OPIC 1 Flashcards
mental state exam vs MMSE
++ I jest (for insight and judgment) for mental state exam
Abs matter according to my perception and cognition I jest
What antipsychotic is used in BPSD in dementia and what are the side effects?
haloperidol and risperidone
Must document risk/benefit discussion, including S.E. with patient/carers
- Extrapyramidal symptoms
- Over-sedation
- Falls
- Prolonged QTc interval
- CVA- especially with atypicals
what is the pyramidal tract
what are extrapyramidal tracts
urinary incontinence treatments
shockable rhythms
non shockable rhythms
drugs in cardiac arrest
drugs in cardiac arrest 2
clotting screen notes
fill in this table for clotting screen results (PT/INR, APTT, bleeding time, platelet count, notes)
effect of anticoagulants and anti platelets on coagulation screen
All anticoagulants (warfarin, heparins, NOACs) will increase the PT/INR and the APTT; this should, therefore, be considered when interpreting results. Patients on warfarin will have a specific target INR depending on the condition they have (AF, valve replacements, etc), it is, therefore, a good idea to get a medical history from the patient.
Antiplatelets, such as clopidogrel (P2Y12 inhibitor) and aspirin, will also cause derangement. These, however, will cause an increase in the overall bleeding time but won’t affect PT or APTT.
syncope
TLOC, lose voluntary muscle tone, rapid onset with spontaneous and prompt recovery, full recovery, transient global cerebral hypo-perfusion
TLOC
TLOC - short duration, loss of responsiveness, abnormal motor control, amnesia
Fall
coming to rest on a lower level with or without LOC, not due to an external force or medical problem directly
peripheral vs central vertigo
peripheral- imbalance is moderate to severe, N and V severe, auditory symptoms common, neurology rare, compensation rapid, nystagmus unidirectional/horizontal or rotatory
central- mild to moderate balance, N variable, rarely auditory, common neurology, slow compensation, bidirectional/horizontal/vertical nystagmus
dizziness from inner ear conditions comparison
FND
no organic cause
