General Psychiatric Mental Health Flashcards
The ability to bounce back from adversity.
Resilience
What are the 5 Axis?
Axis I: Clinical DisordersAxis II: Persoanlity DisordersAxis III: General Medical ConditionsAxis IV: Psychosocial/Enviromental ProblemsAxis V: Global Assessment of Functioning
What are the & rights of patients?
- Right patient2. Right medication3. Right Dose4. Right route5. Right time6. Right to refuse7. Right documentation
What are the neurotransmitters and what are the conditions they are related to?
Acetylcholine = Alzheimer’s Disease & ParkinsonismDopamine = Schizophrenia & ParkinsonismGABA = Anxiety DisordersNorepinephrine = Mania & DepressionSerotonin = Mania & Depression
Atypical Antipsychotic
Treats + & - symptomsRisperdone (Risperdal) 16 mgOlanzapine (Zyprexa) 30 - 45 mgAripiprazole (Abilify) 30 mgQuetiapine (Seroquel) 1000 - 1200 mgZiprasadone (Geodone) 240 mgLast option: Clozapine (clozaril)
what are positive symptoms?
Hallucinations, Delusions
What are negative symptoms
Alogia, Anhedonia, Avolition
Typical
Older drugsOnly treats + symptomsChlorpromazine (Thorazine)Thioridazine (Mellaril)Fluphenazine (Prolixin)Trifluoperazine (Stelazine)Haloperadol (Haldol)Thiothixene (Navane)Dibenzoxazepine (Loxapine)
Anticholinergic
Benztropine (Cogentin)Trihexyphenidyl (Artane)Diphenhydramine (Benadryl)Dry mouth, urinary retention, urinariy hesitation, blurred vision
NMS
Neuroleptic Malignant SyndromeHyperthermiaAltered LOC
EPS
Extrapyramidal Side EffectsAcute dystonic reactionsTardive dyskinesiatx: Dantrolene & Bromocriptine
Line of Defense for Mood Disorders
1st. SSRI :Selective serotonin Reuptake Inhibitors2nd. TCA: Tricyclic and Tetracyclic Antidepressants3rd. MAOI: Monamine Oxidase Inhibitors
SSRI :Selective serotonin Reuptake Inhibitors
fewest side effectsFluoxetine (Prozac) 80 mgFluvoxamine (Luvox)Paroxetine (Paxil) 40 - 60 mgSertraline (Zoloft) 200 mgCitalopram (Celexa) 40 -60 mgLexapro (Ecelexa) 40 mg
TCAs + antidote
Weight gain, EDantidote: Physostigmine (Antrilium)Amitriptylinee (Elavil)Amoxapine (Asendin)Desipramine (Norpramin)Doxepin (Sinequan)Imipramine (Trofanil)Maprotiline (Ludiomil)Nortriptyline (Aventyl, Pamelor)
MAOI
Avoid Tyramine foodsPhenelyzine (Nardil)Tranylcypromine (Parnate)Moclobemide (Manerix)
Novelty Antidepressants
1st line for DepressionBupropion (Welbutrin) 450 mgMirtazapine (Remeron) Insomnia Less is more 45 mgTrazodone (Desyrel) - Sleep Medication 600 - 800 mgVenlafaxazine (Effexor)
Antimanic (Mood Stableizers
Lithium carbonate (Lithium) 0.6 - 1.2 mEq/LCarbamazepine (Tegrotol) 8 - 12 ug/mlValporic Acid (Depokote) 50 - 100 ug/mlOthers:Olanzapine (Zyprexa) 15 -45 mgAripiprazole (Abilify)
Benzodiazepine
Lorazepam (Ativan)Clonazepam (Klonopin)Diazepam (Valium)Alprazolam (Xanax)Chlordiazepoxide (Librium)
Alzheimers Medication
Tacrine (Cognex)Donepezil (Aricept)Galantamin (Reminyl)severe:Menmantine (Namenda)
Hold for 72 hours and comes with _______
5150, Advisement
14 days and comes with________
5250; probable cause hearing
Additional 14 days, Tx
5250; acutely suicidal
180 days, tx
5300; imminently dagerous
30 days comes with ________
5352; Temporary Conservatorship Tcon
on hold for full year comes with ______
5350 Full conservatorship
reappointment of conservatorship
5361
Substance abuse drugs.
Disulfiram(Antabuse) 250mgNaltrexone(Revia) 50mg
Sigecaps
SleepInterestGuiltyEnergyConcentrationAppetitePsychomotor functionsSuicidal ideations
Criteria negligence
Duty to careObligation of reasonable careBreach of dutyHarm due to breach of duty
Hearing to strip patients of right to refuse medication
Reise hearing
