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Psiquiatria DSM V > Emergencias Psiquiatricas > Flashcards

Emergencias Psiquiatricas Flashcards

1
Q

Sintomas na síndrome neuroleptica maligna?

A

Hipertermia
Rigidez muscular
Alteração do est. mental (delirium)
Disautonomia (eles PA, sudorese)

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2
Q

Alterações laboratoriais síndrome neuroleptica maligna?

A 
Aumento cpk (4x normal)
Aumento ast e alt (mais ast)
Leucocitose com desvio
Mioglobinuria
IRA
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3
Q

Tratamento não farmacológico da síndrome neuroleptica maligna?

A
  • Reduzir temp com banhos
  • Suspensão do antipsicótico e lítio
  • Retirar cinetol gradual (piora da confusão mental)
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4
Q

Tratamento farmacológico síndrome neuroleptica maligna?

A 
Iniciar agonista dopaminergico:
- bromocriptina
- amantadina
- Dantrolene
Ou
Bzd
\+ hidratação vigorosa
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5
Q

Tratar acatisia?

A

Lorazepam 0,5mg 2x dia

Cinetol 2 a 6mg ao dia

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Psiquiatria DSM V (11 decks)

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