Flashcard Set Preview
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| 1 |
Multi-axial diagnosis
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1. Psych Diagnosis2. PD + MR3. Medical causes of pysch disturbance4. psychosocial factors5....
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| 2 |
Mental Status Exam
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Category 1: Appearance, behaviour, speechCategory 2: Mood + AffectCategory 3: Thought content,...
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| 3 |
Describe Papez Circuit
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Neocortex: emotional colouringCingulate cortex (sensory input translated into emotional experience)goes...
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| 4 |
Describe the neurotransmitter systems including their nuclei + basic function
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NE: locus coeruleus in pons. (attention, arousal, sleep wake, learning, memory, anxiety, pain,...
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| 5 |
What is difference b/t hallucination and illusion?
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hallucination: perception WITHOUT stimulusillusion: MISINTERPRETATION of a stimuls
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| 6 |
What hallucination is most suggestion of an organic cause?
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visual (also olfactory). also suspect if acute onset.
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| 7 |
describe diff types of delusions
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bizarre - could not happen; non-bizarre - could happenpersecutary: being harmed/followederotomanic:...
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| 8 |
DDX of Delusions + Hallucinations
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1. Psychiatric- schizophrenia- mood disorders- borderline PD2. Organic- delirium- dementia-...
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| 9 |
DSM-IV: Schizophrenia
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A. at least 2, for 1 mo period (or less if tx successfully)1. delusions2. hallucinations3....
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| 10 |
what is the prognosis of schizophrenia?
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20% recover to near normal function, 30% quickly and severely decline.the MAJORITY show gradual,...
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| 11 |
What is the epidemiology of schizophrenia?
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F = M1% prevalenceonset M: 15-25; F: 25-35
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| 12 |
What is the major etiology of schizophrenia?
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Genetics + Dopamine Hypothesis- 6-13% risk if FD relative- overactivity of dopamine transmission...
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| 13 |
What are investigations for psychosis?
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R/O other causes of pyschosis!- urine tox screen: cocaine, amphetamines, cannabis- CT: r/o...
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| 14 |
What is first line antipsychotic and S/E?
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- ATYPICALS (lower S/E profile). ex. Resperidone, ClanzepineS/E: - sedation- wt gain-...
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| 15 |
What other antipsychotics are available?
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TYPICALSex. Haloperidol, ChlorpromazineS/E:- sedation- anticholinergic (dry mouth, constipation,...
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| 16 |
What EPS os associated with antipsychotics?
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1. Acute dystonia (tongue/jaw rigidity; oculogyric crisis; torticollis)tx: benztropine (congentin),...
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| 17 |
what is a rare side effect of antipsychotics?
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neuroleptic malignant syndrome- hyperprexia + muscle rigiditystop antipsychotic + ICU
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| 18 |
What antipsychotic is used for tx-resistant psychosis?
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clozapine. main s/e is agranulocytosis so monitor CBC
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| 19 |
What is relapse rate off antipsychotic medication?
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90%. So you must continue for at least one year after an episode, or 5 years if multiple episodes
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| 20 |
what are other tx for schizophrenia aside from antipsychotics?
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- cognitive therapy, family therapy, rehab of social skills, social supprt
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| 21 |
What do you call it when you fulfill all the criteria for schizphrenia except that sx <...
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Schziphreniform Disorder.70% go on to schizophrenia.
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| 22 |
What do you call this:A. one ore more of delusions, hallucinations, disorganized speech, disorg....
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Brief Pyschotic Disorder- commonly stress induced and often found with Cluster A or B PD- brief...
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| 23 |
What illicit drugs can cause psychosis? medication?
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Drugs"- cocaine-amphetamines- cannabis- hallucinogens- PCP- alcohol-opiatesMedications- steroids-...
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| 24 |
how quickly are cocaine, amphetamines and opiates cleared from the urine?
