Management of psychosis (including violence and agression) Flashcards
What three conditions count as a mental disorder?
Mental illness
Personality disorder
Learning disability
“However caused or manifested”
Who can grant an emergency detention order?
Any registered medical practioner
How long does an emergency detention order last for?
Maximum of 72 hours
Can a patient appeal an emergency detention order?
No
Does an emergency detention order authorise treatment?
No. Except in an emergency
Who can grant a short term detention order?
Approved medical practitioner (usually a psychiatrist)
How long does a short term detention order last for?
Maximum of 28 days
Does a short term detention order authorise treatment?
Yes
Can you appeal a short term detention order?
Yes
How long does a compulsory treatment order last for?
Up to 6 months
A patient comes into a & e e very psychotic and distressed. You do not know anything about their history but are worried because they are acting in an agressive manner. What drug treatment would be most appropriate if non drug treatments aren’t working?
Oral Lorazepam ( 1 - 2mg) if this is unsuccessful then consider a 1 -2mg IM lorazepam injection
A patient with a diagnosis of paranoid schizophrenia comes into a & e very psychotic and distressed. You are worried because they are acting in an agressive manner. What drug treatment would be most appropriate if non drug treatments aren’t working?
Oral lorazepam and/or haloperidol 5mg
If unsuccessful then lorazepam IM injection ( 1 - 2mg)
In extreme cases lorazepam and haloperidol 5mg IM (not in the same syringe)
If this is given monitor repiratory rate, pulse and BP every 5 - 10 minutes for 1 hour
Is a typical or atypical antipsychotic usually first line in the treatment of schizophrenia?
Atypical
When do you use clozapine?
When two other antipsychotics have failed
