Pharmacology for Psychosis Flashcards

1
Q

Was there any treatment for psychosis before the 1930’s

A

Before the 1930’s there were no effective treatments for any of the so-called ‘functional psychosis’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What was the main function of psychiatric hospitals

A

The main function of psychiatric hospitals were to keep patients at tolerable health and comfort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What were nurses called

A

Nurses at the time were called attendants, they did not have a clinical role and only followed doctors orders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Who developed Insulin Therapy

A

Sakel developed insulin therapy in 1927

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Insulin Therapy and when was it used

A

Insulin Therapy involves administering insulin to induce a coma, this was widely used in the 1940’s and 1960’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Who developed the lobotomy

A

The Lobotomy was pioneered by Moniz between 1874-1955

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What was believed about patients who were experiencing psychosis

A

It was believed that people experiencing psychosis had abnormal neural connections in their frontal lobes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happened during a lobotomy

A

The frontal lobes of the patients were then cut or severed, this left people with severe and disabling impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What reductions were seen in patients after a lobotomy

A

Reductions were seen in responsiveness, self-awareness, control and sponaenity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where is the Electroconvulsive therapy suite in the mid-west

A

UHL has the only ECT suite in the mid-west region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does ECT involve

A

ECT involves a brief electrical impulse being sent into the brain while the patient is under anaesthetic to stimulate a seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is ECT used for

A

ECT is used for mania and depression but can also be used for catatonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What was the first antipsychotic

A

Chlorpromazine was the first antipsychotic developed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where was chlorpromazine developed

A

Chlorpromazine was founded in a laboratory when searching for antihistamines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Who used chlorpromazine first and for what and what did he find

A

Henri Loborit used chlorpromazine as part of a sedative cocktail for surgical patients but found it did not work the same as other sedatives as the patients were still functional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why is Chlorpromazine used and since when

A

Since the 1950’s it has been used for its benefits in controlling manic and psychotic episodes

17
Q

What reductions were seen with other treatments when chlorpromazine was introduced

A

Reductions were seen in the use of insulin therapy and lobotomy procedures

18
Q

Positive symptoms

A

Hallucinations, delusions and psychosis

19
Q

Negative symptoms

A

Social withdrawal, blunted affect and emotional withdrawal

20
Q

Cognitive changes

A

Core features related to attention, language, memory, interactions and decision making

21
Q

The meaning behind antipsychotics

A

Antipsychotic aka neuroleptics. Neuro (Greek) - nerves and leptos (Greek) - to take hold of. Essentially meaning to take hold of ones nerves

22
Q

Main function of antipsychotics

A

Sedative - major tranquilliser

23
Q

What are antipsychotics typically used to treat

A

Treatment of psychosis, schizophrenia, hypomania, and mania but also used for catatonia, agitation, behavioural problems, personality disorders and confusion

24
Q
A