Psych Flashcards
how long after dose should lithium be checked
12 hours
when stopping one SSRI and starting another, how long after stopping the first do you start the second
4-7 days (long half life)
How long after stopping alcohol do you get withdrawal symptoms
12 hours
How long after stopping alcohol do you get seizures
36 hours
How long after stopping alcohol do you get delerium tremens
48-72 hours
Which SSRI is used after an MI
sertraline
which drug class increases the risk of stroke/VTE in elderly patients
atypical antipsychotics (clozapine, risperidone, olanzapine)
When starting a patient on Electroconvulsive therapy, what should you do to the sertraline dose
Reduce but not stop
Neuroleptic malignant syndrome symptoms
Rigidity, hyperthermia, autonomic instability (hypotension, tachycardia) and altered mental status
Amitriptyline side effects
Can’t see (blurred vision)
can’t pee (urinary retention)
can’t sit (dizziness)
can’t shit (constipation)
Coronary prone behaviour pattern
Highly competitive, highly stressed
Schneider’s first rank symptoms
3rd person auditory hallucinations
Somatic hallucination
Delusional perception
Thought alienation
Wernicke’s encephalopathy treatment
IV pabrinex - IV thiamine replacement
Medication/drugs that cause mania
Antidepressant
amphetamines
cocaine
before prescribing lithium test
U+E - nephrotoxic
TFT - may cause hypothyroid
ECG - long QT
Lithium toxicity symptoms
Tremor
convulsions
renal failure
coma
nausea/diarrhoea/vomiting
Which neurotransmitter primarily causes major depressive disorder
Serotonin
Which receptors do opioids act on
Mew opioid peptide receptors
Negative symptoms of schizophrenia
Blunting of affect
Poverty of speech
Anhedonia
Lack of motivation
Clozapine monitoring
FBC
Blood clozapine
Lipids
Weight
Fasting glucose
Face twitching
Rapid blinking
Repeated hand movement
Tardive dyskinesia
Tardive dyskinesia symptoms
Extra pyramidal side effects
Face twitching
Repeated hand movements
Hand shaking
Rapid blinking
Tardive dyskinesia treatment
Tetrabenazine
Amitriptyline/tricyclic antidepressant overdose management under 1hr or 1hr +
under 1 hour activated charcoal
over IV sodium bicarbonate