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2-3 days
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| 25 |
how to treat substance induced psychosis
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- detox- antipsychotic meds if sx severe or slow to resolve
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| 26 |
what are signs of pyschotic disorder due to GMC
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- older agevisual hallucinationspresence of medical disorder linked to pyschosisno past psychotic...
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| 27 |
what medical conditions are linked to psychosis?
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- brain tumor, stroke, temporal lobe epilepsy- huntingtons, parkinsons- aids/syphilis- MS,...
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| 28 |
what is delusional disordeR?
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- non bizarre delusions for at least one month- never meeting criteria A for schizophrenia-...
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| 29 |
What are the 4 main dopamine pathways?
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1. mesolimbic. increased dopamine causes (+) sx (hallucinations/delusions)2. mesocortical....
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| 30 |
D pathways in schizophrenia?
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- mesolimbic pathway: increased dopamine- mesocortical pathway: decreased dopamineno change...
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| 31 |
mechanism of 1st gen typical antipsychotics
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- nonselectively blocks Dopamine, affects all pathways.overall:- decreased + sx- increased...
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| 32 |
mechanism of 2nd gen atypical antipyshotics
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blocks dopamine in mesolimbic pathwayblocks serotonin(and serotonin inhibits dopamine release,...
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| 33 |
mechanism of 3rd gen antipsychotic
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ex. aripiprazole- partial d2 agonist- serotonin blockermany s/e like the 2nd gen with lower...
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| 34 |
what happens to brain with chronic anxiety and depression?
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stress releases cortisol which causes neuronal damage/hippocampal shrinkage leading to mood/memory...
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| 35 |
social anxiety disorder -
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fear of humiliation, scrutiny, embarrassmentavoidant
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| 36 |
PTSD spectrum
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< 1 mo ago: acute stress disorder< 3 mo ago: acute PTSD> 6 mo: delayed onset PTSD
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| 37 |
PTSD
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- trauma- response: intense fear- reexperiencing- avoidance/numbing- hyperarousalsx> 1 motx:...
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| 38 |
GAD
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> 6 mo of excessive worry. At least 3:- restless, fatigue, sleep disturbance, problems concentrating,...
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| 39 |
Panic attacks +/- agoraphobia
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4 or more:- dyspnea- depersonalization- fear of loss of control/going crazy- fear of dying-palps/tachycard-...
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| 40 |
OCD
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obsessive, repetitive, intrusive thoughts
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| 41 |
What antidperessant is used to treat migraines, pain syndromes and sleep?
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TCA (ex amitriptyline)- blocks S and NE reuptake
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| 42 |
what does monoamine oxidase do?
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it breaks down S and NE, so MAOI increases these nt.
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| 43 |
MAOI irreversible must be on what type of diet
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low tyramine, or will get hypertensive crisis
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| 44 |
What type of anti-d is bupropion?
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NDRA (NE Dopamine reuptake inhibitor). - causes NO wt gain OR sexual dysfunctionBut you...
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| 45 |
what is the only anti- that doesn't use the cyt P450 system, so avoids some drug drug interactions?
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desvenlafaxin (a SNRI)
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| 46 |
what is mirtazapine (Remeron)
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it is a NASSA anti-d, - makes you sleep and gain weight
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| 47 |
what is an example of a RIMA?
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moclobemide (manerix). reversible mAOI
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| 48 |
Tx of anxiety disorders
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1. SSRI/SNRI2. ADD on: clonazepam low dose (for panic attacks)- atypical antipsychotics, gabapentin,...
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| 49 |
What are basic SE of SSRI/SNRI
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- nausea- GI- HA- insomnia- fatigue- sedation
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| 50 |
Specific S/E of:mirtazapin (remeron)Venlafaxin, Srteraline, Fluvoxamine
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remeron: SEDATIONVelafaxin, Serraline, Fluvoxamine: NAUSEA
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| 51 |
Which anti-d have high potential for drug-drug interactions
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- Fluoxetine- fluvoxamine- paroxetine (ex. interaction with codeine. Can't convert to morphine)-...
