MedEd lectures Flashcards
treatment for acute mania
stop meds that may be causing psychosis
antipsychotic + short course lorazepam
what antipsychotics for acute mania
quetiapine, olanzipine, risperidone
when does lithium become toxic
+ sympto
> 1.2
GI disturbances, tremor, Renal failure etc
lithium use in pregnancy ->
ebsteins anomaly
Na Val/carbamazepine use in pregnancy ->
spina bifida
risk of BPAD in pregnancy
v inc risk of puerperal psychosis
treatment of acute GAD
benzos
Tx for GAD that >4w
escitalopram, paroxetine
Tx for panic disorder
CBT + SSRIs
if >12w - add clomipramine
tx for PTSD
trauma focussed CBT
EMDR
what would you monitor when giving antipsychotics
BMI U&Es FBC lipids glucose/HbA1c LFTs ECG (if change in dose) Prolactin BP
ECG changes with antipsychotics
prolonged QT interval
what should be considered when starting SSRIs
inc risk suicide in first 2 weeks (esp in kids)
Hallucination =
perception in the absence of external stimuli
Delusion =
fixed, false, unshakeable belief that is out of context of persons norms
main categories of side effects with antipsychotics
EPSEs
metabolic syndro
hyperprolactinaemia
arrhythmias
what are the 4 main EPSEs
Dystonia - sudden contraction of muscles (esp neck)
Akathisia - internal restlessness
Parkinsonism
Tardive dyskinesia - grimacing + lip smacking
treatment for dystonia cause by antipsychotics
IM procyclidine
what are the classic symptoms of neuroleptic malignant syndro
Hyperthermia
muscle rigidity
autonomic instability (dec BP, inc HR)
altered mental state
timeframe for baby blues vs postpartum depression
BB = first 10 days, lasts < 48hrs PPD = last >2w
what antidepressants is used for postpartum depression
sertraline
what is the screening questionnaire for postpartum d
EPDS - edinburgh postpartum d scale
treatment for postpartum psychosis
olanzapine + quetiapine
+ admit MBU
what meds can be used for BPAD in pregnancy
olanzepine + fluoxetine
never Na VAL
