MH - MUST KNOW FOR EXAM Flashcards
What are the adverse effects of clozapine?
Sedation
Hypersalivation
Tachycardia
Hepatitis
Myocarditis
Agranulocytosis (neutropenia)
EPS
Cardiomyopathy
What are the symptoms of serotonin syndrome?
Cognitive - Agitation, confusion, hallucinations, euphoria
Autonomic - Increased BP, HR, RR, fever arrhythmias, mydriasis
Neuromuscular changes - Tremor, hyper-reflexia, clonus, seizures
What is the mx of serotonin syndrome?
Cease antipsychotic
Supportive - cooling blankets, rehydration, benzos for seizures
Cyproheptadine
What are the sx of NMS?
F- fever
A - Autonomic instability (HR, BP, RR)
R - rigidity of muscles
M - Mental status changes
Bloods show increased serum CK, Leukocytosis, and myoglobinuria in urine
What is the mx of NMS?
Cease antipsychotic and call psychiatry
General supportive care - cooling blankets, fluids, DVT prophylaxis
Medications - Oral BROMOCRIPTINE First line
- Can consider IV dantrolene, can give anticholinergics / benzos for muscle rigidity
What are the side effects of Lithium?
L - Leukocytosis
I - Insipidus
T - Tremors
H - Hypothyroidism
I - Increased weight
U - Underactive mind
M - mothers is terratogenic
GIT - N&V
ECG - Long QTc
What are the side effects of Valproate?
V - Valproate
A - Appetite increase -> weight gain
L - Liver toxicity
P - Pancreatitis
R - Reversible hair loss
O - Oedema
A - Ataxia
T - Teratogen
E - Encephalopathy
What are some negative symptoms seen in schizophrenia?
Avolition
Anhedonia
Alogia
Social withdrawal
Lack of eye contact
What are some psychosocial factors that need to be addressed in schizophrenia?
Address significant emotional, psychological and social stressors
Housing assistance
Social skills training
Employment programs
Disability support benefits
Ensure medication adherence, basic living skills, job
What are the symptoms of mania?
D - Distractibility
I - Impulsivity
G - Grandiosity
F - Flight of Ideas
A - Activity increased
S - Sleep deficit
T - Talkative
What is 4 inclusion criteria to use the mental health act?
Person has a mental illness
Person does not have capacity to consent to treatment
Because of illness, absence of treatment is likely to result in imminent serious harm to person or others
Because of illness, absence of treatment is likely to result in serious mental or physical deterioration
What is 4 inclusion criteria to use the mental health act?
Person has a mental illness
Person does not have capacity to consent to treatment
Because of illness, absence of treatment is likely to result in imminent serious harm to person or others
Because of illness, absence of treatment is likely to result in serious mental or physical deterioration
What are the 4 components of capacity?
Understanding options
Appreciating risks and benefits
Reasoning
Communication of choice
At least 3 or more of which symptoms have to be present for 6 months for a diagnosis of GAD?
Concentration
Fatigue
Irritability
Restlessness
Sleep Disturbance
Tension (muscle)
What is the criteria for a panic attack?
at least 4 sx:
- Sweating
- Trembling
- SOB
- Tingling
- Palpitations
- Chest pain
- Dizzy
