no relief. He claims that his previous psychiatric practitioner prescribed Escitalopram (Lexapro) 40mg once a day, and he is still sad. Isolation, depression, poor hygiene, napping, and overeating are among James' symptoms. When you examine him, you discover that he has been taking the following drugs without success: Fluoxetine (Prozac), Sertraline (Zoloft), and Venlafaxine (Effexor). You do a comprehensive examination of him and establish that he indeed has a significant depression condition and seems to be resistant to therapy.

Vital signs: BP: 128/65, P: 79; R: 18; Pulse ox: 97%

Allergies: NKDA

Questions:

1. Based on the information in the case study, would you add or change his medication, and if so, what medication, dose, and time of administration? Provide current literature (EBP, research article, or text reference) to support your decision.

2. Based on the medication you prescribe, what education would you provide James?

Reference no: EM133894990

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