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Mental Health > Exam #2 > Flashcards

Exam #2 Flashcards

1
Q

what is addiction?

A

a compulsive/abnormal behavior that relates to substances or behaviors

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2
Q

what is intoxication?

A

a state of disturbed cognition, perception, behavior, LOC, and judgment

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3
Q

what is withdrawal?

A

physiological and mental readjustment from stopping the use of an addictive substance

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4
Q

why is alcohol use accepted?

A

because it is legal, used in ceremonies, and religions

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5
Q

what is the blood alcohol level that can cause intoxication in a human?

A

80-100 mg/dL

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6
Q

what is the blood alcohol level that can cause death in humans?

A

400-700 mg/dL

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7
Q

what drugs are CNS depressants?

A

alcohol, sedatives, hypnotics, anxiolytics, cannabis,

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8
Q

what are sedatives used for?

A

anxiety, panic, seizures, and sleep disorders

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9
Q

what are hypnotics used for?

A

xxx

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10
Q

what are anxiolytics used for?

A

xxx

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11
Q

what are some signs of alcohol/sedative/hypnotic/anxiolytic intoxication?

A

disinhibition of sexual or aggressive behaviors

mood lability

impaired judgment and memory

impaired social/occupational function

decreased LOC

Slurred speech

Incoordination

Unseady

Nystagmus

Flushed face

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12
Q

what is nystagmus?

A

uncontrolled eye movements…can be up, down, left, right, etc

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13
Q

what are some chronic effects of alcohol abuse?

A

peripheral neuropathy, alcoholic myopathy, Wernicke encephalopathy, korsakoffs psychosis, alcoholic cardiomyopathy, esophagitis, gastritis, pancreatitis, hepatitis, cirrhosis of liver, leukopenia, thrombocytopenia, sexual dysfunction

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14
Q

what is peripheral neuropathy in relation to alcohol abuse?

A

nerve damage in the extremities

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15
Q

what does peripheral neuropathy feel like?

A

pain, burning, and tingling, in the extremities

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16
Q

what causes peripheral neuropathy?

A

having low amounts of the B vitamin Thiamine

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17
Q

why do alcoholics experience peripheral neuropathy?

A

because they have poor nutrition and malabsorption of food from alcohol

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18
Q

can peripheral neuropathy be reversed?

A

yes but can be permanent for some

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19
Q

how is peripheral neuropathy reversed?

A

by abstinence from alcohol and improvement in diet

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20
Q

what is alcoholic myopathy?

A

a condition that causes loss of function and strength in your skeletal muscles in response to long-term or heavy drinking

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21
Q

what are the symptoms in acute alcoholic myopathy?

A

sudden onset muscle pain, swelling and myoglobinuria

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22
Q

what is myoglobinuria?

A

occurs when myoglobin are present in the urine

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23
Q

why would myoglobin be present in urine?

A

it occurs in patients who have alcoholic myopathy due to their muscles breaking down….the body excretes the product of the breakdown in the urine

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24
Q

what are the symptoms of chronic alcoholic myopathy

A

gradual wasting and weakness of muscle tissue

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25
Q

is acute alcoholic myopathy reversible?

A

yes

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26
Q

is chronic alcoholic myopathy reversible?

A

no

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27
Q

what causes alcoholic myopathy?

A

having low amounts of the B vitamin thiamine

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28
Q

what color is myoglobinuria?

A

red tinged

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29
Q

what changes must be made to improve patients with alcoholic myopathy?

A

abstinence from alcohol and diet

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30
Q

what labs are elevated in patients with alcoholic myopathy?

A

aspartate aminotransferase (AST)
Alanine transaminase
(ALT)

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31
Q

what is Wernickes encephalopathy

A

the most serious form of thiamine deficiency that can cause death

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32
Q

what are the symptoms of Wernickes encephalopathy

A

death, paralysis of ocular muscles, diploplia, ataxia, somnolence, and stupor

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33
Q

what are the ocular muscles?

A

muscles that control your eyes

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34
Q

what is diplopia?

A

double vision

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35
Q

what is ataxia?

A

poor muscle control that causes clumsy movements

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36
Q

what is somnolence?

A

sleepy

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37
Q

what is a stupor?

A

state of unconsciousness that can be awakened with extreme stimulation

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38
Q

can wernickes be reversed?

A

yes

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39
Q

what is Korsakoff’s psychosis?

A

occurs when alcohol is abused the symptoms are confusion, recent memory loss, and confabulation

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40
Q

what other diseases is Korsakoff psychosis paired with?