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| 52 |
how do benzodiazepines work?
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- act on GABA receptor (inhibitory effect)- work immediately- cons: develop toleranceSE: cognitive,...
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| 53 |
What is the antedote for benzo OD?
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flumazenil
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| 54 |
what is a longacting benzo?
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diazepam
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| 55 |
how to tx catatonia?
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benzos for short term
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| 56 |
diagnostic criteria for PD
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- 2 or more deviations from norms:- cognition- affect- interpersonal skills- impulse control-...
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| 57 |
Cluster A, B, C PD?
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A: MAD- paranoid- schizoid-schizotypalB: BAD- narciss.- histrionic- borderline- antisocialC:...
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| 58 |
describe the PD briefly
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paranoid: suspiciousschizoid: cold, detached, no pleasure in activities, friends, familyschizotypal:...
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| 59 |
What is DMS-IV criteria for Borderline PD
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A. 5 or more:- avoids abandonment- unstable/intense relationships- unstable self image- impulsive...
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| 60 |
What are mature defense mechanisms? Neurotic DM? Immature/primitive DM?
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Mature:- altruism- anticipation- asceticism (gratification from renunciation)-...
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| 61 |
Treatment for PD
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DBT/psychotherapy- individual, gropu therapy+/- antidepressants or short term antipyschotics...
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| 62 |
Criteria for MDE
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A. At least 5 of the following for 2 weeks:- depressed mood *...
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| 63 |
criteria for MDD
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one or more MDEnot schizoaffective or superimposed on schizo
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| 64 |
what other sx can you get with depression that aren't part of DSM-IV criteria?
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- decreased libido- anxiety- diurinal variation in mood- hallucinations/delusions (MDD w/ psychotic...
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| 65 |
what is the peak age of onset of depression vs bipolar i?
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40 (depression) 20 (bipolar)
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| 66 |
etiology of depression
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bio- genetics: 10-15% FD relatives; 50% mZ twins- monoamine hypothesis: decrease NE + S- neuroendocrine...
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| 67 |
tx of depression
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social support, reduce stressorypsychotherapybiological:- ECT, light tx- antidepressants (work...
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| 68 |
1st line anti-d for depression:
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SSRI (safer in overdose)S/E- GI- insomnia- nausea- agitation- HA-seizure threshold lowered-...
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| 69 |
S/E of TCAs
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- anticholinergic- ECG changes- antiadrenergic- sedation- wt gain- low seizure threshold- ppt...
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| 70 |
how to tx mild depression?
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watchful waitingpsychotherapy + medication for moderate depression.medication most strongly...
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| 71 |
which drugs are less good at treating depression + anxiety?
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MAOIsotherwise all anti-d equally efficacious
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| 72 |
what is first line therapy in youth depression?
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psychotherapy
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| 73 |
what are S/E of ECT?WHEN IS ECT indicated?
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short term memroy + anaesthetic risks-indicated for PSYCHOTIC depression or URGENCY (suicide...
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| 74 |
how long does tx-ed depression usually last? untreated?
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treated - 3 mo; untreated 13 mo* drug tx shows 80% response
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| 75 |
how long should you continue anti-d medication for?
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at least 6 molongterm if 3 episodes in less than 5 years
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| 76 |
what is difference b/t bipolar I and II? what is cylothymia?
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bipolar I: MDE + MANIAbipolar II: MDE + hypomanic episodescyclothymia: 2 yr of hypomania...
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| 77 |
What is defin of Manic EPISODE?
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At least one week of abnormally elevated mood PLUS 3:- grandiosity- decreased need for sleep-...
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| 78 |
biological etiology of bipolar
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genetics: 8-18x if FD relativemonoamine hypothesis (includes mania)
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| 79 |
On top of social support and psychotherapy, how to treat bipolar?
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MANIA tx:- mood stabilizers- antipsychotics- sedatives- ECTDEPRESSION tx:- antidepressant +...
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| 80 |
What are the mood stabilizers used to tx bipolar?
