Big review Flashcards
depression is only secondary to what
hypertension
what is wordens tasks of mourning
accept the loss
process grief (healthy)
adjust to the world without them
start new life
what does serotonin do
pain, aggression, libido, hormones, appetite, sleep
what are the different types of grief
maladaptive, acute, complicated, anticipatory, disenfranchised
what can electroconvulsive therapy cause
confusion and memory relapse
what do you want to assess when worried about suicide
mood, anhendonia (without pleasure), anergia (without energy), anxiety, anger, guilt, helpless, hopeless
what does histamine do
alertness, inflammatory, gastric secretions
what are some symptoms of hypomania
crude or sexual jokes, pressured speech, decreased attention span, euphoric mood, finically extravagant
What is becks cognitive triad
- negative view of self
- pessimistic view of the world
- belief that negative reinforcement will continue
what does dopamine do
pleasure response, fine muscle movement
what is maladaptive grief
difficulty coming to terms with loss, preoccupation with loss, impaired functioning, delayed or chronic grief
what are the 5 stages of grief
denial, anger, bargaining, depression, acceptance
which is more severe PDD or MDD
MMD
how long do you have to have PDD before being diagnosed with MDD
2+ years
what is the treatment for serotonin syndrome
stop SSRI, cooling blankets, anticonvulsant, artifical respirations, diazepam for rigidity
what are the ss of serotonin syndrome
abd pain, bloating, diarrhea, fever, increased BP, mood swings, apnea, death
what does tyramine do and where do you get it
from fermented foods causes vasoconstriction
what breakes down tyramine
MAO
what are the indications for electroconvulsive therapy
suicidal/homecidal, agitation, life threatening illness, refusal of foods or fluids, drugs not working
what is lithium toxic/advanced level
1.5-2
what is included in teaching when taking lithium carbonate
drink lots of water, dont take diruretics
what do you do if someone has severe lithium toxicity
no antidote, gastric lavage, emetic
what are some symptoms of delirium
out of touch with reality, clanging speech, destructive, aimless increased activity, too disorganized to do anything, can cause death
what is the severe level of lithium
2-2.5
what are the symptoms of severe lithium toxicity
ataxia, tinnitus, blurred vision, stupor, seizures, death
what is serotonin syndrome
increase serotonin highest risk is SSRIs + MOI or cold meds
what is the therapeutic level of lithium
0.5-1.4
what are the long term effects of lithium
hypothyroidsm, kidney disease, nephrogenic, DI
what are the interventions for early lithium toxicity
withhold dose, get lithium levels, change dose
what does lithium carbondate do
mood stabilizer, alters sodium transport, decreases norepinephrine and dopamine
what are the early signs of lithium toxicity
n/v/d, thirst, polyuria, slurred speech
what are the ss of acute mania
good humor to rage, demand attention, flight of ideas, clang association, profane remarks, no time for anything
what are the advanced signs of lithium toxicity
course hand tremors, confusion, EEG changes, GI upset
what age does schizophrenia start to effect
20s
what does schizophrenia effect
thinking, learning, emotions, social behavior, ability to perceive reality correctly
what are the positive symptoms of schizophrenia
hallucinations, delusions, bizzare behavior
what are the negative symptoms of schizophrenia
lack of motivation, flat affect, anhendonia, poverty of speech
what is the purpose of 1st gen antipsychotics
targets positive symptoms of schizophrenia bloack dopamine
what is the purpose of atypical 2nd gen antipsychotics
targets positive and negative schizophrenia symptoms has fewer side effects
