Bowers add Flashcards
MDD + Psychosis treatment
antidepressant + antipsychotic
can use ECT
MDD + Psychosis
depression + delusions/hallucinations
cycle of substance abuse
binge/intoxication
withdrawal/negative affect
preoccupation/anticipation
symptoms of opioid OD
constricted pupils
coma
slurred speech
given naloxone or narcan
what drug is given to opioid withdrawal patients
buprenorphine - have to wait 6-12 hrs/24hrs before injection
must tell them that their tolerance is lowered so will die with usual amount
alcohol withdrawal drug
disulfriram/antabuse
interactions with alcohol causes you to throw up
be cautious of lotions, perfumes, cologne
alcohol withdrawal 6-12 hrs
typical w/d symptoms
anxiety, tachycardia, GI upset, tremor
alcohol withdrawal 12-24hrs
hallucinations
visual, auditory, tactile
alcohol withdrawal 24-48
seizures
alcohol withdrawal 48-72
delirium tremens
can be as late as 96
which medication is a good treatment for mania
mood stabilizers
lithium, valproate, carbamazepine
medications NOT good for mania
SSIR
clozapine (s.e.)
t or f neurobiological effects of drugs persist while drugs are being used only
FALSE
symptoms of cannabis withdrawal
angry, anxious, sleep difficulties, depressed mood
occurs for more than 3 days after prolonged use
specific phobias
fear or anxiety of a specific thing or situation
6+months, persistent
often out of proportion to actual danger
PTSD initial treatment
CBT + SSRI
OCD treatment
CBT + SSRI
esp. Zoloft (“i like Zoloft), Fluvoxamine
true regarding antidepressants
MAOis are reserved for patients who have been unsuccessful on other antidepressants
fear of enclosed spaces
claustrophobia
what is often used to augment SSRI in resistant depression
SGA- esp. Abilify
lab test that often confirms anorexia
elevated BUN
due to dehydration
also look for leg swelling
PICA
eating non nutritive, non food substance for 1+ month
rumination
released regurgitation of semi-digested food
typically re-chewed, re-swallowed or spit out
restrictive food intake
picky eating
avoiding eating of certain foods bc of texture, taste, experience
SCOFF
5 questions used to asses eating disorders
- make your self Sick because of eating?
- unable to Control yourself during eating?
- lost more than One stone in last month?
- do you see yourself as Fat despite what others say?
- does Food dominate your life?
if 2+ are yes- positive test
potential causes of brief psychotic disorder
typically due to drug intoxication or withdrawal
delusions, hallucinations, disorganized speech for at least 1 day but less than 30 days