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1. Lithium *toxicity at low doses, careful monitoring!S/E at therapeutic level:- tremor- polyuria/dipsia-...
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| 81 |
What is prognosis of bipolar disorder?
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- 90% will get further episodes if untreated- prophylaxis is indicated long term after 1st...
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| 82 |
Dysthymia criteria
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A. depressed mood for at least 2 yearsB. 2 or more:- appetitie change- insomnia or hypersomnia-...
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| 83 |
Adjustment disorder
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not severe enough to call major depression + must resolve by 6 mo from the stressor. tx:...
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| 84 |
Bereavement
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like depression except no suicidal ideation, no psychosis present, guilt doesn't extend beyond...
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| 85 |
What are common GMC assoc with causing depression?
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- stroke, Parkinsons- mono, HIV, hepatitis- Cushings, hyper-PTH/hyper-Ca, hyp-T-Cancer, B12-...
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| 86 |
What illicit drugs and Rx drugs cause depression?
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rec drugs:- cocaine- amphetamines- alcoholRx:- steroids- antihypertensives, B blockers- OCP-...
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| 87 |
What a.a. does Dopamine and NE derive from? What a.a. does serotonin derive from?
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D + NE: TyrosineS: Trytophan
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| 88 |
In depressed states what are 3 abnormalities present at the synaptic level?
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1. low synaptic S/NE2. upregulation of inhibitory S autoreceptors (decreases S released in...
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| 89 |
With the reuptake inhibitors anti-d, how soon does it have effect on nt levels?
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immediately. but clinical effect is delayed 2-6 weeks.
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| 90 |
why do you get the side effects of SSRI (and what are they?)
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you block the reuptake of S, but it's non-selective so it affects almost all pathways causing:-...
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| 91 |
which ssri has the worst discontinuation syndrome and is most unsafe in pregnancy?
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paroxtine
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| 92 |
SNRI's are like SSRIs with the an addition of effect on NE. How does this translate into its...
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- provides some activation for people who are feelign sedate/amotivated- NE also has effect...
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| 93 |
what might you try if SSRIs and SNRIs are not working and depression doesn't seem to be mediated...
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ADDING Buproprion. It doesn't acton S. It covers D and NE. Often used as an add on to SSRI...
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| 94 |
What other anti-d is similar to TCAs?
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- SNRI. They work through inhibition of reuptake of NE and S. But they are more toxic with...
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| 95 |
What effect does Mirtazalpin (Remeron) have at low doses? high dose?
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low doseS: sedatinghigh doses: stimulating* causes release of NE and S
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| 96 |
What can cause serotonin syndrome?
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TCA ODMAOI + SSRI (or any serotonergic agent added)Demerol + Tramadol (painkillers)
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| 97 |
What are the sx of serotonin syndrome?
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- tremor- hyperreflexia, spont clonus- muscle rigidity- fever, diaphoreses- agitation
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| 98 |
what is the antedote for serotonin syndrome?
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cyproheptadine (PO form only)- usually just remove serotnergic agent + supportive care
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| 99 |
what antidepressant poses the greatest risk of going to mania in bipolar
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TCABuproprion is the least likely.
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| 100 |
If you had to select a mood stabilizer for maintenance of bipolar and there was a:- fhx of...
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fhx bipolar + first episode mania: Lino fhx bipolar + first episodes depression: Valproate
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| 101 |
What are 2 types of anorexia? Bulimia?
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AN1) Restricting (most tx resistant)2) binge eating/purging (highest mortality)Bulimia1)purging...
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| 102 |
Definition of aneroxia? Definition of bulimia?
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AN- refuse to maintain normal wt + fear of gaining wt + amenorrhea (loss of 3 conseq. periods)...
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| 103 |
What are common comorbidities with AN? Bulimia?
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Anorexia:MDD, social phobia, OCD, cluster C PD (avoidant, obsessive/compuslive)Bulimia- MDD,...
