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28 Cards in this Set
- Front
- Back
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if find somatization, what next step in management?
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LOOK for other psych conditions b/c has high rate of psych comorbidities: anxiety, depressive, personality
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m/c psych conditions assoc w/ suicide?
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#1 = depression/affective
2= substance (15%) 3 = schizo (10%) but these may be b/c of depression, ie postpsych depression, etc. |
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2nd most predictive factor of suicide risk (1st = previous attempt)
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ag >45
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m/c personality disorders assoc w/ munchaussens? m/c axis I conditions?
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pd's: histrionic, borderline
aI: depression |
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what is sertraline?
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ssri
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tx of tyramine / MaoI syndrome?
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Alpha blocker
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does clozapine cause hyperprolactinemia or galactorrhea?
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NO...
low potencies do, |
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pregnant woman needs treatment for bipolar manic episode...?
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ECT..!!!!! has proven less side effects than Li or Vpacid
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phenytoin side effect?
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Gingival hyperplasia!, also, nystagumus, dizziness, slurred speech, ataxia, confusion
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Ganser syndrome?
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pt who responds to questioning by giving approximate or ridiculous answers...often seen in prison mates wanting to gain leniency from courts.
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general basis of dialectical behavioral therapy (DBT?)
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patient wants to improve and is doing the best he can,
and must take responsibility and try to olve his own problems; learning new behaviors, and believing that they cannot fail |
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tx if benztropine (antichol) given to alleviate halop extrapyr side effects causes antichol toxicity syndrom (flushed skin, agtitatio, confusion, and tc)
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switch to amantadine, which also can decr extrapyr s/e's
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what type of defense mech is denial?
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narcissistic
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capgras syndrome?
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delusion where pt believes family member has been replaced by identical imposter
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sx of atypical dep?
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wt gain
hypersomnia leaden paralysis rejection/reaction sensitivity |
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dx of GAD?
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any persisting anxiety > 6 mo!!
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how tx depression in pregnant person?
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first check if >1 yr tx for single episode...if so and no recurrences, STOP all antidep's. if not, do ECT rather than continue antidep's
MAOI's are CONTRAINDICATED b/c my cause hypertension of preg |
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first tx of NMS even before any dantrolene or bromocriptine?
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STOP all meds!!
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how to test for opiate dependence?
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inject naloxone and will induce w/drawal sx
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tests must give before Li started?
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tsh
renal fxn (BUN, Cr, urinalysis) CBC Electrolytes ECG get all for baseline |
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anorexia mort rate? tx?
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5-20%
tx = antidepressants, ie imaprimine |
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tx for anticholinergic toxicity?
tx for pesticide(achesterase inhibitor) posioning? |
give achesterase inhibitor like neostigmine
give anticholinergic (ie atropine) |
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what to give alcoholic for w/drawal sx? what if he has impaired liver fxn?
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if uncomplicated give diazepam or chlordiazepoxide; if complicated ie impaired liver fxn, give lorazepam or oxazepam
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meperidine may cause dangerous complications w/ what drugs?
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MAOI's!!
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NSAIDS may cause toxicity of what psych drug?
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Li
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how to tx acute depression in medically ill pt ie HIV+...?
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try psychostimulants ie ritalin..!!
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staring into space = what drug use?
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PCP
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prenatal causes of MR %?
peri and post natal causes %? |
75
10-25% |
