Psych Flashcards
Lithium
how many hours post dose should the sample be taken
12h
Lithium
how often should lithium levels be checked after starting lithium
weekly and after each dose change until concs are stable
Lithium
once established, how often should lithium blood levels be normally checked
every 3 months for the first year then every 6m thereafter
If >65y, taking drugs that interact with lithium, at risk of impaired renal or thyroid function, raised calcium levels or other complications, have poor symptom control or poor adherence, or whose last serum-lithium concentration was 0.8 mmol/litre or higher, should be monitored every 3 months.
Lithium
after a change in dose, when should lithium levels be tkaen
a week later and weekly until the levels are stable
Lithium
how often should thyroid and renal function be checked
every 6m
what can be used as pharmacological support in the detoxification from opiate withdrawal
methadone or Buprenorphine
For a diagnosis of depression to be made, low mood should be present for how long
2 weeks
what is Munchausen’s syndrome
intentionally faking signs and symptoms (i.e. adding blood to urine and complaining of pain) in order to gain attention and play “the patient role”.
what is Malingering
patients fake or induce illness- however, they do so for secondary gain; e.g. drug seeking, disability benefits, avoiding work or prison time
what is Pick’s disease
a form of fronto-temporal dementia
different between Pick’s disease and Alzheimer’s
Pick’s disease: specific atrophy of the frontal and temporal lobes.
Pick’s disease: young age and early personality change
first-line treatment of autoimmune encephalitis
steroids and intravenous immunoglobulin
normal pressure hydrocephalus triad
- incontinence
- abnormal gait
- dementia
definitive mnx for normal pressure hydrocephalus
Ventriculo-peritoneal shunting
pt taking sertraline for 2 months feeling much better. When can he stop it
antidepressants should be continued for at least six months after patients recover