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| 104 |
What are the most common causes of death in anorexia?
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cardiac arrest (arrythmias) and suicide10-20% mortality
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| 105 |
If a young person complains of maybe having celiac dx b/c she has low wt, what do you think...
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AN/Bulimia. Celiac dx has nothing to do with it!These are sx of eating disorders:- cold sensitivity,...
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| 106 |
Why admit someone with eating disorder to hospital?
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- pulse < 40bpm (or < 50 bpm if < 18 yrs old)- orthostatic hypotension (systolic,...
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| 107 |
What is the hallmark of delirum?
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fluctuation LoC + disorientation(they can also have memory deficits, attention deficits, hallucinations,...
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| 108 |
What are etiologies of delirium?
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InfectionWithdrawalAcute metabolic syndromesTraumaCNS pathologyHypoxiaDrugsEndocrine (hypo/hyperglycemia,...
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| 109 |
The core sx of delirum can be seen when any neurotransmitter is disrupted. (fluctating...
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Serotonin Syndrome (S)Neuroleptic Malignant Syndrome (D)Delirum Tremens (GABA) - ETOH/Benzo...
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| 110 |
After treating underlying cuase, minimizing contributing medications (opiates, sedatives, anticholinergics,...
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Haldol/Ativan in 5mg/2mg ratio, IV
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| 111 |
What is a common medication that leads to psychosis?
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Dopamine agonist
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| 112 |
If anxiety won't get better at night and they have a GMC what do you consider?
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anxiety due to underlying GMC.ex. metabolic acidosis- astham, COPD, CVD, hypoglycemia, thyroid,...
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| 113 |
what is difference b/t factitious disorder and malingering?
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FD: motivation is to assume sick role, primary gainmalignering: evidence of secondary gainin...
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| 114 |
what is conversion disorder
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pt gets neurologic sx (blindness, hmiparesis, sensory inhibition, motor impariemtn.) but there...
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| 115 |
what are other somatoform illnesses?
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multiple systemspain disorderbody dysmorphic disorderhypochondriacsomatozation disorder ...
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| 116 |
what is the #1 RF for child getting a MDD?
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fhx MDD
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| 117 |
Criteria for MDD in children/adolescent
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either depressed/irritable mood OR anhedoniaAND failure to make expected wt gain
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| 118 |
What is dysthymic disorder in child/adolescent
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depressed or irritable mood for at least ONE year
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| 119 |
what are some signs of depression in different ages of youth?
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infants: cry alot, slowt o react, slow mov'tpreschol: slow, sad, limited speech, no twinkleschool:...
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| 120 |
up to 50% of youth with MDD have what comorbidities?
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anxiety disodersbehaviour disordersADHDsubstance abuse disordres
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| 121 |
how can bipolar be different in childhood/adoles?
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Same DSM-IV criteria excep that children can get ultra rapid cycling where mood swithces every...
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| 122 |
what is the mean duration of dysthymin in kids, untreated? what about MDD?
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dysthymia - 4 yrsMDD - 9 months* 5 yr recurrence rate is 70% for MDD if left untreated.
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| 123 |
What is best treatment for kids with MDD
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CBT! + SSRI (Prozac most safe)
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| 124 |
what is first line tx of bipolar in kids?
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mood stabilizers. must mointor blood levels for Li, VPA and CBZ
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| 125 |
what other criteria other than the sx must be present to diagnose ADHD?
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- some sx must be present < 7yrs and impairment must be in at least 2 settings.
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| 126 |
what are kids with ADHD at risk for?
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- substance abuse- depression, anxiety- academic failure- poor social skills- CD
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| 127 |
what are rating scales for adhd
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connorsbrown
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| 128 |
What is the etiology of ADHD
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multifactorial:- heritability- perinatal: AP hemorrhage, prolonged labour, low apgar, mat smoking,...
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| 129 |
Tx fpr ADHD:
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1st line: stimulants- methylphenidate (ritalin, concerta) - increases NE/D- dextroamphetamines...
