Panic attack Flashcards
1
Q
clinical feature?
A
recurrent and unexpected attacks with > or = 4 of the following: chest pain, palpitation, shortness of breath, choking.
trembling, sweating, nausea, chills.
dizziness, paresthesia.
derealization, depersonalization.
fear of losing control or dying.
worry about additional attacks, avoidance behavior.
2
Q
treatment?
A
long term tx: antidepressants (SSRI/SNRI) and or cognitive-behavioral therapy.
short term tx: acute distress: benzodiazepine ( lorazepam) rapid relief, should be prescribed cautiously in patients with a history of substance use disorder.
