management of disturbed behaviour Flashcards
how to differentiate between functional and drug induced psychosis ?
urine drug screen
what is akathisia ?
sense of inner restlessness
what is the management of akithisia ?
Reduce/change antipsychotic;
propranolol;
clonazepam;
5-HT2 antagonists eg mirtazapine
what are the two types of emotionally unstable personality disorder ?
impulsive type
borderline type
what is time out ?
behaviour modification technique that doesn’t last more than 15 minutes
what is seclusion ?
supervised confinement of a patient in a room which may be locked
last resort when violence is uncontrolled
what is the difference between the mental health act vs mental capacity act ?
MHA - used for assessment and treatment of mental illnesses only
MCA - for patients lacking capacity
what are the specific risks associated with sedation with benzodiazepams ?
LOC
respiratory depression or arrest
what is dystonia ?
prolonged painful muscle contractions
what are examples of acute dystonia ?
oculogyric crisis
torticollis
what is the management of acute dystonia ?
IM procyclidine
what is the presentation of neuroleptic malignant syndrome ?
side effect of all antipsychotics
fever
muscle rigidity
altered mental status
autonomic dysfunction
what is the management of neuroleptic malignant syndrome ?
– Stop causative agent
– Supportive measures (O2, rehydration, reduce temperature)
– Reduce rigidity with bromocriptine
– Consider sedation with benzodiazepines
– Supported ventilation if required
what is thee management for respiratory depression ?
– Give oxygen
– Raise legs
– Give flumazenil if benzodiazepine-induced
– If unconscious - recovery position, protect airway
what can prolongation of QTc interval lead to ?
torsades des pointes
