mental health Flashcards
side effects of clozapine
neutropenia
myocarditis
cardiomyopathy
hypersalivation
What is clozapine
last resort anti-psychotic
pt is smoker and takes clozapine, why is it smoking cessation not a priority in this patient and are there any risks? 2
mental health situation is very severe
clozapine in plasma increases on withdrawal - toxicity
what are the principles of the AWI act
Emma Wants Bader to Visit Rome
Encourage residual capacity
Wishes of patient (past or present)
Benefit
Views of relevant others
least Restrictive option
the 5 valuable questions to ask in relation to smoking
smoking status
type of substance
number per day
period of time smoker
cessation status
cause of schizophrenia
not fully understood
imbalance of neurotransmitters
drug misuse
what is salbutamol
beta 2 agonist
bronchodilator
what is omeprazole
proton pump inhibitor used for heart burn and acid reflux
what is schizophrenia
a psychiatric diagnosis
disorders of perception and thought
e.g. hallucinations and delusions
how does cannabis impact oral health?
attend less regular
increased caries rate as increase hunger following cannabis action on ghrelin hormone
ability to consent
why is it important to take care giving adrenaline LA to a pt who smokes cannabis
tachycardia induced by cannabis
how is schizophrenia managed
- Drug therapy
- Talking therapy
- Learning of life skills
- Exercise
why is sedation contraindicated in pt with active uncontrolled psychiatric disease
unpredictable reactions
increased tolerance
treatment plan template
acute
prevention - OHI DA PGI 2800ppm
stabilisation
re-evaluate
restorative
pt presents with NCTSL
This appears to be overwhelming due to erosion. The palatal aspects of the maxillary teeth have been affected
what are potential causes of this?
GORD
bulimia nervosa
anorexia nervosa
sickness as side effect of meds/disease
there is a medical issue which you feel a pt is hiding from you, how would you manage this situation? you suspect bulimia nervosa
list causes of presentation and see if they open up
sign post if open up
speak to GMP as in best interests of pt
how does bulimia nervosa present intra orally
exposed dentine - hypersensitivity
dry mouth
increased keratin in soft tissues from acid trauma
advice for post vomiting methods to increase pH
chew gum
rinse mouth with water or milk
avoid abrasive toothpaste
desensitising tooth paste
what dietary advice would you give to prevent erosion from progressing
reduce acidic drinks
acidic drinks with meals
use straw
reduce citrus fruits
