Psych Flashcards
what medications can cause psychosis?
- Steroids
- Methylphenidate
What illicit drugs can cause psychosis?
-Khat
-LSD
-Stimulants- cocaine, MDMA, amphetamine
- cannabis
How to treat psychosis?
- Find out the cause and if organic or substance misuse then treat this
- Then think about psych illnesses and antipsychotic treatment
List 4 criteria necessary for using the mental health act?
- Having a mental disorder
- Of a certain nature
- Or a certain degree
- Risk to health
- Risk to safety
- Risk to others
- And community options will not safeguard the risk or are not appropriate
what is the difference between mania with and without psychosis- must be descriptive in exam
options are available to treat psychosis if the pt refuses oral but is under section 2 MHA
- Depot antipsychotic
- Short acting daily injections of antipsychotics
not covert
How to treat severe depression with suicidal thoughts if two antidepressants have not been sucessful- which medication would you add or try?
Lithium- evidence that Lithium reduces suicide risk.
A patient with severe depression is not eating or drinking and is refusing oral antidepressants- what can you try ?
consider ECT- antidepressnats and lithium do not come in IM form
- A 37 year old man has been admitted to hospital under section 2 of the mental health act. He is psychotic and extremely agitated. He is given IM haloperidol as rapid tranquilisation. He develops extra-pyramidal side effects, and so is given oral Procyclidine.
how does procyclidine work?
a. Anticholinergic- thought to balance the dopamine:acetylcholine activity in the basal ganglia.
how does procyclidine come?
IM
What is the mneumonic for Neuroleptic malignant syndrome ?
FEVER
Fever- >38
Encephalopathy- confusion
Vital sign instability- hypertension, tachycardia and tachypnoea
Elevated enzymes- raised CK and WCC
Rigidity/reduced reflexes
What is the mneumonic for Serotonin syndrome ?
HARMED
Hyperthermia/hyperreflexia
Autonomic instability
Rigidity
Myoclonus
Encephalopathy- confusion
Diaphoresis- sweating
Normal grief reaction: stages
mneumonic
DABDA
denial
anger
bargaining
depression
acceptance
Mneumonic for GAD sxs?
WATCHERS
Worry
Anxiety
Tension in muscles
Concentration difficulty
Hyperarousability/irritability
Energy loss
Restlessness
Sleep affected
Mneumonic for Depression sxs?
Low mood +SIGECAPS
Sleep affected
Interest decreased
Guilty
Energy low
Concentration affected
Appetite changes
Psychomotor agitation and retardation
Self harm and suicide
Mneumonic for mania sxs?
DIG FASTER
Distractibility
Irritability/impulsivity
Grandiosity
Flight of ideas
Activity increased
Sleep deficit
Talkativeness
Elevated mood
Restlessness
ICD-10 Diagnosis of OCD and FORD Car mneumonic for clinical features ?
Obsessions or compulsions- Must be present for at least 2 weeks for most days:
Failure to resist
Originate from pts mind
Repetitive
Distressing
Carrying out the act is not pleasurable and only gives some relief from anxiety
Affect the persons social functioning and waste time
