Psych Flashcards
post-op constipation and/or respiratory depression
opioids
severe depression, HA, fatigue, insomnia/hypersomnia, hunger
cocaine or amphetamine withdrawal
pinpoint pupils.n/v, seizures
opioid overdose
belligerence, impulsiveness, nystagmus, homicidal ideations, psychosis
PCP
HA, anxiety/depression, weight gain
nicotine or caffeine withdrawal
anxiety/depression, delusions, hllns, flashbacks
LSD intoxication
euphoria, social withdrawal, impaired judgement, hllns
marijuana intoxication
rebound anxiety, tremors, seizures, lifethreatening
withdrawal from alcohol, benxodiazepines, or barbiturates
anxiety, piloerection, yawning, fever, rhinorrhea, nausea, diarrhea
opioid withdrawal
treat alcohol OD
IVF, respiratory/ blood alcohol monitoring, time
Benzodiazepine overdose
flumezanil
treat PCP OD
benzodiazepines, haloperidol
treat opioid overdose
naloxone, naltrexone
visual hlln
more common in medical illness
aud hlln
psychiatric illness
olfactory hlln
seizure
alcohol
tactile hlln, aka formication
hypnogogic hlln
while going to sleep, often auditory
hypnopompic
morning hllns, while awakening
schizophrenia
smaller brain, enlarged ventricles, toxic exposures early in life?
genetic predisposition
environmental risk factors include exposure to psychoactive substances during adolescence and young adulthood
psychosis
DECLINE IN FUNCTION LASTING AT LEAST 6 months
> 2 of these 5 positive sx, and one must be of the first 3 listed (hlln, delusions, disorganized speech)
Positive: thought to be due to increased DA in the mesolimbic pathway
1. delusions,
2. hllns,
3. disorganized speech,
4. grossly disorganized or
5. catatonic behavior (frozen, or hyperactive purposeless movements called automatisms)
negative symptoms: may be because of decreased dopamine in mesocortical tract
- flat affect
- social withdrawal
- avolition
- alogia
- thought blocking
- poor grooming
presents earlier in men
increased risk of suicide
no subtypes in DSMV
if less than 6 months, then
schizoaffective disorder
pure psychosis for 2 weeks (psychotic symptoms for at least 2 week in absence of mood disorder)
also a period of time with combined mood and psychosis. Time period with psychosis and major mood disorder episode at the same time
If primary issue is depression (less than 2 weeks psychosis), then this is called major depression with psychotic features
schizoid personality disorder
schizoids avoid
schizotypal personality disorder
odd thinking and strange behavior
delusional disorder
fixed, persistent delusional belief system lasting > 1 month
functioning is not impaired
folie a deux
shared delusion, among multiple people
