Psych Flashcards
methadone
opioid dependence substitute therapy
lefoxidine
alpha adrergic agonist used for symptomatic relief of opioid withdrawal
diazepam
- symptom relief of opioid withdrawal
naltrexone
abstinence maintenue for opioid dependence
benzo overdoes
flumenazil
Zopiclone
hypnotic agent used to treat insomnia.
Bicarbonates
prevent cardiovascular complications as a result of tricyclic antidepressants overdose.
what part of the brain is affected in Korsakoff’s amnesia
mamillary bodies
Section 2
compulsory detention for assessment, when the exact diagnosis and response to treatment are unknown.
Its duration is 28 days. Must be agreed by 2 doctors (one section 12 approved).
Section 3
compulsory detention for treatment when the diagnosis is already known.
Its duration is 6 months.
Must be agreed by 2 doctors (one section 12 approved).
Section 4
emergency admission to hospital when there is not enough time to organize a section 2.
Its duration is 72 hours and there is no right of appeal against it. It can be arranged by one doctor.
Section 5(2)
where can the patient be?
doctor’s holding power for detention of a hospital inpatient (under any specialty) by the doctor responsible for their care.
Its duration is 72 hours (long enough to arrange a section 2
Section 5(4)
nurse’s holding power, allows detention of informal psychiatry inpatients by nurses if there is no doctor available.
It lasts 6 hours, allowing time for a more permanent section to be administered.
Section 35
produce medical report on the psychiatric illness of the offender – duration is 28 days
Section 36
allows treatment of the patient – duration is also 28 days, but requires 2 doctors to agree on it.
Section 37
detention and treatment of a patient already convicted of an imprisonable offence – also requires 2 doctors’ agreement and lasts 6 months.
section 35-37
requested by a court on advice of a section 12-approved doctor when a patient has been charged with an offence that may lead to imprisonment.
Section 17
allows for set periods of leave (with a responsible adult) to be granted by the responsible medical officer.
treatment of acute dystonia
procyclidine (anti-cholinergic)
treatment of akathisia
decrease/change antipsychotic dose
benzo or propanolol
treatment of tardive dsykinesia
stop antipsychotic or reduce dose (although symptoms may worsen initially)
avoid anticholinergics as often worsen the problem
switch to an atypical or clozapine
often irreversible
which side effect of antipsychotics is irreversible
tardive dyskinesia