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| 130 |
what is the main nt invovled in ADHD?
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dopamine (ADHD is considered a depletion)
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| 131 |
What is the common S/E of stimulants? Non-stimulants?
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Stimulants:- loss of appetitie, wt loss- difficulty sleeping- dry mouth- nausea, Gi sxless...
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| 132 |
what commonly rx medication for kids is ften abused?
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stimulants for ADHD. esp the cheaper, short acting form. the long acting form is better...
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| 133 |
how does the pharmacokinetics of drugs in kds. vs. adults?
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children have:- increased hepatic capacity- increased GFR- less fatty tissuestimulants and...
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| 134 |
Describe the specific psychotherapies, there indications and tools.
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Supportive PT: rapport building, listening, encouraging. Use all siutations.Behavioural PT:...
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| 135 |
what theory applies to addicitions?
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Dopamine theory. The nucleus accumbens is important in reward pathway. substances trigger D...
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| 136 |
What is definition of substance abuse. Substance dependance?
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Substance abuse: maladaptive pattern of use with 1 or more in 12 mo period:- recurrent...
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| 137 |
what are the 3 Cs for substance dependance
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loss of CONTROLharmful CONSEQUENCECRAVINGS/COMPULSIONS
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| 138 |
how long after detox/tx does it take for dopamine receptors to return to near normal levels?
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1 years
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| 139 |
what is the best way to screen for alcoholism?
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CAGE q
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| 140 |
what lab tests do you look for in someone in ETOH addiction?
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- BAL- CBC (macrocytic anemia, low platelets low WBC)- low MG- increased GGT, AST> ALT,...
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| 141 |
what hallucinogen is assoc with belligerance, aggressions?
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PCP
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| 142 |
If substance use and psych sx overlap and unsure of dx what do you do?
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trial of abstinence then reassess. don't rx longterm psych meds unless r/p substance use.
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| 143 |
Addiction tx stags
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1. pt education/insight/motivational interviewing2. detox (social detox/support or medical/monitor...
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| 144 |
What other drugs cause same withdrawal syndrome as etoh?
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- benzos + barbituates.
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| 145 |
what are indications for medical detoxification?
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- prior seizure, DT from withdrawal- heavy etoh/sedative use with likely severe w/d- assoc...
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| 146 |
indications for social detox
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- non lifethreatening withdrawl s/x BUT they will have severe subjective distress or craving...
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| 147 |
indications for outpatient detox/tx
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- no serious medical cormbodity- low prob life trheatening withd
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| 148 |
sx of ETOH withdrawal
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- hand tremor- insomnia- anxiety- autonomic hyperactivity (diaphoresis, tachy, HTN, fever)-...
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| 149 |
How does Benzo and Etoh withdrawl differ?
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both have potentiall life threatening sx with risk of seizures and DT but Etoh has super short...
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| 150 |
what does DT look like?
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delirium except its from alcohol withdrawalprevent through risk assessment and prophylactic...
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| 151 |
How do you treat alcoholi induced hallucinations?
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low dose haloperidol + benzo
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| 152 |
Describe wernickes encephalopathy
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delerium + ataxia + opthalmoplegiaGIVE THIAMINE!!! Do NOT rehydrate pt with glucose until thiamine...
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| 153 |
what protocol do you use to monitor alcohol withdrawal sx
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CIWA (give benzos until score is < 10 pts)Sx like: distress, autonomic hyperactivite, pst...
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| 154 |
what benzos do you give to pt with liver impairment?
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- LOTLorazepam, Oxazepam, Temazepan (not 1st line)
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| 155 |
how do you get someone off benzo addiction?
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switch to long acting form (like diazepam) and then slowly taper
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| 156 |
what does this sound like? dysphoric mood, N/V, myalgias, lacrimation, rhinorrhea, mydriasis,...
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opioid withdrawal.GET ON METHADONE (LA) and taper
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| 157 |
what aid can you use to tx mild opiod dependance during detox in someone who has high motivation.
