Psych Flashcards
MDD # SIGECAPS needed to depression
5
SIGECAPS
Sleep Interest Guilt Energy Concentration Appetite Psychomotor depression Suicide
Typical vs atypical depression
typical: sleep and appetite down
atypical: hyperinsomnia and hyperphagia
DIG FASTER
Distractibility Insomnia Grandiousity Flight of ideas Agitation/activities Sexual exploits Talkative Elevated mood Racing thoughts
Criteria needed for bipolar d/o
āEā (elevated mood) + 3 other sxs for >1 weeks
Bipolar d/o: TX
1st line: lithium
2nd line: valproate
3rd line: carbamezepine/lamotrigine
4th: quetiapine
Acute: Benzos
Criteria for diagnosing schizophrenia
> 2 of following, one of which is 1-3
(1) Delusions Ipersecution, grandiousity)
(2) hallucinations (auditory)
(3) Disorganized speech
(4) Disorganized behavior
(5) Negative sxs (flat affect, poverty of speech/mvt, anhedonia, cognitive delay)
Use of naltrexone vs acamprosate
naltrexone: mu-opoiod receptor antagonist that decreases the reinforcing effects of alcohol use and can be used in people still drinking
acamprosate: a glutamate modulator that is initiated once abstinence is achieved to maintain it
1st line drugs for smoking cessation
bupropion and varenicline
Statin guidelines for people with DM
anyone with DM aged 45-75 needs to be on a statin
Catatonia: features and tx
retarded sxs (stupor, mutism, resistant to movement)
Excited sxs stereotypy, echolalia)
tx with lorazepam, watch for malnutrition, give DVT ppx with heparin, check CK if worried about rhabdo
Malignant catatonia: clinical features
Person with psych illness with symptoms of rigidity and autonomic dysfunction
(this is NOT from neuroleptics)
Malignant hyperthermia: TX
Dantrolene
TCA toxicity: clinical features
3 Cs
Convulsions
Cardiac (QRS prolongation and arrythmia)
Coma
Valproate: complications
teratogenicity (spina bifida)
Pancreatitis
thrombocytopenia
agranulocytosis
