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NSG212 > LAST review > Flashcards

LAST review Flashcards

1
Q

ss of acute mania

A

good humor to rage, no time for anything (eating sex drinking sleeping), labile mood, profane remarks, flight of ideas, clang association

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2
Q

what are the toxic levels of lithium

A

1.5-2

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3
Q

ss of severe lithium toxicity

A

ataxia, tinnitus, blurred vision, stupor, seizures

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4
Q

long term effects of lithium

A

hypothyroidsm, kidney disease, nephrogenic DI

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5
Q

ss of depression

A

decrease concentration, hopeless, helpless, powerlessness, worthlessness, anger, despair

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6
Q

what breaks down tyramine

A

MAO

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7
Q

Proscar class, action, withdrawl

A

class: SSRI
action: inhibit uptake of serotonin to increase serotonin
withdrawal: dizziness, tremors, GI disturbances

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8
Q

5 stages of grief

A

denial, anger, bargaining, depression, acceptance

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9
Q

4 As of Alzheimer

A

amnesia
aphasia
aproxia
agonisa

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10
Q

what does aphasia mean

A

loss of language

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11
Q

what does aproxia mean

A

loss of purposeful movement

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12
Q

what does agonisa mean

A

loss of ability to recognize objects

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13
Q

delirium is always what

A

secondary to another condition

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14
Q

can delirum be corrected

A

yes but if not dementia

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15
Q

ss of hypomania

A

pressurd speech, euphoric, increased appetitie, sex, finically extravagent, decreased need for sleep, must last up to 4 days

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16
Q

what are the interventions for mania

A

safety, treat physical (dehydration, exhaustion, cardiac), self care, meds, boundaries

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17
Q

what is lithium carbonte treat

A

1st line for bi polar

18
Q

how does lithium carbonate work

A

alters sodium transport

inhibits release of norepinephrine and dopamine

19
Q

what are some side effects of lithium carbonate

A

FINE hand tremors, polyuria, mild thirst, weight gain

20
Q

is persistent depressive disorder worse then major depressive disorder and how long does it last

A

MDD is worse

PDD lasts 2+ years

21
Q

what does serotonin effect

A

sleep, appetite , aggression , libido, hormones

22
Q

what is serotonin syndrome

A

life threatening, high serotonin levels, greatest risk is SSRIs+ MAOI and some cold meds

23
Q

serotonin syndrome ss

A

abd pain, bloating, cramping, fever, high BP, delirium, mood swings, apnea, tonic rigidty

24
Q

What class is Phenelzine

A

MAOI

25
Q

how does Phenelzine work

A

effects monomines (serotonin, dopamine, norepinephrine, and histamine),

26
Q

what is a complication of MAOI

A

hypertensive crisis (avoid tyramine foods)

27
Q

what are the contrainidcations of phenelzine

A

cardiovascular disease, hypertension, liver, CHF

28
Q

wordens taks of mourning

A

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

29
Q

what do Cholinesterase inhibitors do

A

DELAY and prevent Alzheimer symptoms for a short period of time

30
Q

what is catatonia

A

statue like or exagerated movement can last hrs to years

31
Q

what are delisions

A

false fixed beliefs not corrected by reasoning

thought broadcasting/insertion/withdrawal

32
Q

what is dialectial behavior therapy mostly for

A

borderline

33
Q

what are the 4 concepts of dialectial behavior therapy

A

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)

34
Q

what does chlorpromazine do

A

1st gen, sedating agent may cause anticholinergic effects, prolonged QT interval

35
Q

what is Flumazeine for

A

reversal for benzos avoid alcohol

36
Q

what is tardive dyskinesia

A

involuntary repetitive movement, rapid jerking caused by 1st gen

37
Q

what are some traits seen in most personality disordeers

A

difficult perseiving/interpreting the world, poor judgment, difficulty with impulse control, inapproprite emtional reasponse, genuinely unaware their traits are causing a problem (blaming)

38
Q

what are some cluster B personality disorders

A

borderline
historonic
narsacsstic
antisocial

39
Q

what are some cluster C personality disorders

A

OCD, avoidant, dependent

40
Q

what may cause paraphilla

A

neurodevelopmental disorders, brain injury, dementia, sexal victim

41
Q

what does risperidone do

A

2nd gen
for schizophrenia
risk of orthostatic hypotension and sedation so fall precautions

NSG212 (7 decks)

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