missed Flashcards
delusion of reference
when the patient believes a random event in life is specifically directed to them, such as the news broadcaster is speaking directly to them
grandiose delusions
when the patient has unrealistic beliefs of their abilities or powers, such as believing they are the best athlete in the world or a billionaire.
jealousy delusions
when the patient suspects someone to be unfaithful when they have no reason to.
erotomanic delusions
which are when the patient believes another person is in love with them
duloxetine
SSRI
neuropathic pain (diabetic neuropathy)
circumstantial speech
discusses unrelated topics before eventually arriving at an answer
loose association
rapidly shift between topics that have no connection
tangential speech
discusses unrelated topics and never arrives at an answer
verbigeration, or word salad
Speech may become even more disorganized, consisting of repetitive words
Words are strung together that do not make logical sense.
sertraline (zoloft)
ok for breastfeeding
bipolar I vs bipolar II
bipolar 1: manic episodes
bipolar 2: depressive episodes, absence of social or occupational impairment
hypomanic episodes
associated with bipolar 1 and 2 but MUST occur in 2
- poor judgement, reckless behavior (infidelity, spending sprees, sex)
lithium
bipolar maintenance
monitor thyroid and lithium levels
severe mania tx
lithium and antipsychotic or valproate and antipsychotic if lithium contraindicated
illness anxiety disorder
preoccupation with having or acquiring a serious medical illness despite no evidence of this illness on medical evaluation. Somatic symptoms are either minimal or absent.
Acknowledge patient distress
Evaluate and treat diagnosable conditions
Minimize Dx tests and referrals to specialists
Schedule regular visits unrelated to Sx occurrence
manifestations of opioid withdrawal
dysphoria, restlessness, anxiety, irritability, insomnia, lacrimation, rhinorrhea, myalgias, arthralgias, abdominal cramping, nausea, vomiting, diarrhea, yawning, piloerection, and pupil dilation
opioid replacement therapy
methadone - long acting opioid agonist
buprenorphine - partial agonist
what medications used in the symptomatic treatment of opioid withdrawal
alpha 2 adrenergic - clonidine
somatic symptoms disorder
presence of somatic symptoms, such as pain, fatigue, and nausea, that cause excessive anxiety, thoughts, or time devotion and impair social or occupational function
Genuine symptoms with no identifiable cause
Precipitating emotional event often precedes somatic symptoms
also called somatform d/o
Which condition presents with neurologic symptoms that cause clinically significant distress but do not have a known medical or neurologic cause after workup?
functional neurologic symptom disorder (previously conversion disorder).
Which condition presents with neurologic symptoms that cause clinically significant distress but do not have a known medical or neurologic cause after workup?
functional neurologic symptom disorder (previously conversion disorder).
anorexia nervosa
Restriction of energy intake relative to requirements leads to significantly low body weight
Intense fear of gaining weight or persistent behavior interfering with weight gain
Disturbance in body image
meds for bulimia nervosa
fluoxetine
meds for anorexia nervosa
olanzapine
bulimia nervosa
recurrent episodes of binge eating followed by inappropriate compensatory behavior via self-induced vomiting, laxative misuse, excessive exercise, or caloric restriction (occurring at least once per week for 3 months)
what shows up POORLY on drug test
fentanyl and methadone bc synthetic
oxycodone - semisynthetic
pedophillic disorder treatment
leuprolide acetate - antiandrogen
binge eating
eating disorder in which individuals have episodes of binge eating without compensatory behaviors.
having a sense of loss of control, eating rapidly, eating until feeling uncomfortably full, eating when not physically hungry, eating alone due to embarrassment regarding the amount of food consumed, and feeling distress about overeating.
flumazenil
GABA antagonist
used for benzo overdose, reversal of conscious sedation and general anesthesia
naloxone
opiate receptor antagonist
alcohol withdrawal timeline
Mild symptoms include tachycardia, diaphoresis, tremors, nausea, vomiting, anxiety, mild agitation, insomnia, alcohol craving, and headache.
Moderate to severe symptoms include hallucinations, delirium tremens, and seizures, which may be fatal. Delirium tremens manifests as severe agitation, hypertension, tachycardia, fever, drenching sweats, and hallucinations.
Delirium tremens occurs 72 to 96 hours after a patient’s last drink and is more common with increasing age, comorbid disease, and misuse of other central nervous system depressants
cocaine MOA
blocking the reuptake of biogenic amines, sodium channel blockade, and excitatory amino acid stimulation.
iogenic amines include catecholamines (dopamine, norepinephrine, and epinephrine), serotonin, and histamine
Nihilistic delusions
May be focused on the belief that the world, body, or a body part have ceased to exist or that there is an impending catastrophic event.
