Day 1 - Psych Part 1 Quiz Flashcards
Drug category of choice for tx of negative sx of schizophrenia
Atypical antipsychotics (e.g., Risperidone)
Tx bipolar disorder in patient w/ renal failure
Valproic acid or Carbamazepine (metabolized by liver, unlike Lithium)
Pt on haloperidol develops sustained contraction of neck - Tx?
Acute dystonia - Diphenhydramine or Benztropine (i.e., anticholinergic)
Tx OCPD
SSRI; 2nd line Clomipramine
Pt on haloperidol develops fever, muscle rigidity, confusion, , diaphoresis - Tx
Neuroleptic malignant syndrome - Dantrolene
Most problematic congenital disorder assoc. w/ maternal lithium disorder
Ebstein anomaly
Most common s/e of Olanzapine
Weight gain (may have DM & DKA, dyslipidemia)
Tx mania w/ psychosis
Atypical antipsychotics; Old tx - Haloperidol, may still be possible
TCA toxicity sx
Cardiotoxicity, CNS toxicity, Anticholinergic s/e
Sx of serotonin syndrome
Autonomic excitation, AMS, neuromuscular hyperactivity including ocular clonus
Ingestion of tyramine while on MAO inhibitors
Hypertensive crisis
Antidepressant w/ s/e of priapism
Trazodone
Antidepressant lowers seizure threshold
Bupropion
Antidepressant works well with SSRIs & increases REM sleep
Trazodone
Antidepressant also appetite stimulant likely to result in weight gain
Mirtazipine
Antidepressant can be used for smoking cessation
Bupropion
Antidepressant can be used to tx bed-wetting in children
Imipramine
Neuroleptics known for extrapyramidal side effects
High potency traditional neuroleptics (e.g., Haloperidol, Fluphenazine, Thiothixene)
Tx for (1) Acute dystonia (2) Tardive dyskinesia (3) Neuroleptic malignant syndrome
(1) Diphenhydramine or benztropine (2) Stop meds or reduce dose; Switch to low potency neuroleptic or atypical antipsychotic (3) Dantrolene
Tx options for GAD
SSRIs, Buspirone, Venlafaxine, Beta blockers
Adjustment disorder w/ depressed mood differ from MDD
w/i 3 mo. of stressor & disappeaers w/i 6 mo. of stressor removed; Stressor other than bereavement; Not meet criteria for MDD
