Psych Clearances Lecture Powerpoint

Question 1

Delirium is almost always ____ in etiology**

Answer 1

Medical

Question 2

Wernicke-korsakoff syndrome**

Answer 2

Wernicke is encephalopathy often seen in alcoholics due to thiamine (B1) vitamin deficiency, korsakoff syndrome is chronic neurologic sequelae of wernicke encehpalopathy, when they co-occur form characteristic syndrome

Question 3

What type of hallucinations in psychosis are most concerning?

Answer 3

Auditory commanding ones

Question 4

Discontinuation syndrome

Answer 4

Refers to how sudden cessation of taking SSRI’s or benzodiazapines can result in psychotic or agitated states or seizures respectively

Question 5

The big psychiatric emergencies (3)

Answer 5

• violent patients
• suicidal intent (watch for previous history)
• delirium

Question 6

201 psychiatric admission**

Answer 6

Voluntary admission by adult or emancipated minor understanding the legal aspects and signs form to a psychiatric ward

Question 7

302 psychiatric admission*****

Answer 7

Involuntary admission requiring a petitioner and physician and involvement of county crisis team often when at risk to themselves or others to admit to a psychiatric ward, must offer voluntary option first

Question 8

Admission to a psych unit medical clearance by a provider rules (3)

Answer 8

• need to assure observed behavior is not medically induced
• need to assure that there is not co-existent medical condition that requires acute medical or surgical care
• Need minimum testing such as electrolytes, BUN, creatinine, CBC, LFT, O2 sat or ABG, EKG, CT if recent head trauma

Question 9

Acute treatment of psychiatric patient (5)

Answer 9

• correct underlying issue
• have room sitter
• physical restraint if patient is desperate, making threats, or psychotic (never use for convenience or retaliation)
• sedatives or antipsychotics if indicated
• antidepressants can wait, take a while to work