Child psychiatry II Flashcards
what are the questions that should be asked of a suicidal child / teen?
- plan?
- access to following through?
- intent?
- family history of suicide?
- previous suicide attempt?
what are signs to look for in a suicidal child / teen?
- illicit drug use
- hopelessness
- lack of social support
- recent stressors
what are the features of childhood bipolar disorder?
- tends to be much more severe, and chronic
- mixed state with rapid cycling
- non-episodic course
- initial episode is major depression
- prevalence is close to 1% in adolescents, no good data with children
what are the two antipsychotics that cause weight gain?
- olanzapine
- clozapine
what are the common / possible side effects of antipsychotics?
- weight gain
- metabolic abnormalities
- akathisia (inner feeling of restlessness)
- tardive dyskinesia (older gen)
- increased prolactin
what is the main side effect of risperdal?
increased prolactin
what is the main side effect of clozaril?
agranulocytosis
what is the main benefit / lack of side effect of abilify and geodon?
less weight gain
what is the main benefit / lack of side effect of seroquel?
less EPS symptoms
which antipsychotic(s) cause(s) increased prolactin?
risperdal
which antipsychotic(s) cause(s) agranulocytosis?
clozaril
which antipsychotic(s) cause(s) less weight gain?
abilify and geodon
which antipsychotic(s) cause(s) less EPS symptoms?
seroquel
what are the 3 big adverse effects of antipsychotics?
- orthostatic hypotension
- parkinsonian symptoms
- akathisia
what are the symptoms of neuroleptic malignant syndrome?
- severe muscle rigidity
- altered mental status
- autonomic instability
