Psych Flashcards
What are the criteria for anorexia nervosa?
BMI <17.5/15% below expected, deliberate weight loss, distorted body image, endocrine disturbance.
Criteria for bulimia nervosa?
Binge eating, purging, body image distortion, BMI >17.5
Someone with acute dystonia what would you give?
Procyclodine
Community Psych Nurse
CPNs work outside hospitals and visit clients in their own homes, out-patient departments or GP surgeries. They can help you to talk through problems and give practical advice and support. They can also give medicines and keep an eye on their effects.
Social worker
They are able to give expert practical help with money, housing problems and other entitlements.
Occupational therapist
to work out what you can and cannot do with advice on where you could or should live to find things to do that you want to do to re-build your confidence to become independent.
What is a normal grief reaction?
Feelings of being:
- Numb (hours after the death)
- Agitated
- Angry
- Guilty
- Relieved:
- Sad: After a few weeks
- Reflective
What would classify an abnormal grief reaction?
Extremely intense (=depression, disables the patient) Prolonged (<6months) with no relief Delayed (no sign of emotional response at first)
delirium tremens; when and what?
peak incidence of delirium tremens is at 48-72 hours post abstinence:
coarse tremor confusion, delusions auditory and visual hallucinations fever tachycardia
The first line drug treatment for PTSD
paroxetine or mirtazapine
Adverse effects of atypical antipsychotics
weight gain
score is used to calculate suicide risk
SADPERSONs
PHQ-9?
asks patients ‘over the last 2 weeks, how often have you been bothered by any of the following problems?’
9 items which can then be scored 0-3
Anorexia nervosa: features
most things low (sex hormones, T3, K+)
G’s and C’s raised: growth hormone, glucose, salivary glands, cortisol, cholesterol, carotinaemia
SSRI and NSAID risk?
There is an increased incidence of gastrointestinal bleeding - give lanzoprazole
SSRI during the third trimester can result in?
persistent pulmonary hypertension of the newborn
SSRI during the first trimester can result in?
congenital heart defects
Someone who just started on an antipsychotic and becomes tachycardia, hyperthermia, sweating, urine drug screen negative. HIGH CREATINE KINASE
neuroleptic malignancy syndrome
Someone who just started on an antipsychotic and becomes tachycardia, hyperthermia, sweating, urine drug screen negative
neuroleptic malignancy syndrome
Capgras syndrome
a delusional belief that a close acquaintance has been replaced by an identical double
Fregoli syndrome
a delusion that a persecutor is able to change into many forms and disguise themselves
de Clérambault’s syndrome
delusional belief that someone of higher social status is in love with them
emotional instability, disturbed views of self-image, feelings of emptiness and intense but easily broken, relationships. Self- harm is a common feature, o en in an attempt to avoid abandonment.
Emotionally unstable, borderline type
Thought disorder, disorganized speech and behaviour and flat or inappropriate affect. Social isolation and prominent negative symptoms
Key symptoms of hebephrenic schizophrenia
