Psych Flashcards
3 tests to do before lithium and why? Other parts of Hx
ECG - Lithium -> long QT
TFTs - lithium can affect
U+E - Renal function affected in overdose
Self-harm/ suicidal ideation
Why would getting a Hospital Anxiety and Depression score be useful in depression?
Cons?
Diagnosis
Monitoring of Sx
Research
Variation in scores between populations/cultures
Only validated in hospitals
4 things should you screen for in pt presenting with depression
Suicide / self harm / harm to others Eg kids
Hypothyroid / addisons / perimenopausal
Chronic disease
Other psych - bipolar / schitz
Explain the mechanism behind acute dystonic reaction
dopamine from substantia nigra helps with coordinaition of movement
When the dopamine is blocked -> parkinsonism Sx
Section 2 / 3/ 135 / 136 /5(2)
2 - assessment order 28 days 3 - Mx order 6/12 135 - police - home 136 - police public place - 72hrs 5(2) - hospital 72hrs
When can you appeal a section 2
within 14 days - sent to mental health tribunal
Why good to treat eating disorders in a centre rather than community?
3 points
Clustering of expertise
Group therapy possible
More monitoring possible
Refeeding for severely malnourished
Paracetamol overdose Mx is based on blood concs.
What other factors might make you treat someone as high risk even if thier concs aren’t above a threshold line?
Enzyme inducing medications - Alcohol / rifampicin / phenytoin …..
Reduced hepatic glutathione reserves - HIV / malnourished / anorexic
Most important blood test to monitor after Para OD?
clotting - marker of synthetic liver funciton
Which 2 groups good to get involved post OD
Crisis intervention team - good for positive therapy and initiate change. Also reduce admissions
Social services - especially if poor support network
How might CBT help with anxiety
identify situations that provoke
Recognition of thoughts that cause attacks
Coping mechanisms