A

Wernicke

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41
Q

is korsakoffs psychosis psychosis reversable?

A

no

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42
Q

what is alcoholic cardiomyopathy?

A

accumulation of lipids on the myocardial tissue causing the heart to be bigger and have weaker contraction

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43
Q

can alcoholic cardiomyopathy be fixed?

A

no

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44
Q

what does alcoholic cardiomyopathy mimic?

A

HF and arrhythmias

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45
Q

what are the symptoms of alcoholic cardiomyopathy?

A

decreased ability to exert, tachy, dyspnea, edema, palpitations, and nonproductive cough

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46
Q

what labs will be elevated in alcoholic cardiomyopathy?

A

AST and ALT

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47
Q

what are treatments for alcoholic cardiomyopathy?

A

abstinence from alcohol, rest, oxygen, digitization, sodium restrictions, diuretics

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48
Q

what is esophagitis?

A

inflammation of the esophagus

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49
Q

what is pancreatitis?

A
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50
Q

what is the alcohol hepatitis?

A

inflammation of the liver that causes it to be enlarged and tender

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51
Q

what is cirrhosis of the liver?

A

when fibrous scar tissue forms on the liver decreasing filtration and absorption

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52
Q

what are the symptoms of alcoholic hepatitis?

A

N/v, anorexia, weight loss, abd pain, jaundice, edema, anemia, blood coagulation problems

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53
Q

why does alcoholic hepatitis cause anemia and blood coag problems?

A

xx

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54
Q

what can be done to treat alcoholic hepatitis?

A

abstinence from alcohol, diet

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55
Q

what is leukopenia

A

the production, function, and wbc impaired

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56
Q

what does leukopenia put you at risk for?

A

infection

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57
Q

what is thrombocytopenia?

A

decrease in platelet production

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58
Q

what is sexual dysfunction in relation to alcoholism

A

women have decreased menstural cycles and libido

men have decreased test, gyno, and impaired fertility

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59
Q

how do we assess alcoholism?

A

CAGE questions

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60
Q

what does the C in CAGE mean

A

have you tried to CUT down

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61
Q

what does the A in CAGE mean?

A

have people ANNOYED by criticizing you?

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62
Q

what does the G mean in CAGE?

A

have you felt bad or GUILTY

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63
Q

what does the E in CAGE mean?

A

have you had an eye opener drink

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64
Q

in the CAGE question what constitutes someone might have be an alcoholic?

A

2 or more positive responses

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65
Q

when does alcohol withdrawal occur?

A

from 4-12 hours from last drink

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66
Q

what are the symptoms of alcohol withdrawal?

A

tremmors in hand, toungue, eye
N/v
Sweating
Malaise/weak
Elevated BP/HR
Anxiety
Irritability
Hallucinations
Delirium
Headache
Insomnia
Depression
seizures
Death

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67
Q

what precautions should you keep in mind with alcoholics going through withdrawal?

A

seizure

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68
Q

what should you have ready for a patient under seizure precautions?

A

suction, nonrebreather, benzo, padded rails, vital machine

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69
Q

what should you do if a seizure occurs?

A

check the time, roll the patient over, apply nonrebreather, use suction, administer lorazepam

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70
Q

what lab is being monitored for alcoholic in withdrawal?

A

BMP for fluid, electrolytes, and blood sugar

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71
Q

why should blood sugar be monitored in alcoholics?

A

alcohol damages the pancreas which releases insulin and also damages the liver which releases glucose into the blood stream

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72
Q

why are alcoholics at risk for seizures?

A

because alcohol is a CNS depressant and when the patient stops drinking their CNS activity goes much higher than what it is used to causing increased risk of seizures

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73
Q

what med groups are used as substitution therapy for alcoholism?

A

benzodiazepines and anticonvulsants

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74
Q

why are benzo and anticon used to treat alcoholism?

A

because it lowers the CNS activity to match where it was when they were drinking

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75
Q

what does the dosage timeline for substitution therapies look like?

A

start of with a higher dose and slowly taper away

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76
Q

what benzodiazepines are long acting?

A

chlodixepoxide and diazepam

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77
Q

what benzo is short acting?

A

lorazepam

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78
Q

what benzo should be given to those with chronic liver diseases?

A

the quick-acting one lorazepam

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79
Q

what are the anticonvulsants?

A

carbamazepine, valporic acid, lamotrigine, topiramate

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80
Q

what are the two types of deterrent therapies for alcoholism?

