Notes 17 Cont.

Question 1

Serotonin syndrome tx

Answer 1

Benzodiazepines Valium Ativan peri actin to block serotonin production
Iv fluids
Withdraw med
Hospitalize for 24 to observe

Question 2

Foods contains tyramine

Answer 2

Aged cheese aged meats over ripe fruit avocado all tap beers soy sauce concentrated yeast soybean condiments yogurt sour cream peanuts msg

Question 3

Foods ok to ingest while taking MAOI

Answer 3

Fresh meat fresh chicken fresh fruits and vegetables cottage cheese cream cheese ricotta cheese processed cheese

Question 4

Self rating scales for depression

Answer 4

Zung and beck

Question 5

Clinician rated scale for depression

Answer 5

Hamilton

Question 6

Depression euthymic hypomania or mania

Answer 6

Bipolar disorder

Question 7

Dx of mania X1 week euphoria grandiose or agitation + 3 or more of these pressured speech( hallmark) insomnia pleasure seeking activity racing thoughts hyper sexuality impulsive no concern for consequences increased energy starting many projects flight of ideas decreased sensitivity to heat cold hunger thirst pain

Answer 7

Manic depressive disorder

Question 8

1 or more manic episode followed by major depressive episodes equal in male and female. MAY BECOME PSYCHOTIC

Answer 8

Bipolar I

Question 9

1 or more major depressive episodes followed by at least 1 hypomanic episode more common in female DO NOT BECOME PSYCHOTIC OR MANIA

Answer 9

Bipolar 2

Question 10

Hyped up depression increased risk for suicide most difficult to tx

Answer 10

Bipolar 1 mixed

Question 11

Increased in females 4 or more mood episodes during the previous 12 months

Answer 11

Rapid cycling

Question 12

Drug of choice for bipolar

Answer 12

Lithium

Question 13

Lithium therapeutic level

Answer 13

0.5-1.5

Question 14

___Profile baseline testing prior to beginning lithium every??

Answer 14

Thyroid 6 months

Question 15

Lithium contraindicated for

Answer 15

Severe renal disease

Question 16

Client teaching for lithium

Answer 16

Drink 2 liters of water

Adequate salt intake daily

Question 17

What increase lithium level

Answer 17

Excessive diarrhea
Vomiting
Sweating
NSAIDS

Question 18

What may cause you to decrease lithium level

Answer 18

Persistent thirst

Diluted urine

Question 19

Anticonvulsant as mood stabilizer

Answer 19

Tegretol depakote( not with severe liver disease do not take aspirin or blood thinners) neurotin lamictal topamax trileptal seroquel risperdal Abilify zyprexia and geodon

Question 20

During an episode of mania provide?

Answer 20

High caloric high protein finger food

Question 21

Loss of drive. Motivation

Answer 21

Avolition

Question 22

Impoverished thinking and speech

Answer 22

Alogia

Question 23

Depressed mood

Answer 23

Dysphoria

Question 24

Use of curse words obscene

Answer 24

Coprolalia

Question 25

Everything is about god states on mission for god redirecting does not help

Answer 25

Religiosity

Question 26

Two or more psychiatric or physical illness

Answer 26

Comorbidity

Question 27

Confusion agitation muscle rigidity weakness sluggish pupil shivering tremors muscle paralysis hyperthermia tachycardia tachypnea hypersalivation sweating

Answer 27

Serotonin syndrome s/s