Psych Flashcards
First line tx for ADHD?
Stimulants (Methylphenidate, Amphetamines)
Do Stimulants for ADHD increase the risk for Substance Use Disorder?
No!
How do ADHD s/s tend to present in adulthood?
Inattentive, impulsivity > hyperactivity
What are the tx options for ADHD (3 categories)?
-Stimulants (Methylphenidate, Amphetamines)
-Non stimulants (Atomoxetine)
-A2 agonists (Clonidine, Guaneficine)
How to deal with appetite suppression SE in stimulant use? (2)
Give after nutritious meal and consider switching if weight loss continues
Mania tx in pregnancy (3)
-1st gen antipsychotics
-2nd gen antipsychotics
-Lamotrigine
SE of Mania tx options in pregnancy?
-1st gen antipsychotics = TD, Akathisia, Acute dystonia
-2nd gen antipsychotics = Metabolic s/s
-Lamotrigine = Cleft lip/palate
How to tx acute dystonia (oculogyric crisis, dystonia, torticollosis) (2)
-Benztropine
-Diphenhydramine
How to tx akathisia (3)
-Beta blockers
-Benztropine
-Benzos
How to tx Tardive Dyskenisia (4)
-Valbenazine
-Deutrabenazine
-Botulinum injections
-Benzos
How to tx Parkinsonism (2)
-Amantadine
-Benztropine
Managing mania with agitation?
Give IM antipsychotic
Managing psychosis in Parkinson’s Disease?
-Reduce or discontinue use of drugs from least to most potent
-Anticholinergics, Amantadine, Dopamine +, MAO-B -, Carbi-Levodopa
1st line tx for Borderline PD
Dialectical behavior therapy
How to deal with HIV patient who doesn’t want to disclose dx
-Encourage them to do it
Which dept do you have to disclose a positive HIV diagnosis in a patient?
Dept. of public health
