Psych Flashcards

1
Q

What type of drug is mirtazapine? When should it be given? What other effects does it have?

A

Atypical antipsychotic

Evening as makes drowsy
Can increase appitite

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2
Q

Cyclisine is what type of antiemetics, can we give it IV

A

Acts on H1 and M1

Don’t give it IV - gives a high and can get stuck on it

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3
Q

Hand foot and mouth disease causative agent

A

coxsackie A virus

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4
Q

What do we mean by extrapyradmilal side effects?

A

Parkinsonism

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5
Q

Neurolwpyic malignant syndrome w is related to what?

A

Dopamine associated drugs

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6
Q

Typical vs atypical generation

A

All block dopamine receptors

First generation have highaffinity to dopamine so typically generate extra pyramidal side effects

Second not as strong so atypically generate symptoms so atypically generate extra pyramidal side effects

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7
Q

Do clozapine get extra pyramidal side effects?

A

No

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8
Q
A
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9
Q

Main extrapyradimal side effects

A

Akathesia - inner restlessness
Parkinsonism (shuffling gait, expressionless face)
Dystonia - muscle spasm head and neck, can be due to metoclopeomide of domperodome (dopamine blocking antiemetics)
Tardive dyskinesia - lip smacking, puckering

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10
Q
A
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11
Q

Clozapine main side effect

A

Agranulocytosis and weight gain (increases hunger)
Myocarditis, long qt
Lower seizure threshold
CONSTIPATION** - reduction in bowel movement, so give laxido !! - can lead to atonic bowel

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12
Q
A
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13
Q

Seizure like activity on clozapine, why

A

Because it reduces the threshold

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14
Q

How is clozapine metabolised

A

In liver cytochrome p450

Nb smoking induces liver enzymes, so if you stop smoking will have more clozapine in body

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15
Q

How can we break secure attatchments for kids?

Nb secure attachment ->

A

Depressed/withdrawn parent ->
Angry parent ->
Unpredicatable parent (fruit machine) eg drugs/alcohol ->
Bereavement/loss ->

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16
Q

Adopted vs Foster

A

Adopted = every right as a parent
Foster = Glorified baby sitter - still need parents consent for ops etc

17
Q

Anxious vs avoidant

A

Anxious - parents not there/let down/bullied/friendships left them/people not sticking around for them -> project that into current relationships, so they’ll assume that people will leave them

Flattery/if you leave this room I’ll kill myself -> trying to keep people around unhealthily

Avoidant , have been hurt in the past -> expect people will hurt them -> keep them at arms length, have prickly armour on.You have to earn your way into their trust.

Anxious x Avoidant -> depending on the situation will demonstrate both anxious and avoidant. Can turn into Borderline personality disorder

18
Q

What is akathasia?

A

Neuropsychiatric symptom of restlessness and an urge to move . Can mean that the patient is in distress or side effect of antipsychotics

19
Q

Emergency detention certificate vs Short term detention certificate vs cto (compulsory treatment order)

A

EDC 72 hours - think has mental disorder, fy2 and above should try to get mho but may not be possible. Can’t treat against wish.

Short term 28 days needs psychiatric (section 22 doctor). Needs MHO. Continuously monitored. Can treat against wish. Can appeal against.

CTO = up to 6 months - goes to tribunal to help decide.

20
Q

Levomyptomazine uses

A

Nausea - calming effect as it’s slightly an antipsychotic

22
Q

Memantime uses

A

Moderate to severe dementia

23
Q

Detained for more than 2 months, what do you need to give psych meds?

A

T3 form if unable to consent

T2 if able to consent

24
Q

Giving meds covertly means what?

A

Giving patients meds without their knowledge for when we know they’re needing it. Needs reviewing, may be able to then take overtly if improves psych symptoms. Covert medication plan.