LAST review Flashcards
ss of acute mania
good humor to rage, no time for anything (eating sex drinking sleeping), labile mood, profane remarks, flight of ideas, clang association
what are the toxic levels of lithium
1.5-2
ss of severe lithium toxicity
ataxia, tinnitus, blurred vision, stupor, seizures
long term effects of lithium
hypothyroidsm, kidney disease, nephrogenic DI
ss of depression
decrease concentration, hopeless, helpless, powerlessness, worthlessness, anger, despair
what breaks down tyramine
MAO
Proscar class, action, withdrawl
class: SSRI
action: inhibit uptake of serotonin to increase serotonin
withdrawal: dizziness, tremors, GI disturbances
5 stages of grief
denial, anger, bargaining, depression, acceptance
4 As of Alzheimer
amnesia
aphasia
aproxia
agonisa
what does aphasia mean
loss of language
what does aproxia mean
loss of purposeful movement
what does agonisa mean
loss of ability to recognize objects
delirium is always what
secondary to another condition
can delirum be corrected
yes but if not dementia
ss of hypomania
pressurd speech, euphoric, increased appetitie, sex, finically extravagent, decreased need for sleep, must last up to 4 days
what are the interventions for mania
safety, treat physical (dehydration, exhaustion, cardiac), self care, meds, boundaries
what is lithium carbonte treat
1st line for bi polar
how does lithium carbonate work
alters sodium transport
inhibits release of norepinephrine and dopamine
what are some side effects of lithium carbonate
FINE hand tremors, polyuria, mild thirst, weight gain
is persistent depressive disorder worse then major depressive disorder and how long does it last
MDD is worse
PDD lasts 2+ years
what does serotonin effect
sleep, appetite , aggression , libido, hormones
what is serotonin syndrome
life threatening, high serotonin levels, greatest risk is SSRIs+ MAOI and some cold meds
serotonin syndrome ss
abd pain, bloating, cramping, fever, high BP, delirium, mood swings, apnea, tonic rigidty
What class is Phenelzine
MAOI
how does Phenelzine work
effects monomines (serotonin, dopamine, norepinephrine, and histamine),
what is a complication of MAOI
hypertensive crisis (avoid tyramine foods)
what are the contrainidcations of phenelzine
cardiovascular disease, hypertension, liver, CHF
wordens taks of mourning
accept the loss, process pain in a healthy way, adjust to the world without them, find connection to deceased while embarking on a new life
what do Cholinesterase inhibitors do
DELAY and prevent Alzheimer symptoms for a short period of time
what is catatonia
statue like or exagerated movement can last hrs to years
what are delisions
false fixed beliefs not corrected by reasoning
thought broadcasting/insertion/withdrawal
what is dialectial behavior therapy mostly for
borderline
what are the 4 concepts of dialectial behavior therapy
mindfulness (living in the momement)
interpersonal (achieving goal without harming relationships)
distress (bear emotional pain by accepting current situation)
emotional (coping with negative emotions helathy)
what does chlorpromazine do
1st gen, sedating agent may cause anticholinergic effects, prolonged QT interval
what is Flumazeine for
reversal for benzos avoid alcohol
what is tardive dyskinesia
involuntary repetitive movement, rapid jerking caused by 1st gen
what are some traits seen in most personality disordeers
difficult perseiving/interpreting the world, poor judgment, difficulty with impulse control, inapproprite emtional reasponse, genuinely unaware their traits are causing a problem (blaming)
what are some cluster B personality disorders
borderline
historonic
narsacsstic
antisocial
what are some cluster C personality disorders
OCD, avoidant, dependent
what may cause paraphilla
neurodevelopmental disorders, brain injury, dementia, sexal victim
what does risperidone do
2nd gen
for schizophrenia
risk of orthostatic hypotension and sedation so fall precautions
