C&L Flashcards

1
Q

Delirium mnemonic:

A

whhhhimp

  • wernickes
  • hypoperfusion
  • hypoxia
  • hypoglycemia
  • hypertensive encephalopathy
  • meningitis
  • poisons/medications
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2
Q

Haldol IV

  • more or less TdP?
  • more or less EPS?
A
  • more TdP

- less EPS

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3
Q

Haldol IV

  • what does patient need to have done?
  • QTc limit to use it?
A
  • telemetry
  • daily EKGs for QTc
  • monitor K and Mg
  • <450msec
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4
Q

Delirium

-reasonable doses of risperdal or zyprexa to start?

A
  • risperidone 0.5mg BID w/PRNs for agitation
  • zyprexa 2.5mg qHS w/PRNs for agitation
  • sedating effects of Zyprexa to be used to your advantage.
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5
Q

4 criteria for assessing capacity:

A
  1. ability to articulate a choice
  2. ability to understand relevant info and apply it to their situation.
  3. ability to appreciate the circumstances and consequences of diff Tx options.
  4. ability to rationally manipulate info and explain how they arrived at their decision.
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6
Q

delirium

-impairments in which 3 areas?

A

consciousness, attention, perception.

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7
Q

which two antidepressants cause most weight gain?

A

paroxetine and mirtazapine

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8
Q

which antidepressant can cause modest weight loss?

A

buproprion

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9
Q

antidepressant:

  • most sexual dysfunction?
  • least sexual dysfunction?
A
most = paroxetine
least = buproprion
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