PSYCH: first aid 205 pg 516-520 Flashcards
List the time line for
- GAD
- Adjustment disorder
- PTSD
- ASD
- Brief pysch
- Schizo affective
- Schizophreniform
- Schizophrenia
- GAD > 6 moths
- Adjustment disorder 1 months
- ASD 2 weeks
- Schizophreniform (1-6 months)
- Schizophrenia > 6 months
what is the refeeding syndrome?
occur in significantly malnourished people
in anorexia nervosa
what type of stress fractures you see in anorexia nervosa?
metatarsal stress fracture
which eating disorder is the one with normal body weight
bulimia nervosa
what is Russell sign
dorsal hand calluses from induced vomiting
transsexualism vs transvestism
vest = wear clothes of opposite sex
Persistent daytime sleepiness but he is not refreshed after nap
Hypersomnlence
narcolepsy does
what is the molecule in narcolepsy and where does it come from?
decreased hypocretin (orexin) lateral hypothalamus
for nighttime treatment of narcolepsy
sodium oxybate GHB
GABAbR antag
what is varenicline and where is it used?
for nicotine withdrawal
its a partial agonist of nicotinic AchR
Pick out the drugs (when intoxicated) that can cause mydriasis and explain why
- Alcohol
- Opioids
- Barbs and BDZ
- Amphetamine
- Cocaine
- PCP
- LSD
- Marijuana
Just Amp and Cocaine
treatment of cocaine intox, and what would you have to avoid?
alphablocker, BDZ
No BB!!
where do you see “cold turkey”
opioids intoxication
opioids intoxi treatment
opioids withdrawal treatment
intox: naloxone, naltrexone
withdrawal: methadone, buprenorphine
which opioid antagonist is not orally available so withdrawal symptoms occur only if IV, so lower abuse potential
naloxone
why do you use clonidine for opioid withdrawal?
alpha2 agonist
use flumazenil in where? can you use that in Z drug intoxication?
BDZ, yes
List 3 symptoms of PCP intoxication
- Aggression (Belligerence)
- Vertical + horizontal nystagmus
- Acute brain syndrome (disorient, poor judgement, memory loss)
treatment of PCP intox
BDZ, rapid acting antipyschotic
College student at rave party comes in with symptoms of pyschosis. He said he sometimes find himself escaping from his body even though he is aware of everything around him. he is seeing color halos. what does he take?
LSD
Patient with AIDS, complain of vomitting and decreased apeptite. After given a certain drug, he comes back with dry mouth, impaired time perception and conjunctival injection. what is the name of the drug
Dronabinol (cannobinoid)
They are doing a urine test at your work, and you got high 2 weeks before. are you screwed?
yes
MJ can be detected in urine up to 1 month
Heroin relapsed prevention once you are clean
Naltrexone PO
detox and maintaince of heroin
methadone full agonist! long acting
what enzyme does disulfiram inhibit
aldehyde dehydrogenase
whats acamprostate, used in?
Alchoholism
MOA: modulate glutamate in NMDAR
what inhibit alcohol dehydrogenase
Fomeprizole
triad of Wernicke encephalopathy
confusion, ophthalmoplegia, ataxia
alcoholic hallucinations: visual or auditory
and how many hours after
visual
12-48 hrs after
ADHD
methylphenidate
bipolar
lithium, valproic acid, atypical antipyschotics
tourette
fluphenazine, pimozide, tetrabenzaine, clonidine
Patient with stage fright what would you give
BB
PTSD
SSRI, SNRI (venlafaxine)
Venlafaxine also used for
panic disorder
OCD
SSRI, clomipramine
Bonus: elderly with insominia, what would you give?
Ramelteon (melatonin R agonist)
