Mental Health and Meds Flashcards
What is sertonin syndrome?
Life threatening occurs with interaction of SSRI, MAOI
S+S of serotonin syndrome?
changes in mental status
autonomic dysregulation - hyperthermia, diaphoresis, tachy, hypertension
Neuromuscular hyperactivity.
What is agoraphobia?
Fear of being in certain situation or physical spaces
What is methylphenidate (Ritalin)
To treat ADHD narcolepsy
What is a common sidie effecy of methylphenidate?
Loss of appetite = weightloss. Tachycardia
Increase in BP
So important to get this checked.
What is social anxiety disorder?
Fear of social or performance situations with strangers due to possibility of scrutiny by others.
When switching from a tricyclic antidepressant to MAOI what do you do?
Taper down and take a 2 week drug free period. if not pt can experience hypertensive crisis.
When is a tyramine-restricted diet intiated?
for clients with antidepressant regiment to decrease hypertensive crisis
What is a high incidence of a/e and potential in jury in elderly?
antipsychotics anticholin antiista antihyper benzo diuretics opiod sliding scales
What is delusions of reference?
A belief of songs, newspaper, other events are significant to them
What is the acronym for commiting suicide?
SAD PERSONS
How to stop an OCD behaviour?
Remind them the time they are spending on the activity
Give reflective behaviour
Interventions for hallucinations?
reinforce reality and acknowledge
Common behaviour of border personality disorder?
Suicidal threats, gestures, and attempts
What do you teach fo tricyclic antidepressants?
Avoid taking over the counter cough and cold meds
changes in HR
Drowsiness occurs med should be taken at bed time
What is the preprocedure for ECT?
NPO
Driving not permitted
Temporary memory loss and confusion can occur
How is methyphenidate administered?
Divided in 2 or 3 doses, no later than 6 as it can affect sleep.
S+S of PTSD
Reexperiencing the traumatic event
Avoiding reminders of the trauma
Increased anxiety and emotional arousal
Intimate partner violence sign and symptoms
Jealousy
Financial reasons
intensifies with pregnancy
What is displacement?
A defense mechanisms when a person shifts uncomfortable feelings or impulses about a situation to a person
How can delirium tremens be prevented?
benzodiazepine
What is postpartum psychosis?
Rare perinatal mood disorder
What are the risk factors for postpartum psychosis?
Hx of bipolar, discontinuation of mood stabilizing meds.
How does Neuroleptic Mal. Syndrome occurs?
From antipsychotics, haloperidol
s/s of neuroleptic malignant syndrome?
muscle rigidity and fever
What is risk factors lithium toxicity?
DDD
Dehydration, decreased renal, diet low in sodium
What is chronic toxicity for lithium?
Neurologic
Nephrogenic - polyuria/dipsia
What is major depressive disorder?
A subtype depression in ability to do things everyday, work, sleep or enjoy for two weeks.
SIGE CAPS Sleep - increased/decreased Interest deficit Guilt Energy deficit Concentration deficit Appetite Psychomotor retardation Suicidality
What are core symptoms of ADHD?
Hyperactivity
Impulsiveness
Inattention
What are ADHD clients prone to be as well?
Have low self-esteem
Impaired social skills
