mar 26 Flashcards
what is dextromethorphan?
a cough suppressant
what may dextromethorphan test positive for on drug screen?
PCP
beta blockers may cause a false positive drug screen for which drug?
amphetamines
A patient started on risperidone has akathisia, what is the first step in management?
dose-reduction
what triggers reactive attachment disorder?
it occurs in children when the normal developmental process of emotional bonding is interrupted by inconsistent or inadequate care
clinical features of reactive attachment disorder
- child does not seek or respond to comfort
- poor social responsiveness, limited positive affect
- unexplained irritability/fear/sadness
-may have toileting/sleep difficulties
management of reactive attachment disorder?
- safe, stable and enriching environment
- consistent, responsive caregiving
- psychological services
which opioids will not be detected on a standard drug urine screen?
semisynthetic or synthetic opioids (fentanyl, methadone, tramadol, oxycodone)
why are synthetic opioids not detected on a standard urine drug screen?
because standard drug screen detects breakdown products or natural opioids - detects morphine
how long is an adequate antidepressant trial?
4-6 weeks
first line treatment for acute stress disorder?
trauma focused CBT -
If a patient with acute stress disorder doesnt want to go to therapy, what is the best initial approach in treating them?
provide education common physical and emotional stress responses
pathophysiology of tardive dyskinesia
dopamine D2 receptor upregulation and supersensitivity resulting from chronic blockade of dopamine receptors
should chlordiazepoxide be used in a patient with liver disease?
No - it has a long half life and active metabolites that can lead to toxicity in patients with liver disease
which benzos can be used to treat alcohol withdrawal in patients with liver disease?
lorazapam, oxazepam, temazepam