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clonidine
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| 158 |
what can you use to help decrease alcohol cravings? what about to make alcohol taste terrible/bad...
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Naltrexone - decreases cravings by blocking morphine like receptorDisulfiram - blocks metabolism...
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| 159 |
What drugs can you use to help nicotine withdrawal?
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NRT, varenicline, bupropion 2nd line (TCAs)
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| 160 |
how do cocaine and amphetmines work, on what nt?
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D, S and NE - blocks their reuptake transporters!
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| 161 |
what nt do hallucinogens work on?
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partial S agonist
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| 162 |
what are the phases of sexual response and dysfunctoin that can occur?
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Pre Phase: Desire- hypoactive sexual desire disorder- sexual aversion disorder- substance induced...
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| 163 |
what drugs can cause substance induced sexual dysfunction?
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- antipsychotics- antidepressants- Li- stimulants (short term: increase libido. Long term:...
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| 164 |
what is the one type of psych drug that improves sexual function?
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anti-anxiety (if people are inhibited by anxiety)
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| 165 |
what is orgasmic anhedonia
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no physical sense of orgasm even though ejaculation intact.
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| 166 |
what do you call unusual sexual urges, fantasies, behaviours?
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paraphilias
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| 167 |
what is the most common form of child abuse?
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neglect. failure to protect, failure to assist, allowing criminal behaviour, refusal of custody.
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| 168 |
when do you admit a child with FTT/neglect?
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< 70% body weight
|
|
| 169 |
what are the best screening questions for spousal abuse?
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- do you ever feel unsafe at home- has anyone at home tried to hurt you or injure you in any...
|
|
| 170 |
what is 1st line tx for premenstrual dysmorphic disorder (mood disturbance in luteal phase...
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- SSRA, luteal phase dosing.
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| 171 |
what is first line treatment for depression in pregnancy?
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SSRI
|
|
| 172 |
what are risks of pharmacotherapy in pregnancy?
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- organ malformations- spont abortions- obst complications- neonatal withdrawal/toxicity- long...
|
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| 173 |
what is the most well established risk of SSRI, SNRI and burprioin in pregnancy?
|
spont abortion.
|
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| 174 |
benzo + ssri in pregnancy?
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risk of CHDbenzo on own: risk of clef lip and floppy baby
|
|
| 175 |
what are the risks of mood stabilizers for tx of bipolar in pregnancy?
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ValproatE: neural tube defects, malformationsLi: malformationsLamotrigen: cleft palata, thrombocytopnia,...
|
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| 176 |
what are the risk of antipsychotics in pregnancy?
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increase risk of preterm birthlow bwtneonatal toxicity/withdrawal
|
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| 177 |
in PP mother with bipolar, when using mood stabilizers what must you do?
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monitor baby's bloodwork for valproate and CMZ, and watch for baby rash with lamotrigeneDO...
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| 178 |
when somebody comes in with acute mental change/disturbance what must you do?
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first r/o if it's due to gmc, then r/o substance induced or rx induced. then last resort is...
|
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| 179 |
what is the best drug tx for acute agitation?
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lorazepam q1hr prn, to make 12mg in 24 hrBut try non-pharmacological interventions first.
|
|
| 180 |
what does it mean to be parasuicidal?
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deliberate self harm with nonfatal intent/outcome.
|
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| 181 |
what are the top 5 risk for suicide? which are modifable?
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1. previous suicidality (non modifable)2. psych disorder (modifiable)3. plans and means (modifiable)4....
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| 182 |
when can you give someone form 1?
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if they have a mental disorder, will suffer harm/deter. without intervetnio and the pt wont'...
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| 183 |
if someone is threatening violence when can you form them?
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- if there is imminent risk of violence,an identifiable victim and a mental disorder- even...
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| 184 |
signs of malingering?
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- demands certain meds- dramatic/divulges sx too eagerly - makes conditional threats
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| 185 |
good luck!
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good luck!
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