psych Flashcards
Signs of generalized anxiety disorder
restlessness
fatigue
excessive anxiety and worry
increased muscle aches and soreness
impaired concentration
irritability
difficulty sleeping
Short acting anti anxiety meds
midazolam
diazepam
intermediate and elongating anti anxiety agents
clonazepam
alprazolam
lorazepam
signs of depression
low mood
change in appetite
sleep disturbance
agitation
fatigue
difficulty concentrating
Types of MAOI’s
tranylcypromine
isocarbozazid
phenelzine
selegiline
types of ssri
fluoxetine
sertraline
escitalopram
citalopram
What must you avoid on MAOI
aged cheeses
wine
pickled meats
side effects of MAOI
hypertensive crisis
signs of serotonin syndrome
hypertension
confusion
anxiety
tremors
ataxia
sweating
What must you monitor for pt on TCA’s
anticholinergic side effects
list anticholinergic side effects
dry mouth
constipation
urinary retention
signs of mania
extremely high energy
grandiose levels of self-esteem
loud, rapid speech
very little need for sleep
engaging in risky behavior
therapeutic management of bipolar
manage acute episodes
identify triggers
safe environment
calm, controlled focused interactions
dont argue in manic state
provide high calorie, finger food
protect privacy
set boundaries
ensure med compliance
nursing considerations for administering lithium
do not administer with NSAIDS
monitor drug levels
encourage fluid intake
side effects of lithium
seizures
arrhythmias
fatigue
confusion
nausea
anorexia
hypothyroidism
tremors
drug levels for lithium
0.5-1meq/l
haloperidol nursing considerations
monitor extrapyramidal side effects
traduce dyskinesia
neuroleptic malignant syndrome
can prolong QT interval
symptoms of schizophrenia
delusions
hallucinations
disorganized speech
flattened affect
reduced speech
lack of initiative
how to manage delusions
provide safe environment
ask about delusion
validate real aspect of the delusion
do not argue about delusion
reflect on how it makes them feel
be honest
set limits
how to manage hallucinations
provide safe environment
stay focused onreality
be direct
set limits
decrease stimulation
dont touch them
ask if auditory ones are telling them to do
signs of an eating disorder
excessive exercise
preoccupation with feeling fat
abnormal electrolyte levels
intense fear of weight gain
unusually large intake of food
anxiety around or avoidance of eating
assessment finding of an anorexia
low body temp
bradycardia
hypotension
cyanosis
electrolyte abnormalities
hormonal imbalances
sleep disturbances
bone degeneration
lanugo
gi upset
management of anorexia
address physiological issues first
ensure safety
establish rapport
validate their feelings
no judgement
explore triggers
symptoms of bulimia
eating a lot (binging)
feelings of guilt or shame or anxiety after eating
preoccupation with weight or shape
purging
diet pills
excessive exercise
assessment finding bulimia
labile mood
low libido
esophageal varices
tooth enamel breakdown
helplessness
therapeutic management of bulemia
address medical issues (electrolyte embalances)
provide a safe environment
monitor for self-harm
validate their feelings
identify triggers and avoid
