4th Flashcards
Max cert for driver on antidepressant therapy
1 year cert
What class of antidepressant is disqualifying?
1st generation example tricyclics
What is the waiting period of driver on 2nd generation antidepressant therapy?
None specific
- long enough to stabilize and have a therapeutic effect
- ME clinical judgement
Max cert for driver on antidepressant therapy on 2ne generation antidepressant therapy?
1 year
- stable on medication
- documentation from a mental health provider.
Can you certify a patient with ADHD?
Yes
- No waiting period, but must comply with treatment, tolerate treatment
- No SE from treatment.
- Had a comprehensive eval and documentation from prescribing physician they are compliant .
Max cert for Adult ADHD
1 year
Waiting period for pt with bipolar
- 6 month following a non-psychotic major depression unaccompanied by suicidal behavior
- 1 year symptoms free following severe depressive episode, suicide attempt, or manic episode.
Max Cert for bipolar
1 year
What DQ’s a driver with bipolar
Active psychoses, prominent negative symptoms, treatment side effects
Certify a bipolar driver must have
- Appropriate waiting time
2. Evidence and documentation of stable treatment for a mental health provider.
current Driver with bipolar has any manic or severe depressive episode, how long do they have to report this
30 days
Can you certify a driver on anxiolytics and sedative hypnotic therapy
Not on Benzo’s
Yes if they are using them not while driving, for short periods that have half lives <5hrs and at lowest effective dose.
Max cert 2 years
Driver took a benzodiazepine, how long before he can drive?
Wait at least 7 half-lives of the drug.
- Chronic users (>1 month) should wait an additional week to ensure clearance from their system.
How long after tx with ECT can someone be cleared to drive
6 months if
- comprehensive eval
- Not going under any maint ECT
- tolerates treatment without disqualifying SE
What is the waiting period for a driver after a non-psychotic major depression unaccompanied by suicidal behavior
6 months sx free
What is the waiting period for a driver with severe depressive episode, suicide attempt, or manic episode?
1 year sx free
Max cert with major depression
1 year
What DQ’s a driver with major depression
Active psychosis, prominent negative symtoms or treatment side effects
Can you certify a driver taking Lithium?
- Asx
- Therapeutic level maintained - must provide documentation
- No impairments
What can a driver on lithium no do?
Drive at night, Lithium effects night vision.
What colors do you test for color vision?
Red, green, and amber
What type of vision is disqualifying?
Mononuclear
Instead of a fundoycopic exam what can you assess?
Retinopathy- black spots
Cataracts - blurring vision
Glaucoma - loss of lateral vision
macular deg- loss of central vision
Convert ISO score to ANSI for 500 HZ
Subtract 14dB from the ISO score
