background knowledge that will help your response Flashcards
what does a complete blood count show?
anemia or infection, both can lead to fatigue
what does thyroid function panel test show
the level of hormones produced by the thyroid gland- as an under or overactive thyroid can impact mood
what does creatinine and blood urea nitrogen test show
refelcts how well the kidneys are working, as kidney disease can cause symptoms similar to depression. its also important to know how well the kidneys are working in terms of drug metabolism
what does a liver function test show
reflects if the liver is damaged - liver disease can cause symptoms similar to depression. it can also indicate alcoholism. its important to know how well it is working in terms of drug metabolism.
what does a fasting blood glucose test show
tests for diabetes. diabetes and depression often occur together
what does a cholesterol test show
cholesterol level can impact the absorption of antidepressants. its also a good indicator of overall health
what does calcium and magnesium tests show?
too high or low levels of both. its rare but can cause mental illness
what does folate and vitamin B12 levels show?
low levels of either can cause lethargy and fatigue
give me some common antidepressants
amitriptyline, citalopram, escitalopram, fluoxetine, mirtazapine, sertraline, venlafaxine, vortioxetine
what MH illnesses are antidepressants commonly used for?
Depression, anxiety, OCD (behaviours outside of their personality is major trait), sleep, PTSD, akathesia (restlessness people get on antipsychotics)
give me some common antipsychotics
aripiprazole, amisulpride, clozapine, flupentixiol, haloperidol, olanzapine, quetiapine, risperidone
what indication are antipsychotics used for
Psychosis, schizophrenia, Bipolar affective disorder, depression, anxiety, agitation, sleep
give me some common benxodiazepines
clonazepam, diazepam, lorazepam, nitrazepam, temazepam
what are benzodiazepines commonly used for
Agitation, anxiety, sleep, rapid tranquilisation, (seizures)
give me some common mood stabilisers
carbamazepine, lamotrigine, lithium, valproate
what are mood stabilisers used for
BPAD, depression, (seizures)
on first episode of BPAD, what drug type is used and why
coz mood stabilisers are such a long commitment, a second generation antipsychotic and/or a benzo on a first episode of BAD. not first gen though coz they only treat psychosis and ty can cause depression.
why is olanzapine a beneficial PRN instead or lorazepam sometimes?
olanzapine can be good to use instead of lorazepam if you want it to act for a longer amount of time. it also aids with weight gain, which is good in certain patients. it allows them to wake up less distressed.
what are some important things to remember when you set a level of observation for a patient?
maintain safety but limit extent of restriction. consider safe staffing levels and characteristics of staff if its a 1:1 coz you want to prevent triggering.
important aspects of reducing vulnerability for a patient
ensure they are properly dressed and in a safe theraputic environemtn
give me some physical test that will reduce ambiguity of what is going wrong for a patient?
- full set of bloods
- urine sample
- ECG
- physical baselines and NEWS2 scores
what test do you do to for anemia or infection and why test?
complete blood count - anemia and infection can cause fatugue
what test do you do to see the level of hormones produced by the thyroid, why do it?
thyroid function panel test - an over or underactive thyroid can affect health
what test do you do to see kidney function, why do it?
creatinine and blood urea nitrogen test - kidney disease can cause similar symptoms to depression. is also good to know in terms of drug metabolism.
how do you test for how well the liver is functioning, and why do it?
liver function test - poor liver functioing can cause symptoms similar to depression. also good t0 know in terms of drug metabolism
what test do you do for diabetes and why?
fasting blood glucose coz diabetes and depression commonly co-occur
what test do you do for cholesterol and why?
cholesterol test - because cholesterol level can impact absorption of antidepressants and can indicate overall health
REMEMBER: setting expectations about what’s going on provides a sense of security. also, building a report and speaking about their triggers and how they will communicate distress is helpful via a traffic light system for mood.
setting expectations about what’s going on provides a sense of security. also, building a report and speaking about their triggers and how they will communicate distress is helpful via a traffic light system for mood.
REMEMBER
setting expectations about what’s going on provides a sense of security. also, building a report and speaking about their triggers and how they will communicate distress is helpful via a traffic light system for mood.
