Psych Emergencies

Question 1

Causes of delirium?

Answer 1

I Watch death
I-infection

W- withdrawal eg alcohol, barbiturate
A- acute metabolic eg acidosis, alkalosis, electrolyte disturbance
T-trauma eg closed head injury, heat stroke
C - cns pathology - abscess hydrocephalus, stroke,, etc tumour
H- hypoxia eg anaemia, Carbon monoxide poisoning

D- deficiencies eg p vitamin b12, folate
E-endocrinopathies, eg hyper or hypo adrenocortisism
A- acute vascular eg stroke
T- toxins or dugs
H- heavy metals eg lead, manganese, mercury

Question 2

Which of the following is not a treatment for neuroleptic malignant syndrome

- rehydration
Dantrolene
Haloperidol
Benzodiazepines
Stopping antipsychotics

Answer 2

Haloperidol

Question 3

What is true
A diazepam has a relatively shorter half life among all benzodiazpinos
Diazepam when administered intramuscularly has slow anderratic absorption
Midazolam has a longer duration of action to compared diazepam
When checking serum lithium levels blood should be collected 18 hours after last dose
Procyclidine should not be used in management of acute dystonia

Answer 3

Diazepam when administered intramuscularly has a slow and erratic absorption

Question 4

What meds can increase lithium levels

Answer 4

Diuretics
NSAIDs
Ace inhibitors