psych Flashcards
Mental state exam parts
ASEPTIC Appearance Speech Emotion Perceptions Thoughts Insight Cognition
What drug is used to tx acute dystonia and akathisia? What class?
Procyclidine
Anticholinergic
How do anti-psychotics act?
Dopaminergic blockage in mesolimbic system
Which dopamine pathways do anti-psychotics act on?
Tuberoinfundibular pathway
Nigrostriatal pathway
Mesolimbic system
Which form of bipolar presents with mainly depression, often with only hypomania?
Bipolar II
What is important to monitor in patients on lithium?
TFTs
U & Es (kidney function)
Which drugs does lithium interact with?
NSAIDs
ACE-I
thiazide diuretics
(as entirely excreted by kidneys and has narrow therapeutic range)
Why do thiazide diuretics cause an increase in lithium levels?
Lithium levels increased by sodium depletion
When is lithium CI?
Cardiac disease
Significant renal impairment
Addisons (low Na)
Avoid 1st trimester of preg
Emotionally unstable personality disorder features?
Impulsivity Suicidal ideation Poor self-image/ low self-esteem Unstable relationships Efforts to avoid abandonment Self harm
3 features of anorexia
restriction of energy intake relative to requirements
intense fear of gaining weight
disturbance in way one views own body
Which two non-blood tests should you consider in an anorexia patient?
DEXA
ECG
Which bloods go up in anorexia?
Cortisol
GH
Cholesterol
What might an ECG show in anorexia?
Bradycardia
Prolonged QT
T wave changes (due to hypokalaemia)
Which two drugs can be used to tx heroin addiction?
Methadone
Buprenorphine