A

Disulfiram and naltrexone

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81
Q

how does Disulfiram work?

A

it causes the person taking the medication to become ill when ingesting alcohol

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82
Q

how long must a patient be abstinent from alcohol before taking Disulfiram?

A

minimum 12 hours

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83
Q

what is required from the patient before taking Disulfiram?

A

consent

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84
Q

what is the worst side effect of Disulfiram?

A

death

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85
Q

how long does it take for symptoms of Disulfiram to start if someone drinks?

A

5-10 minutes

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86
Q

what must the patient avoid when taking Disulfiram

A

alcohol, vanilla, mouth wash, nyquil, sanitizer

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87
Q

what are side effects the patient can anticipate if they drink while taking dilfucking fuck?

A

n/v, flushed skin, dizzy, sweating, tachycardia, resp depression, MI, death

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88
Q

how does naltrexone work for alcoholics?

A

blocks pleasure receptors in the brain

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89
Q

what can naltrexone be used to treat?

A

alcohol and opioid abuse

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90
Q

what therapies can alcoholics use?

A

AA, counseling, group therapy

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91
Q

what effects do sedatives/hypnotics/ anxiolytics have on the body?

A

changes in sleep/dreaming, hypotension, compromised contraction, reduced urine output, lower metabolism, reduced body temp, sexual function

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92
Q

when does withdrawal begin in short acting drugs?

A

begins in 12 to 24 hours

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93
Q

when does withdrawal peak in short acting drugs?

A

24 TO 72 HOURS

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94
Q

when does withdrawal subside in short acting drugs?

A

5-10 days

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95
Q

when does withdrawal begin in long acting drugs?

A

2 to 7 days

96
Q

when does withdrawal peak in long acting drugs?

A

5-8 days

97
Q

when does withdrawal subside in long acting drugs?

A

10-16 days

98
Q

what are the two drugs that contain cannabinoids?

A

cannabis and synthetic k2

99
Q

what are the signs of intoxication in someone under the influence of cannabis?

A

euphoria, anxiety, paranoid, slowed time, impaired judgment, social withdrawal, tachy, red eyes, increased appetite, dry mouth, hallucinations, delusions

100
Q

what are the effects on cannabis on the body/

A

tachycardia, orthostatic hypotension, laryngitis, bronchitis, cough, hoarse, decreased sperm count, amotivational syndrome`

101
Q

what are signs of cannabis withdrawal?

A

irritability, anger, insomnia, disturbing dreams, depressed mood, abd pain, tremors, sweating, fever, chills, headache

102
Q

what are the drugs containing opioids?

A

opium, heroin, mepridine, fentanyl

103
Q

what are the symptoms of opioid intoxication?

A

euphoria, lethargy, somnolence, dysphoria, impaired judgment, pupillary constriction, drowsiness, slurred speech, constipation, N/V, decreased RR and BP

104
Q

when do withdrawal symptoms start for opioids?

A

6-8 hours

105
Q

when do withdrawal symptoms peak for opioids?

A

2-3 days

106
Q

when do withdrawal symptoms subside for opioids?

A

5-10 days

107
Q

what are the symptoms that someone is going through opioid withdrawal?

A

N/V, craving, muscle cramps, pupillary dialation, Lacrimation, rhinorrhea, sweating, yawning, fever, insomnia,

108
Q

what is Lacrimation

A

leaking eyes

109
Q

what is used for opioid overdose?

A

naloxone

110
Q

what should you assess for before giving naloxone?

A

respiratory effort, bradycardia, unresponsiveness

111
Q

if the patient does not wake up after giving naloxone when can you give them another dose?

A

after 2-3 minutes change the nostril and give another dose

112
Q

what meds are used for opioid substitution therapy?

A

buprenorphine and methadone…..clonidine is used after

113
Q

what is used to determine if patients are going through alcohol withdrawal

A

CIWA

114
Q

what are the cns stimulants?

A

cocaine, amphetamines, hallucinogens, and inhalants

115
Q

what are the symptoms of intoxication for inhalants/cocaine/amphetamine?

A

fighting, grandiosity, hypervigilance, psychomotor agitation, impaired judgment, tachycardia, pupilary dialtion, elevated BP, perspiration, chills, n/v, hallucinations, delirium

116
Q

what are symptoms of cocaine/amphetamine withdrawal?

A

anxiety, depression, irritability, crave, fatigue, insomnia, hypersomnia, psychomotor agitation, paranoid, social withdrawal, SI

117
Q

what happens to the body with chronic cocaine use?

