Safe medication nursing care for a patient with treatment resistant depression
10.3761/j.issn.0254-1769.2025.17.004
- VernacularTitle:1例难治性抑郁症患者用药安全的护理
- Author:
Qi ZHANG
1
;
Zhongying SHI
1
;
Li LI
1
;
Hua LI
1
;
Ying YIN
1
;
Yan HU
1
;
Lüchun CUI
1
Author Information
1. 200030 上海市 上海交通大学医学院附属精神卫生中心
- Publication Type:Journal Article
- Keywords:
Intranasal Esketamine Spray Treatment;
Depression;
Treatment-Resistant;
Suicide;
Adverse Reaction;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(17):2069-2072
- CountryChina
- Language:Chinese
-
Abstract:
This case report summarizes the nursing experience in ensuring medication safety during intranasal esketamine spray treatment for a patient with treatment-resistant depression.Key nursing interventions included:pre-treatment assessment of concomitant medication risks,preparation of staff,environment,and medications;during treatment,strict adherence to administration protocols with simultaneous respiratory function monitoring and nasal tolerability assessment to minimize respiratory depression risk;post-treatment blood pressure surveillance combined with longitudinal symptom tracking and dynamic suicide risk evaluation for self-harm prevention;reinforcement of adverse reaction prevention and management.After completing the full 4-week treatment course(8 sessions),the patient exhibited the improved depressive symptoms and the reduced suicidal ideation,and the patient was successfully discharged.
