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30 Cards in this Set
- Front
- Back
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GAD criteria
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– more than 6 months
– 3 or more criteria |
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GAD tx
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– SSRI’s
– effexor – buspirone – psychotherapy |
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Panic attack
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– 1 month or more
– at least 4 symptoms |
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PTSD treatment
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– SSRI’s
– buspirone – B-blockers, benzo’s, clonidine |
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ECT contraindications
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– MI/stroke
– seizure d/o – intracranial mass |
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Seretonin syndrome
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– fever
– myoclonis – CV collapse |
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Buproprione SE’s
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– decrease seizure threshold
– no sexual SE’s |
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Venlafaxine SE’s
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– diastolic hypertention
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Mitrazapine SE’s
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– Weight gain and sedation
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Nefazadone SE’s
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– Sedation, H/A, dry mouth
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MAOI examples
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– tranylcypromine and phenelzine
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NMS
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– fever
– muscle rigidity – autonomic instability – treat with dantrolene sodium |
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When do you use clozapine
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– treatment resistance and TD
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Carbemazepine SE’s
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– Nausea, AV block, Coma
– Aplastic Anemia – SJS |
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Valproic acid SE’s
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– GI, alopecia , weight gain
– pancreatitis, hepatotoxicity – agraunlocytosis, thrombocytopenia |
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Lamotrigine SE’s
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– SJS
– ataxia, blurred vision, GI distress |
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Rule of 4’s for EPS
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– 4 hrs is acute dystonia (treat w/ benztropine)
– 4 days is akinesia (treat w/ benztropine or amantadine – 4 weeks is akasthesia (treat w/ B-blockers) – 4 weeks is TD (don’t decreased med or give anticholinergics!) |
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When do autism spectrum disorders start?
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– they must be present before 3
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Tourette’s Tx
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– haloperidol
– pimozide – clonidine – must be present for > 1 year |
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PCP tox tx
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– give benzo’s for sever sx
– withdrawal leads to recurrence of Sx from reabsorption into GI tract |
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Body dysmorphic d/o TX
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– associated w/ depression
– SSRI’s may help |
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How do you treat catatonic schizo?
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– benzos and ECT
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Olanzapine SE’s
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– weight gain is the big one
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Alzheimer’s Tx
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– reversible Ach inhibitors
– donepezil, rivastigmine, tarcine, galantamine) |
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EtOH withdrawl Tx
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– Librum aka Chlordiazepoxide (a long acting benzo)
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Distortion example
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– IV drug user gets HIV and blames in on US not keeping good control
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Introjection example
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– battered woman thinks husband is right for abusing her
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Li in pregnant patients
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– Ebsteins anomaly
– get B-HCG w/ thyroid and renal tests |
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What is the best way to treat the (-) sx of schizophrenia?
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– atypicals
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Intermittant explosive d/o
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– decreased 5-HIAA is CSF
– limbic and serotonin problems |
