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Pathopharm: Spring > Mental Health > Flashcards

Mental Health Flashcards

1
Q

Is schizophrenia fully understood

A

No

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2
Q

When does schizophreniz emerge

A

Late adolescence/early adult

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3
Q

What are the three types of symtpms of schizo

A

Postivie, negative, and cognitive

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4
Q

Explain the positive symptoms of schizo

A

Hallucinatiation, paranoia

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5
Q

Explain the negative symptoms of schizo

A

Poor self-CARE, social withdrawl

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6
Q

Explain the cognitive symptoms of schizo

A

Inability to FOCUS, LEARNING and MEMORY difficulty

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7
Q

What is the DSM-5 diagnostic criteria for schizo

A

1-month: dulesions, hallucinations, catatonia
6-months: NEGATIVE, NOT related to MEDS

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8
Q

What are the three major objectives of schizo drug therapy

A

SUPPRESS/PREVENT acute episodes, MAINTENANCE of highest functioning

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9
Q

Tell me about dosing for schizo

A

INDICIDUALIZED, OLDER need SMALLER, CHANGES

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10
Q

How to promote treatment adherence

A

TRUST, ensure med is TAKEN, EDUCATE (SCHEDULE, SIDE EFFECTS, you will NOT become DEPENDENT or ADDICTED

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11
Q

What are the non-drug therapies for schzo

A

FAMILY and PT counsiling, BEHAVIORAL and VOCATIONAL therapy

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12
Q

What are the first gen antipsychotic meds categorized by

A

Low, medium, and high POTENCY

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13
Q

Classify these:
ChlorpromazineHCL
Loxapine
Haloperiodol

A

Low
Medium
High

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14
Q

How do the first gen of antipsychotic meds work

A

Block dopamine receptors CAUSING movement issues

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15
Q

What are serious movement disorders called

A

Extrapyramidal symptoms (EPS)

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16
Q

What are the three things under EPS

A

Acute dystonia, parkinsonism, tardive dyskinesia

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17
Q

What is acute dystonia

A

Spasma of the TOUNGE and EYE goes UP

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18
Q

What is parkinsonism

A

MASK-like FACE, DROOLING

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19
Q

What is tardive dyskinesia

A

TWISTING movement of TOUGE and FACE, FLY-CATCHER TOUNGE, LIP-SMACKING

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20
Q

What are anticholinergic effects

A

DRY mouth, BLURRED vision, PHOTOphobia, CONSTIPATION, urinary HESITANCY

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21
Q

What is neuroleptic malignant syndrome (NMS)

A

Life-threating reaction to antipsycho meds

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22
Q

When does NMS happen

A

Within the first TWO weeks

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23
Q

What are the first symtpoms of NMS

A

CRAMPS, TRAMORS, FEVER

24
Q

What are the most severe symptoms of NMS

A

Rhabdo, HTN, ACIDOSIS

25
Q

What is the treatment of NMS

A

STOP meds, muscle RELAXANTS

26
Q

What are second gen antipsycho meds called

A

Atypical antipsychotics

27
Q

How do the second gen antipsychotics work

A

Block SEROTONIN

28
Q

Tell me about the general side effect info about atypical antipsychotics

A

FEWER MUSCLE issues, HIGH METABOLIC issues (diabetes, dyslipidemia), SEDATION, ORTHO HYPOtension

29
Q

What was bipolar disorder called before

A

Manic-depressive illness

30
Q

Is bipolar a lifelong treatment illness

31
Q

What is bipolar disorder

A

CYCLIC disorder between mania and depression

32
Q

What are the four characeristic of bipolar

A

Major depressive, mixed episode, pure manic, hypomanic

33
Q

Tell me about major depressive episodes

A

Loss of PLEASURE or INTEREST

34
Q

Tell me about mixed episodes

A

AGITATION and IRRITABILITY, DEPRESSION

35
Q

Tell me baout pure manic episodes

A

EXPANSIVE and IRRITABLE MOOD

36
Q

Tell me about hypomanic episodes

A

MILDER, does NOT alter SOCIAL functionging

37
Q

What is the drug therapy for BPD

A

Mood stabilizers (lithium), antipsychotics

38
Q

Why are antipsychotic meds used for BPD

A

Control symptoms of MANIC episodes

39
Q

What is the most common psychiatric dieorder

A

Depression

40
Q

Tell me about women with depression

A

Twice as likely to get depression

41
Q

What are the prinicple symptoms of depression

A

Loss of PLEASURE or INTEREST in all activities

42
Q

What are the associated symptoms of depression

A

INSOMNIA, SUICIDAL

43
Q

What are the possible contributing factors of depression

A

GENES, CHILDHOOD, SELF-esTEEM, SITUATIONAL

44
Q

What is the monoamine0deficiency hypothesis

A

Depression is caused from norepi and/or sertonin issues

45
Q

What is the psychotherapy for depression

46
Q

What is the time frame for depresison meds

A

SLOWLY, 1-3, 12 weeks

47
Q

What is the selection of type of med based off of

A

Side effects

48
Q

What do depressive meds do

A

Increase suicidal tendency in the begining

49
Q

What are the four types of antidepressants

A

SSRI, SRI, tricyclic, atypical

50
Q

What is anxiety characterized by

A

Fear, dread, uneasiness

51
Q

What are the types of anxiety disorders

A

Generalized, OCD, social phobia, PTSD, panic

52
Q

What are the characteristics of GAD

A

WORRY for 6 months, not situational

53
Q

What is the treatment of GAD

A

Supportice, CBT

54
Q

What are the physical symptoms of anxiety

A

Palpitations, ounding heart, cheat pain, SOB, adbominal discomfort

55
Q

What do you use for GAD

A

SRIs, BUSPIRONE

56
Q

What are some other antianixety meds

A

Bendosodiazepines

Pathopharm: Spring (16 decks)

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