Psych 2 Flashcards
drugs induced psychosis is similar to what
initial presentation similar to first presentation of schiz
causes of drug induced psychosis
coke, cannabi, LSD, amphetamines
schizoaffective disorder
F25
BPD and schizophrenia
antipsychotic treatment most block what
histamine - sedation and increased appetite
alpha receptor blocking - hypotension
block PS muscarininc receptors - dry mouth
CGT
carbohydrate deficient transferrin
MCV
liver injury
identifies men drinking over 5 units a day
goes up
FRAMES
feedback responsibility advice menu empathy self efficacy
alcohol inhibits what system and has an agonist effect on what
what others system does it have an affect on
glutamate inhibited, GABA agonist effect
dopamine reward system
alcohol withdrawal leads to what
excess glutamate and decreased GABA
first symp of alcohol withdrawal
within hours and peak at 24-48 hours
resolve in 5-7 days
delirium tremens who
when
mortality
5%
peak onset 2 days
2-5%
treatment for alcohol withdrawal
BZDs
what else
general support, hydrate, analgesia, anti emetics
BZDs - diazepam, chlordiapexodie - titrate against severity and reduce gradually over 7 days or more
thiamine - parental
naltrezone
first line for alcohol relapse prevention
opiode antagonist
decreases reared from alcohol
acts where
started when
SE
acamprosate
centrally on gluatamate and GABA systems and decreases craving
start as soon as detoxification complete
SE diarrhoea, headache, nausea
Dusulfiram (antabuse) what does it inhibit alcohol consumption leads to what symptoms efficacy requires what
inhibits acetyldehyde dehydrogenase
so increased levels if alcohol is consumed
flushed skin, tachycardia, N/V, arrhythmia, hypotension, efficacy requires compliance
borderline mild mod severe profound
70-84 50-69 MA 7-12 35-49 MA 6-9 20-34 MA 3-6 <20 MA <3
most common LD
mild 50-69 MA 7-12
people with LD are how much more commonly likely to get psych disorders
3x
what can be given in aggression in ASD
sleep problems
risperidone short term
melatonin
ADHD
inattention
hyperactivity
impulsivity
treatment for ADHD
psycho
parent training, behavioural classroom management
social skills, sleep and diet
treatment for ADHD
pharma
methylpheniate, dexamfetamine, lisdexamfetanime
atomoxetine
antipressants, anti hypertensive, anti psychotics
ADD
language impairment
thought and behaviour - restrictive and repetative
ASD is what
strongly heriditary
commonest health problem in over 65s
delirium
how long does delirium last
1-4 weeks
treatment for delirium
parkinsons, LB, neuroplastic sensitivyt
alcohol/sedative withdrawal
underlying cause.
haloperidol 0.5-5mg PO then IM up to 10mg/24h
Lorazepam 0.5-2mg up to twice in 24 hours
BZD after
lewy body hallucinations
rigvastamine
wenicjes
ophthalmoplegia
ataxia
confusion
picks bodies
tau positive spherical cytoplasmic neuronal inclusions composed of straight filaments
ballooned neurones with dissociation of chromatin
picks cells
causes of younger onset dementia
1 alzheimers
2 frontotemporal
huntingtons, wilsons, downs
symptoms of serotonin withdrawal
myoclonus, agitation, restlessness, hyperreflexia, tremor, sweating, diarrhoea, shivering, ataxia, fever, confusion
brocas
expressive
have insight
wernickes
receptive aphasia
no insight
detoxification
self detox
reduce prescribed opioids
alpha 2 adrenergic agonists - lofexidine tailer dose
add ons - lopermide, hypnotic, NSAIDs
opiod substitution therapies
methadone or buprenorphine (+/- neloxone)
sensory memory
<1s
out of cognitive control
short term memory
working memory
<1min
long term memory divided into what
explicit (conscious)-> declarative memory facts events
implicit (unconscious) -> procedural - skills, tasks
what is declarative memory divided into
semantic - facts, concepts
episodic - events, experiences
what form is filled out for incapacity
certificate of incapacity section 47
> 16
<12
12-16
presumed to have capacity
presumed to not have capacity
depends on understanding
HIV law england
scotland
bodily offense
capable and reckless behaviour
history of known cardiac disease, history of atypical antipsychotics, current illicit drug use
lorazepam 1-2mg PO
unsuccessful or response needed in 30 mins
lorazepam 1-2mg IM mixed 1:1 with water or NaCl
wait 30 mins
injection again if necessary
confirmed history of typical antipsychotic drug exposure
lorazepam 1-2mg PO and/or haloperidol 5mg
unsuccessful or response needed in 30 mins
lorazepam 1-2mg IM mixed 1:1 with water or NaCl
in extreme lorazepam and haloperidol 5mg IM
monster RR, BP, PR every 5-10 mins for an hour
wait 30 mins
injection again if necessary
emergency detention lasts fro how long
who needs to sign the form
does it authorise treatment
72 hours
medical practitioner needs to consult MHO but not necessary
no unless emergency
short detention lasts for how long
who needs to sign
does it authorise treatment
28 days
requires MHO consent
yes
compulsory treatment disorder
who needs to sign
lasts for how long
where
2 medical reports one form AMP
6 months
in community or hospital
