Module 5 Flashcards
Tricyclic Antidepressants
TCAs act on both serotonin and norepinephrine and may also interact with other chemicals throughout the body
can also affect a person’s blood pressure and heart rate which is why they can be so deadly in an overdose.
MAOIs
MAOIs inhibit the enzyme monoamine oxidase, which normally breaks down serotonin and norepinephrine. Some MAOIs also act on dopamine receptors as well.
has multiple dietary restrictions
SSRIs
SSRIs are a group of antidepressants that block the re-uptake of the neurotransmitter serotonin. They are recommended as first-line therapy for most depression types
Serotonin syndrome
the potentially fatal adverse effect of antidepressants resulting from the over-stimulation of serotonin receptors.
Rhabdomyolysis myoglobinuria renal failure generalized seizures DIC
Serotonin Syndrome Symptoms
Symptoms include hyperactivity, mental confusion, agitation, shivering, sweating, fever, lack of coordination, seizure, and diarrhea.
Adverse Effects of Antipsychotic
EPS
Hyperglycemia
NMS
EPS
akinesia (a reduction in spontaneous activity, mask-like expression and reduced ability to initiate movement),
akathesia (restlessness and agitation)
Parkinsonianism
tardive dyskinesia (a potentially irreversible syndrome of repetitive, irregular, jerky movements that occurs months to year after antipsychotic therapy)
dystonia (involuntary muscle spasms which produce fixed and abnormal postures).
EPS treatment
anti-cholinergic such as Benadryl or an anti-Parkinson agent such as Cogentin/Benzotropine.
NMS symptoms
hyperthermia rigidity altered consciousness autonomic dysfunction fluctuating blood pressure tremor diaphoresis leukocytosis elevated CK levels
“Pink Form” (Form 4) criteria
(1) is suffering from a mental disorder that seriously impairs the person’s ability to react appropriately to his or her environment or to associate with others;
(2) requires psychiatric treatment in or through a designated facility;
(3) requires care, supervision and control in or through a designated facility to prevent the person’s substantial mental or physical deterioration or for the person’s own protection or the protection of others; and
(4) is not suitable as a voluntary patient.
how long does a form 4 last
48 hours
Form 5
must be signed before medication can be given. If the patient does not sign the form, the director or designate must sign. Form 5 permits the designated facility to treat an involuntary patient, regardless of whether the patient is mentally capable of consenting. This form authorizes only psychiatric treatment
Section 28 of the MHA
Police have powers under Section 28 of the MHA to apprehend a person and take that person to a physician for examination (usually a hospital).
PS I LOVE AEIOU
Primary survey Safety Interventions Level of certification One arrival complaint Visual and auditory hallucinations Verbal speech Etoh/eye contact Affect/ appearance Environment/events Ideations/insight Order of thoughts/overdose Underdose/unusual behaviour
Suicide assessment
IS PATH WARM Ideation Substance abuse Porposelessness Anger Trapped Hopeless Withdrawing Anxiety Recklessness Mood
