Erik Psych Flashcards
Bipolar II disorder is marked by?
at least 1 hypomanic episode, at least 1 major depressive episode, and the absence of manic episodes.
Major depression s/s
Must have depression/ anhedonia and 5/9 of:
sleep interest guilt/ low self esteem energy concentration appetite psychomotor suicidality
*>2 week
What would immediately dismiss a ddx of depression with all sigecaps fulfilled?
manic episodes
Depression >2 years
Persistent depressive disorder
only needs 2
Bipolar 1 mnemonic
DIGFAST- 3 required
distractible irritable grandiose FOA actions (reckless) sleep talkative
depression ddx criteria not met, but still lots of s/s present
hypo-depression
hypo depression + hypomania
cyclothymia
General SSRI s/e
wt gain
sexual dysfx
Also withdrawal (flu)
Serotonin syndrome s/s
rigid muscle
hyperreflexia
Flushed skin and diaphoresis
vital sign: tachycardia, hypertension, severe may develop hyperthermia
Neuro-epileptic vs serotonin syndrome
SS will have hyperreflexia
Serotonin syndrome rx
d/c serotonin drugs
benzos
cyproheptadine
majority of cases of serotonin syndrome present within 24 hours, and most within six hours, of a change or initiation of a drug
antibiotic that might cause serotonin syndrome
linezolid
Anticonvulsant depression augmentation
lamotrigine
valproate
Li s/e
hypothyroid
nephrogenic DI
tremor
ataxia
Li is great because
it decreases suicide a bunch
best treatment for mania and depression (bipolar 1 and 2)
How long can you walk around with a vial of haloperidol
Very stable formula
1 shot/ month
popular for act teams to go give on the go
Super general, what anti-crazys come injectable?
pretty much most come IM
Clozapine= NOT injectable
neuroepileptic s/s and rx
dantrolene
Fever Encephalopathy Vitals unstable Enzymes Rigidity of muscles
High potency neuroleptics
High potency: Trifluoperazine
Fluphenazine
Haloperidol
(Try to Fly High)—neurologic s/e EPS
Chlorpromazine unique s/e
Corneal deposits
Thioridazine s/e
reTinal deposits
