Mental Health Flashcards
What is a side fx of Zopiclone (given to help sleepzzz)?
Increase risk of falls
What should you do if pt missed 2 doses (48 hours) of Clozapine?
Start again and titrate dose up slowly
What is a side fx of Clozapine?
Constipation (C & C)
What is a side fx of Clozapine?
Constipation (C & C)
What is a side fx of Mirtazapine?
Increase appetite
(mmm food, Ms Mirza makes nice food)
How can you differentiate between Mani and Hypomania? (2 things)
- Mania has acc psychotic CF (like grandiose n stuff)
- Hypomania only lasts 7-10 days
What can be a Psychosis CF for Mania that’s related to speech?
Word salad
What antipsychotic type is commonly assoc w Extrapyramidal side fx?
Typical antipsychotics
What are examples of Typical antipsychotics? (2 things)
- Haloperidol
- Chlorpromazine
What are the Extrapyramidal side fx that are assoc w Typical antipsychotics? (4 things)
- Parkinsonism (aka restless tremor)
- Acute dystonia (contractions / oculogyric crisis)
- Akathisia (restlessness)
- Tardive dyskinesia (chewing + pouting of jaw
How can you manage Acute dystonia (e.g oculogyric crisis) caused by Typical antipsychotics?
Procyclidine
How can you manage Tardive dyskinesia (e.g jaw pouting / sticking tongue out) caused by Typical antipsychotics?
Tetrabenzine
(T for T)
How can you manage Tardive dyskinesia (e.g jaw pouting / sticking tongue out) caused by Typical antipsychotics?
Tetrabenzine
(T for T)
How can you manage Akathisa (aka restlessness) caused by Typical antipsychotics?
Propranolol
What side fx are more common with Atypical antipsychotics?
Metabolic side fx
What are examples of Atypical antipsychotics? (3 things)
- Clozapine
- Olanzapine
- Risperidone
What Thought disorder is it when pts speech all rhymes like (Sir Bur whirrs)?
Clang associations
(he wants to rap to be part of the clang)
What is the Dx when a pt has unexplained loss of motor / sensory function and they are stressed?
Conversion disorder
What meds should be avoided in pt taking SSRIs? Why?
Triptans (e.g sumatriptan)
Risk of serotonin syndrome
What are indicators for poor prognosis in Schizophrenia? (2 things)
- Prodromal phase of social withdrawal
- Low IQ
What are the criteria for reviewing a pt starting a SSRI?
If under 25 yrs / risk of suicide = review after 1 wk
How can you differentiate between Depression and Dementia (when both can present with memory loss)?
Depression is faster onset
How can you differentiate between Depression and Dementia from the way pt answeres qs?
- Depression: will say idk
- Alzheimers: will try best to answer q
What level of impairment does each MMSE score give you?
24-30 = No cogn imp
18-23 = mild cogn imp
0-17 = severe cogn imp
(so in uni aka 18-23 you had mild cogn impairment lol)
What CF can you get if you stop SSRIs (aka SSRI Discontinuation syndrome)? (3 things)
- Dizziness
- Anxiety
- Electric shock sensation
What is Wernickes Encephalopathy?
Brain disorder from lack of vit B1
What is Wernickes Encephalopathy caused by?
Caused by alcohol abuse
What are the CF of Wernickes Encephalopathy? (3 things)
- Nystagmus
- Ophthalmoplegia
- Confabulation
What is the complication if Wernickes Encephalopathy is left untreated?
Korsakoff syndrome
What are the CF of Korsakoff syndrome? (3 things)
- Amnesia (anterograde + retrograde)
- Confabulation (making up false memorise, like Widad lol)