A

pulmonary hemorrhage, bronchiolitis, pneumonia, nasal rhinitis, placenta abruption, CVA

118
Q

what are the symptoms of hallucinogen intox?

A

agitation, hyperacitivty, violence, hallucinations, psychosis, convulsion, possible death`

119
Q

what are the two kinds of reaction to hallucinogens?

A

panic and flashback

120
Q

what happens during a panic reaction?

A

bad trip where you have anxiety, fear, paranoid, and psychosis

121
Q

what happens during flashback reaction?

A

spontaneous time where you have an intoxication effect

122
Q

what does the patient feel during a flashback reaction?

A

anxiety, depression, fear of losing mind, paranoid, impaired judgment

123
Q

what do you do when the patient is on hallucinogens or has a flashback?

A

reorient back to reality, and safety, and stay with them

124
Q

what does the use of inhalants do to your body?

A

cns and pns damage, dyspnea, pneumonia, n/v, cyanosis

125
Q

what are the goals for all addict patients?

A

safe detox, assume responsibility, connection of behaviors and consequences, self-esteem improvement, and abstinence

126
Q

what is mood?

A

how a person feels

127
Q

what is affect?

A

how the person is displaying on the outside

128
Q

what is bipolar disorder?

A

mood disorder manifested by cycles of mania and depression and times of normalcy

129
Q

what is mania?

A

alteration in mood that maybe expressed by feelings of elation, grandiosity, inflated self esteem, hyperactivity, agitation, racing thoughts,

130
Q

what is the average age of onset for mania?

A

25

131
Q

what happens to the neurotransmitters during a manic episode?

A

norepinephrine and dopamine are high and serotonin is low

132
Q

what drugs can cause mania?

A

amphetamines, antidepressants, anticonvulsants, and narcotics, steroids

133
Q

what is bipolar 1?

A

when a patient has mania with periods of depresion

134
Q

how many dig fast symptoms must a patient have to be bipolar 1?

A

3 or more

135
Q

what does DIG FAST stand for?

A

Distractability, Indescretion, Grandiosity, Flight of ideas, Activity increase, sleep deficit, and talkativeness

136
Q

what is bipolar 2?

A

bouts of major depression with episodes of hypomania

137
Q

can bipolar 2 patients experience a manic episode?

A

no only hypomanic

138
Q

what is the difference between hypomanic and manic symptoms?

A

hypomanic symptoms are not severe enough to mark impairment with social or occupational setting

139
Q

what is cyclothymia?

A

numerous episodes of elevation of mood and depression

140
Q

what is the longest someone with cyclothymia can go without symptoms?

A

2 months

141
Q

how long must someone with cyclothymia have symptoms before being diagnosed?

A

2 or more years

142
Q

what should be included in manic patient care?

A

monitoring risk for injury, monitoring risk for violence, ensuring good nutrition, monitoring for disturbed thought process, monitoring for disturbed sensory perception, impaired social interaction, and insomnia

143
Q

what are nursing interventions for manic patients?

A

reduce stimuli, remove harmful objects, stay with client, provide a structured schedule, provide physical activities, provide high protein finger foods, set limits, show force

144
Q

what foods are good for manic patients?

A

high-calorie and protein-rich finger foods`

145
Q

when is ECT used for bipolar patients?

A

for type 1 acute mania and type 2 for depression

146
Q

what is the mood stabilizer you need to know for mania?

A

lithium

147
Q

what antipsychotics are used for mania??

A

zxx

148
Q

what neurotransmitters are affected by lithium?

A

norepinephrine, serotonin, dopamine, glutamine, GABA

149
Q

what are the therapeutic levels of lithium for acute mania?

A

1-1.5

150
Q

what are the therapeutic levels of lithium for maintenance?

A

0.6-1.2

151
Q

what symptoms do patients with lithium toxicity have?

A

N/V, diarrhea, ataxia, blurred vision, tinnitus, tremors, mental confusion

152
Q

what education do you give a patient taking lithium?

A

Take regularly, dont drive, eat normal amounts of sodium, eat healthy foods, 6-8 glasses of water per day, avoid excess caffeine, carry med card, watch for weight gain, use contraception, keep appointments for serum levels

153
Q

what happens to sodium if lithium levels are too high in your body?

A

blocks the absorption of sodium which cause hyponatremia

154
Q

what meds are the anticonvulsants?

