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NSG212 > Big review > Flashcards

Big review Flashcards

1
Q

depression is only secondary to what

A

hypertension

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2
Q

what is wordens tasks of mourning

A

accept the loss
process grief (healthy)
adjust to the world without them
start new life

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3
Q

what does serotonin do

A

pain, aggression, libido, hormones, appetite, sleep

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4
Q

what are the different types of grief

A

maladaptive, acute, complicated, anticipatory, disenfranchised

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5
Q

what can electroconvulsive therapy cause

A

confusion and memory relapse

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6
Q

what do you want to assess when worried about suicide

A

mood, anhendonia (without pleasure), anergia (without energy), anxiety, anger, guilt, helpless, hopeless

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7
Q

what does histamine do

A

alertness, inflammatory, gastric secretions

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8
Q

what are some symptoms of hypomania

A

crude or sexual jokes, pressured speech, decreased attention span, euphoric mood, finically extravagant

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9
Q

What is becks cognitive triad

A
  1. negative view of self
  2. pessimistic view of the world
  3. belief that negative reinforcement will continue
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10
Q

what does dopamine do

A

pleasure response, fine muscle movement

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11
Q

what is maladaptive grief

A

difficulty coming to terms with loss, preoccupation with loss, impaired functioning, delayed or chronic grief

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12
Q

what are the 5 stages of grief

A

denial, anger, bargaining, depression, acceptance

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13
Q

which is more severe PDD or MDD

A

MMD

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14
Q

how long do you have to have PDD before being diagnosed with MDD

A

2+ years

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15
Q

what is the treatment for serotonin syndrome

A

stop SSRI, cooling blankets, anticonvulsant, artifical respirations, diazepam for rigidity

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16
Q

what are the ss of serotonin syndrome

A

abd pain, bloating, diarrhea, fever, increased BP, mood swings, apnea, death

17
Q

what does tyramine do and where do you get it

A

from fermented foods causes vasoconstriction

18
Q

what breakes down tyramine

A

MAO

19
Q

what are the indications for electroconvulsive therapy

A

suicidal/homecidal, agitation, life threatening illness, refusal of foods or fluids, drugs not working

20
Q

what is lithium toxic/advanced level

A

1.5-2

21
Q

what is included in teaching when taking lithium carbonate

A

drink lots of water, dont take diruretics

22
Q

what do you do if someone has severe lithium toxicity

A

no antidote, gastric lavage, emetic

23
Q

what are some symptoms of delirium

A

out of touch with reality, clanging speech, destructive, aimless increased activity, too disorganized to do anything, can cause death

24
Q

what is the severe level of lithium

A

2-2.5

25
Q

what are the symptoms of severe lithium toxicity

A

ataxia, tinnitus, blurred vision, stupor, seizures, death

26
Q

what is serotonin syndrome

A

increase serotonin highest risk is SSRIs + MOI or cold meds

27
Q

what is the therapeutic level of lithium

A

0.5-1.4

28
Q

what are the long term effects of lithium

A

hypothyroidsm, kidney disease, nephrogenic, DI

29
Q

what are the interventions for early lithium toxicity

A

withhold dose, get lithium levels, change dose

30
Q

what does lithium carbondate do

A

mood stabilizer, alters sodium transport, decreases norepinephrine and dopamine

31
Q

what are the early signs of lithium toxicity

A

n/v/d, thirst, polyuria, slurred speech

32
Q

what are the ss of acute mania

A

good humor to rage, demand attention, flight of ideas, clang association, profane remarks, no time for anything

33
Q

what are the advanced signs of lithium toxicity

A

course hand tremors, confusion, EEG changes, GI upset

34
Q

what age does schizophrenia start to effect

A

20s

35
Q

what does schizophrenia effect

A

thinking, learning, emotions, social behavior, ability to perceive reality correctly

36
Q

what are the positive symptoms of schizophrenia

A

hallucinations, delusions, bizzare behavior

37
Q

what are the negative symptoms of schizophrenia

A

lack of motivation, flat affect, anhendonia, poverty of speech

38
Q

what is the purpose of 1st gen antipsychotics

A

targets positive symptoms of schizophrenia bloack dopamine

39
Q

what is the purpose of atypical 2nd gen antipsychotics

A

targets positive and negative schizophrenia symptoms has fewer side effects

NSG212 (7 decks)

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