Module 5 Flashcards

1
Q

Tricyclic Antidepressants

A

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.

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2
Q

MAOIs

A

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

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3
Q

SSRIs

A

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

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4
Q

Serotonin syndrome

A

the potentially fatal adverse effect of antidepressants resulting from the over-stimulation of serotonin receptors.

Rhabdomyolysis
myoglobinuria
renal failure
generalized seizures
DIC
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5
Q

Serotonin Syndrome Symptoms

A

Symptoms include hyperactivity, mental confusion, agitation, shivering, sweating, fever, lack of coordination, seizure, and diarrhea.

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6
Q

Adverse Effects of Antipsychotic

A

EPS
Hyperglycemia
NMS

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7
Q

EPS

A

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).

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8
Q

EPS treatment

A

anti-cholinergic such as Benadryl or an anti-Parkinson agent such as Cogentin/Benzotropine.

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9
Q

NMS symptoms

A
hyperthermia
rigidity
altered consciousness
autonomic dysfunction
fluctuating blood pressure
tremor
diaphoresis
leukocytosis
elevated CK levels
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10
Q

“Pink Form” (Form 4) criteria

A

(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.

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11
Q

how long does a form 4 last

A

48 hours

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12
Q

Form 5

A

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

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13
Q

Section 28 of the MHA

A

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).

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14
Q

PS I LOVE AEIOU

A
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
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15
Q

Suicide assessment

A
IS PATH WARM
Ideation
Substance abuse
Porposelessness
Anger
Trapped
Hopeless
Withdrawing
Anxiety 
Recklessness
Mood
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