A

valporic acid, carbamaepine, lamotrigine

155
Q

what education do you give for anticonvulsants?

A

rash, bleeding, sore throat, dark urine, dark eyes, no alcohol, carry card

156
Q

what antipsychotics treat mania?

A

olanzapine, risperidone, chlorpormazine, aripiprazole, ziprasidone

157
Q

what is anorexia nervosa?

A

suppressing appetite that you have

158
Q

what are the diagnostic criteria for anorexia nervosa?

A

restriction of calories that cause loss in body weight, intense fear of gaining weight, disturbed body image, BMI less than 20

159
Q

what is a normal BMI?

A

20-24.9

160
Q

what are the symptoms of anorexia?

A

hypothermia, lanugo, bradycardia, hypotension, decreased bone density, amenorrhea, hypoglycemia, weak, poor memory

161
Q

what labs will be seen in anorexic patients?

A

hypoglycemia, anemia, leukopenia, abnormal hormone

162
Q

what medication helps with anorexia?

A

fluoxetine

163
Q

what are the nursing interventions for anorexia?

A

eating plan, daily weight, I/O, NG tube, coping skill, monitoring for refeeding syndrome

164
Q

what is a refeeding syndrome?

A

occurs when patient who is malnourished rapidly ingests food can cause death

165
Q

what should be put on patients when they might experience refeeding syndrome?

A

telemetry

166
Q

what are some goals for anorexic patients?`

A

2-3lbs per week, meeting cal goal, verbalize that behaviors are maladaptive, acknowledge that body fat was a misperception

167
Q

what are the two types of anorexia?

A

restrictive and eating/purging

168
Q

what is bulimia nervosa?

A

eating large amounts of food followed by purging or extreme exercise

169
Q

how many times must a person participate in overeating and purging before its considered bulimia nervosa?

A

1x a week for 3 months

170
Q

are bulimia nervose patients typically emaciated, normal weight or overweight?

A

normal

171
Q

what are the symptoms of bulimia nervosa?

A

Russell sign, enlarged parotoid gland, dental carries, enamel erosion, tears in gi tract, electrolyte imbalance, anxiety, mood disorder, substance abuse

172
Q

what labs are affected by bulimia nervosa?

A

low mag, k, na,

173
Q

what do you do if patients k comes back low?

A

tele

174
Q

what are the medication treatments for bulimia nervosa?

A

fluoxetine and topiramate

175
Q

what are nursing interventions for bulimia nervosa?

A

1 to 1 from 1-2 hours post meal, daily weight, I/O, eating plan, coping skill

176
Q

what are the goals when treating a patient with bulimia nervosa?

A

No signs of dehydration or electrolyte imbalance
No stash of food
Meet calorie goals
Verbalize previous behavior is maladaptive and life-threatening
Verbalises positive self-attributes
Acknowledges fat was a wrong perception

177
Q

what is a binge eating disorder?

A

uncontrolled rapid ingestion of food in a short period

178
Q

how many times must a person binge for the disorder?

A

1x a week for 3 months

179
Q

what are symptoms of binge eating disorder?

A

weight gain, cramps, constipation, reflux, high choleserol

180
Q

what are binge-eating patients at risk for?

A

diabetes type 2, hypertension, cancer, depression

181
Q

what meds for binge eating?

A

topiramate and lisdexamfetamine

182
Q

what nursing intervention for binge eating?

A

food diary, eating plan, progressive exercise, support group

183
Q

what are the goals for binge eating patients?

A

food diary, losing 1-2lbs per week, healthy eating, exercise, plan for future weight control, know positive attributes of self, and support groups

184
Q

what is the Maudsley approach?

A

family-oriented therapy for anorexia…weight gain is monitored by someone other than patient…once progress is made then the patient takes over….done outpatietn

185
Q

what biochemicals are effected in depression patients?

A

decrease in norepinepherine, serotonin, dopamine

185
Q

what gland can cause depression?

A

problems in the pituitary

186
Q

what is the learning theory say about depression?

A

that it is learned helplessness….the person after numerous failures give up on trying to be successful

187
Q

what does the object loss theory say about depression?

A

being abandoned during the first 6 months of life causes problems that persist into adulthood

188
Q

what does the cognitive theory say about depression?

A

cognitive distortion that perceives things through a negative/defeated lense

189
Q

according to the cognitive theory what negative expectations do depressed patients have?

A

environment, self, and the future

189
Q

what does the transactional model of stress say about depression?

A

many factors cause depression not just one thing

190
Q

what sex is more common to have depression?

