Final review Flashcards
add
apparent at 7 difficulty concentrating be patient don't blame parents communicate don't sweat it
ADD 3 primary characteristics
inattention
hyperactivity
impulsivity
autism disorder
1/68 children
on schedule
anything not on routine can be scary
consider guardian
anorexia nervousa
mental and biological
can also be from irregular hormone function
bulimia nervosa
binge/purge
phycological assessment
call law if needed
rule out factors for behaviour (BGL/SPO2/OD)
tips with disorganized patients
explain what you are doing
keep orientating the patient to place/time and people in the environment
identify yourself multiple times if needed
1 in _ adults experience a form of anxiety any given year
5
GAD
generalized anxiety disorder
must experience anxiety most days for 6 months before diagnosing
treating phobias
offer O2
panic disorders
rapid onset of overwhelming unexpected feelings of fear
how to treat someone with panic disorder
separate them from bystanders and put them in a calm environment
be understanding and reassure
address patients symptoms and help them regain control
best way to manage hyperventilating
help them slow down their breathing
its a good idea to use a paper bag when hyperventilating t/f?
F! it can make other conditions worse!
PTSD
type of anxiety that comes from traumatic events
ex. MVC, terrorist attacks etc.
PTSD symptoms
flashbacks
survivor guilt
depression
most prevalent psychiatric disorders
mood disorders
whats more common unipolar mania or depression
DEPRESSION
what gender does depression affect more
women
diagnostic features of depression
GAS PIPES
GAS PIPES of depression
guilt
appetite
sleep disturbance
paying attention interest psychomotor abnormalities energy suicide
common meds prescribed for anxiety and depression
SSRIs
selective serotonin reuptake inhibitors
suicide attempts are more common in _____ and more successful in _____
women
men
hallmark of mania
affect
patient seems to be one a high
people with personality disorders
have a harder time managing depression
may not be afraid to hurt if agitated
be calm and professional
what is personality disorder
a mental disorder in which an unhealthy pattern of thinking, functioning and behaving develops
personality disorder clusters
odd behaviour
emotional behaviour
anxious or fearful behaviour
somatofrom disorders
think there is something wrong with them when there is not
dissociative disorder
feeling of being detached from themselves as if they were dreaming
depersonalization experience
feels like a dream ex. if they were in a car accident and it feels like time has stopped
derealization
objects appear to change size / people may seem dead and act like robots
what gender is more affected by eating disorders
women
impulse control disorders
lack the ability to resist temptation commonly found in patients with other mental illnesses
urge to steal
kleptomania
urge to start fires
pyromania
substance users
social drinkers
substance intoxication
drunk drivers use the substance until thinking is impaired
substance abuse
drinks to try and solve problems or forget
substance dependence
addiction
tips when dealing with blind patients
take equipment that helps them function
put anything you moved out of place back
communicate with them
hemiplegia
paralysis on one side of the body
paraplegia
paralysis on the lower part of the body
quadriplegia
paralysis of all 4 extremities
bariatric
fatties
pickwickian syndrome
hypoxemia
hypercapnia
polycythemia (to many RBC’s)
usually found in very obese patients
t/f bariatrics breathe easier supine?
F! sit them up
tips with bariatrics
communicate
make the receiving facility aware you are coming
developmental disability
person develops more slowly and differently then the average person
risk factors of down syndrome
family history
maternal age of more than 35
t/f down syndrome patients have small tongues
F! they tend to have larger tongues which can make it difficult to intubate
antisocial
occurs around the age of 15 but is diagnosed around 18
anti social clinical features
disregard the rights of others
criminal behaviour
fighting
difference between an antisocial person and someone with autism
people with an antisocial disorder don’t care about others and are unethical on purpose
they also only care about themselves and are good at mimicking emotions
t/f treating anti social patients can be quite difficult
T! never hesitate to call law enforcement
prehospital treatment for antisocial patients
rule out reversible causes like BGL and O2
remain calm and don’t be manipulated
med for agitated patients and dose
lorazepam!
1-2 mg PO repeat 30 minutes if needed
delusional disorder
can be aware of their behaviour but unable to alter it
delusional types
erotomatic/erotic - stalking behaviour
grandiose - thinks they have a special power/relationship with a power figure
persecutory - patient is being threatened or maltreated
somatic - having an illness/defect
t/f delusional disorders are very common?
F! they are rare
usually a symptom of another disorder like schizophrenia
what is schizophrenia
brain disorder affecting the ability to differentiate between real and false reality
when do most people get schizophrenia
early in adulthood
genetic?
schizophrenia clinical features
hard time thinking
hallucinations
delusions
change in mood
1 in _ people will experience depression
6
more common in women
persistent depressive disorder
more chronic and not as severe as other forms
depressed most of the time for over 2 years
includes 2 of the following symptoms
depressive seasonal affective disorder
related to seasons
can be based on sunlight
same symptoms as major depression but also include binging in winter and poor appetite in spring
can lead to other conditions like substance abuse/suicide
1 in _ depressed patients will succeed in suicide
6
75% will give a clear warning of their attempt
tips when dealing with suicides/suicidal patients
let them talk about it
- don’t leave them alone *
bring pills
don’t argue with them
bipolar disorder
depression symptoms mixed with mania symptoms
usually have a period of wellness between episodes
don’t consider themselves ill
how to assess manic patients
COAST MAP
consciousness orientation activity speech thought memory affect perception
ADHD is a _________ disorder
neurodevelopmental
ADHD symptoms
onset of ages 3-6
inattention
hyperactivity
impulsivity
ADHD meds
stimulants increase dopamine levels
obesity is being over __% of the ideal body weight
20%-30%
morbidly obese is being __% over the ideal body weight
40%
intertrigo
rash due to moisture trapping
t/f its harder to ventilate fatties
T!
people calling due to panic attacks should stay back from the hospital T/F
F!
depression age of onset
32
chronic depression
2+ years
possible suicide tips
dont leave the patient alone
collect implements
acknowledge the patients feelings
encourage transport
mania drugs
lithium drugs for first line therapy (bad adverse effects)
anti epileptic drugs
mental status examination for mania
COAST MAP
3 types of personality disorders
odd behaviour
emotional behaviour
fearful behaviour
munchausen syndrome
making someone sick for attention
stretcher for fatties
pneumatic
