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Psych Exam 1 > Drug info > Flashcards

Drug info Flashcards

1
Q

Alzheimers

A

AchE Inhibitors
Memantine - protect against glutamate tox
NO BENZOs or anti cholinergic
Valproate - anger, irritation, agitation, mildly sedative
SSRI for anxiety/depression

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2
Q

Vascular dementia

A

+/- AchE inhibitors

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3
Q

Frontotemporal dementia

A

AchE inhibitors/mood stabilizers

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4
Q

Lewy Body Dementia - only dementia w/ waxing/waning of consciousness

A

DO NOT GIVE ANTI PSYCHOTICS

AchE inhibitor

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5
Q

Prion

A

supportive treatment

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6
Q

Head trauma - CTE

A

AchE inhibitors
valproic acid
SSRI

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7
Q

Huntingtons

A

antipsychotis
AchE inhibitors
mood stabilizers
SSRI

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8
Q

Parkinsons

A

dopaminergic agents - can cause psychosis

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9
Q

Schizophrenia

A

antipsychotics

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10
Q

Schizoaffective Disorder

A

antipsychotics
mood stabilizers
antidepressants

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11
Q

Brief psychotic disorder

A

antipsychotics

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12
Q

delusional disorder

A

psychotherapy

no response to antipsychotics

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13
Q

Shared psychotic disorder

A

no response to antipsychotics

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14
Q

post partum psychosis

A

antipsychotics,
antidepressants
inpatient hospitalization

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15
Q

panic disorder

A

SSRI > TCA
benzos for acute
CBT
relaxation/family therapy

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16
Q

PTSD

A 
SSRI
psycotherapy
mood stabilizers
hypnotics
anxiotlytics
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17
Q

Phobias

A

exposure therapy
SSRI
benzos

18
Q

Social anxiety disorder

A

propranolol works really well
SSRI
Benzos

19
Q

OCD

A

clomipramine
SSRI
lithium, benzos, behavioral therapy

20
Q

Atypical depression

A

MAOI

SSRI

21
Q

Major depressive disorder

A

Saftey
TCA - don’t mix with SSRI
SSRI - sexual dysfunction
SNRI
MAOI
Bupropion - not with seizures, eating disorder, head inj.
Mirtazapine - highly sedative, increase appetite
Atypical antipsycotics
augmenting: lithium, thyroid, stimulants, combo

22
Q

Bipolar Disorder

A 
Mood stabilizers
  1st line: lithium, valproate, carbamazapine
  2nd line: lamotrigine(maintenance)
antipsychotics - risk metabolic syndrome
augment w/ benzos
ECT - last resort
23
Q

cyclothymic disorder

A

lithium

24
Q

somatization disorder

A

unconscious mechanism and motivation
establish 1 doc w/ regular appts
don’t need symptoms to see doc

25
Q

conversion disorder

A

affect voluntary motor or sensory fxn preceeded by conflict or stressor
not consciously produced no medical explanation
spontaneous remission, suggestion, hypnosis

26
Q

pain disorder

A

pain is primary focus, not intentionally produced
multi discipline
be conservative, social dynamics
maybe antidepressants

27
Q

hypochondriasis

A

unconscious motivation
improves when life stressors leave
reassurance, family education
manage w/ primary care

28
Q

body dysmorphic disorder

A

SSRI may help

29
Q

factitiious disorder

A

voluntary production of signs symptoms, motivation is unconscious

30
Q

malingering

A

lack of cooperation w/ treatment or evaluation

intentional production of symptoms for secondary gain

31
Q

Paranoid

A 
Cluster A (odd, ecentric)       distrust
supportive psychotherapy
low dose antipsychotics
explain all tests/treatments - trust issues
have a serious attitude
32
Q

Schizoid

A

Cluster A (odd, ecentric) detachment
supportive psycotherapy
respect emotional distance

33
Q

schizotypal

A 
Cluster A (odd, ecentric) live in own world (magical think)
supportive
reality based therapy
low dose antipsychotics
allow peculiarties
34
Q

Borderline

A 
Cluster B (dramatic, emotional, erratic) intense
highly non-compliant
35
Q

histrionic

A

Cluster B (dramatic, emotional, erratic) overly dramatic
CBT
group therapy

36
Q

Narcissistic

A 
Cluster B (dramatic, emotional, erratic) I am greatest
very difficult, don't admit personal responsibility
37
Q

Antisocial

A 
Cluster B (dramatic, emotional, erratic) exploit others
avoid being manipulated
individual/group therapy
38
Q

Avoidant

A 
Cluster C (anxious, fearful) shy similar to schizoid
SSRI
low dose benzo
39
Q

Dependent

A

Cluster C (anxious, fearful) needy

40
Q

Obsessive compulsive (not OCD)

A

Cluster C (anxious, fearful) see perfectionism as desireable
SSRI
group therapy

Psych Exam 1 (5 decks)

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