Psych Kaplan/su

Front 1

ADHD Tx

Back 1

1st line: methylphenidate and dextroamphetamine
2nd line: atomoxetine- chosen over 1st line bc fewer S.E.s

Front 2

Tx for pt. wiht depression and neuropathic pain

Back 2

desvenlafaxine

Front 3

pt. w/ depression who is fearful of wt gain or sex SEs
or trying ot quit smoking

Back 3

bupropion

Front 4

Bipolar with:
-compromised kidneys
-exhibiting mania, has been noncompliant w/ meds

Back 4

-don't use Li
-give Antipsychotic

Front 5

Atypical depression
-what is it?
-Tx

Back 5

->ed sleep, >ed wt., >ed appetite
-pick SSRI b4 MAOI

Front 6

Postpartum blues
-onset
-feelings toward baby
-Tx

Back 6

-immediately after birth up to 2 weeks
-no neg. feelings
-support

Front 7

postpartum depression
-onset
-feelings toward baby
-tx

Back 7

-w/in 1-3 mos after birth
-may have neg feelings
-Tx antidepressant

Front 8

postpartum psychosis:
onset
feelings toward baby
Tx

Back 8

-w/in 2-3 weeksafter birth
-may have thoughts of harming baby
-antipsychotic

Front 9

serotonin syndrome Tx

Back 9

-stop SSRI
-symptomatic Tx of fever, diarrhea, HTN
-give cyproheptadine (5HT antagonist)

Front 10

schizo tx:
-in ermergency situation if need IM
-if noncompliant
-not responding to Tx

Back 10

-olanzapine, ziprazidone
-long acting (like rispseridone or haloperidol)
-clozapine, never 1st line

Front 11

schizo tx:
-in ermergency situation if need IM
-if noncompliant
-not responding to Tx

Back 11

-olanzapine, ziprazidone
-long acting (like rispseridone or haloperidol)
-clozapine, never 1st line

Front 12

schizo tx:
-in ermergency situation if need IM
-if noncompliant
-not responding to Tx

Back 12

-olanzapine, ziprazidone
-long acting (like rispseridone or haloperidol)
-clozapine, never 1st line

Front 13

serotonin syndrome Tx

Back 13

-stop SSRI
-symptomatic Tx of fever, diarrhea, HTN
-give cyproheptadine (5HT antagonist)

Front 14

Valproic acid adverse affects

Back 14

must monitor levels to prevent toxicity,
toxicity -> hyponatremia, coma, death

Front 15

serotonin syndrome Tx

Back 15

-stop SSRI
-symptomatic Tx of fever, diarrhea, HTN
-give cyproheptadine (5HT antagonist)

Front 16

Valproic acid adverse affects

Back 16

must monitor levels to prevent toxicity,
toxicity -> hyponatremia, coma, death

Front 17

Olanzapine SE

Back 17

greater incidence of DM and wt. gain.
avoid in diabetic and obese pt.

Front 18

Risperidone SE

Back 18

greater incidence of movement disorders
so use Quetiapine less movement disorder

Front 19

clozapine

Back 19

agranulocytosis (drugs causeing agranulocytosis: ticlopidine, colchicine, carbamazapine, clozapine, PTU/methimazole, Dapsone)
-monitor WBCs regularly, never 1st line bc. of SE

Front 20

Mngmt of adverse effects of antipsychotic meds
acute dystonia:
-onset of symptoms
-symptoms
-Tx

Back 20

-4 hours
-muscle spasms (ex. torticollis), laryngeal spasms, occulogyric crisis
-benztropine, diphenhydramine, trihexphenidyl

Front 21

Mngmt of adverse effects of antipsychotic meds:
akathisia
-onset of symptoms
-symptoms
-Tx

Back 21

-weeks
-generalized restlessness, pacing , rocking, can't relax
-reduce dose, beta blocker, switch to atypical

Front 22

Mngmt of adverse effects of antipsychotic meds:
tardive dyskinesia
-onset of symptoms
-symptoms
-Tx

Back 22

-rare b4 6 mos
-abnormal invol mvmnt of head, limb, trunk. perioral movements most common
-switch to atypical, CLOZAPINE has least risk

Front 23

Mngmt of adverse effects of antipsychotic meds:
Neuroleptic malignant syndrome
-onset of symptoms
-symptoms
-Tx

Back 23

-not time limited
-muscular rigidity, fever, autonomic changes, obundation
-Dantrolene or bromocriptine

Front 24

1st line tx for panic disorder?
panic attack?

Back 24

-SSRI
-benzo ex alprazolam

Front 25

OCD Tx

Back 25

1st SSRI
2nd TCA
if compounded with psychosis then Olanzipine

Front 26

PTSD and acute stress disorder TX

Back 26

paroxetine and sertraline

Front 27

ROH w/drawal

Back 27

chlordiazepoxide, oxazepam

Front 28

Antianxiety for emergency situation

Back 28

Lorazepam bc. can be given IM

Front 29

when is flumazenil used as a benzo antagonist?

Back 29

-overdose is acute
-you are certain there is no chronic dependence (bc flumazenil can cause seizures in benzo dependent pt.s)

Front 30

which personality disorders can be assoc.d with brief psychotic episodes (ie positive psychotic symptoms)

Back 30

-schizotypal and borderline

Front 31

narcolepsy tx

Back 31

forced naps and modafinil

Front 32

med ical conditions that can cause severe depression?

Back 32

-hypothyroidism
-hyperparathyroidism
-parkinson's
-CNS neoplasm
-pancreatic CA
-stroke (espec. Ant Cerebral A.)

Front 33

medications know for causing symptoms of depression

Back 33

-Alcohol, benzos (sedative)
-antihistamines (sedative)
-antiemetic (metoclopromide and prochlorperazine)
-antipsychotic (1st gen like haloperidol)
-alpha methyldopa (antiHTN for pregs)
-alpha interferon (used in viral hep Tx)
-glucorticoids

Front 34

Don't mix SSRIs with blank bc could lead to serotonin syndrome?

Back 34

-cocaine
-Xtasy
-MAOI
-St. John's wort
-antoher SSRI, or SNRI

Front 35

Tx for serotonin syndrome?

Back 35

benzos and if this doesn't help try ciproheptadine (serotonin antagonis)

Front 36

Tx of Tourette's syndrome

Back 36

fluphenazine, pimozide, or tetrabenazine