psych Flashcards
buproprion
electively inhibits the reuptake of norepinephrine and dopamine, with a more pronounced effect on the dopaminergic system. The most severe side effect is a decreased seizure threshold; therefore, bupropion is contraindicated in patients with other seizure risk factors (e.g., anorexia/bulimia, epilepsy, alcohol withdrawal).
options for sleep-onset insomnia with equal effectiveness but less addictive potential than benzodiazepines include nonbenzodiazepine hypnotics such as
zolpidem
zaleplenon
opiod overdose
naloxone
naltrexone
for preventing opiod overdose as it has slow onset
used to treat ethylene glycol and methanol poisoning, which can cause CNS and respiratory depression.
fomipizole
inhibits alcohol dehyd
bulemia nervosa
fluoxetine
hypomania def
A mood state characterized by ≥ 4 consecutive days of persistently elevated, expansive, and/or irritable mood with ≥ 3 (or ≥ 4 if mood is only irritable) of the following: inflated self-esteem, decreased need for sleep, pressured speech, flight of ideas, distractibility, increased goal-directed activity, and/or excessive involvement in risky activities. Unlike in mania, the episode is not severe enough to cause marked impairment in functioning or require hospitalization
PCP overdose
phencyclidine can result in tachycardia, hypertension, and hallucinations. However, patients are characteristically agitated (to the point of being violent) and usually have nystagmus with mid-sized or constricted pupils. Pupillary dilation in a non-agitated patient suggests overdose with a different drug.
LSD hallucinations
the hallucinations associated with LSD are typically visual or auditory
tactile hallucinations in overdose of
cocaine
agoraphobia
An inordinate fear or anxiety of being in situations that are perceived as difficult to escape from and/or situations in which it might be difficult to seek help. Symptoms must occur over a period of ≥ 6 months in ≥ 2 of the following situations: 1) when using public transportation, 2) when in open spaces, 3) when in enclosed places, 4) when in line or a crowd, 5) when outside of the home alone.
agoraphobia vs panic attacks
patients with panic disorder do not have specific, identifiable triggers; their panic attacks occur paroxysmally.
informed consent must always be signed in the presence of
the doctor incharge of the prodcedure
HMO VS POIINT OF CARE
HMO cant see physicians outside proveidrs
POC can see outside physcian but have to pay