A

female

191
Q

what is senescence?

A

depression with dementia

192
Q

what effect does socioeconomic status have on depression?

A

poverty and unemployment increase odds

193
Q

what is major depression disorder?

A

depression that impairs social and occupational functioning

194
Q

what is the acronym Sig E Caps stand for in relation to MDD?

A

Sleep disturbance
Interest decreased
Gulit
Energy decrease
Concentration problems
Appetite/Weight changes
psychomotor agitation
Suicidal ideations

195
Q

how many symptoms must be present to diagnose MDD?

A

5 or more findings for 2 weeks

196
Q

what if patient has MDD along with other factors like schizo, med, illness, or mania?

A

then patient does not have MDD

197
Q

what is dysthymia/persisten depressive disorder?

A

milder form of depression that has an early onset

198
Q

when does dysthymia typically set in?

A

adolescent

199
Q

how long does dysthymia last?

A

2 years for adults and 1 year for children

200
Q

what are the symptoms of dysthymia?

A

low mood, low appetite, sleep problems, poor concentration, irritablity, hopeless, inability to make descision

201
Q

what can dysthymia turn into?

A

MDD

202
Q

from the symptoms listed how many determine if they have dysthymia?

A

2 or more

203
Q

what are the symptoms of premenstrual dysphoric depression?

A

depressed mood, anxiety, mood swings, decreased interest, during the week menses, gets better post cycle

204
Q

what should you look for in relation to med pass with suicidal patietns?

A

watch for cheeking of meds

205
Q

what is the purpose of congitive behavioral therapy?

A

to control thought distortion, get ride of negative thoughts,

206
Q

what do SSRIs do?

A

prevent the reuptake of serotonin back into the neuron

207
Q

what is the first line treatment for depression?

A

ssri

208
Q

what cant you take with SSRI?

A

st john wort

209
Q

what drugs are SSRI?

A

sertraline, citalopram, escitalopram, fluoxetine, and paroxetine

210
Q

what are the complications for ssri?

A

serotonin syndrome, weight changes, anxiety, agitation, insomnia, cns stim, sexual dysfunction, withdrawal, HYPOnatremia, rash, gi bleed

211
Q

what do SNRIs do?

A

prevent the reuptake of serotonin and norepinephrine

212
Q

what does SNRIs treat?

A

depression and anxiety

213
Q

what drug is a SNRI?

A

venlafaxine

214
Q

what are complications of SNRIs

A

serotonin syndrome, Nausea, sweating,, insomnia, tremors, sexual dysfunction

215
Q

what do tricyclic antidepressants do?

A

block reuptake of norepi and serotonin and blocks histamine receptors

216
Q

what drug is a tricyclic antidepressant

A

amitriptyline

217
Q

what are the complications of tricyclic antidepressants?

A

orthostatic hypo, decreased seizure threshold, sweating, increased appetite, sexual dysfunction, toxicity

218
Q

what does tricyclic toxicity look like?

A

cholinergic block, cardiac toxic, dysrhythmias, seizure, coma, death

219
Q

what do heterocyclic meds do?

A

block serotonin reuptake

220
Q

what drugs are heterocyclic?

A

buproprion, mirtazapine, trazadone

221
Q

what are the complications for heterocyclic medications?

A

lower seizure threshold, weight loss, insomnia, restless, increased HR, Gi distress, dry mouth, headache

222
Q

what are manoamine oxidase inhibitors?

A

increases nor epi and serotonin

223
Q

when are maois tried?

A

as a last resort

224
Q

what drug is a MAOI?

A

phenelzine

225
Q

what are the complications from taking MAOIs

A

Hypertensive crisis, mania, hypomania, orthostatic hypo, agitation, anxiety, cns stim

226
Q

what must patients avoid when taking MAOIs/phenelzine?

A

tyramine

227
Q

what happens if patietn taking phenelzine ingests tyramine?

A

hypertensive crisis

228
Q

what are symptoms of hypertensive crisis?

A

Headaches, N/V, Tachy, diaphoresis, change in loc

229
Q

what foods contain tyramine?

A

aged cheese, red wines, smoked/processed meats

230
Q

what kind of seizure is induced during ECT?

A

grand mal

231
Q

can a patient take meds before ECT?

A

no

232
Q

when is ECT used?

A

to treat suicide and depression

233
Q

what kind of memory loss is common in ECT

A

might forget pin to phone

234
Q
A

Mental Health (4 decks)

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