Psych Notes Flashcards
Which Atypical Antipsychotics are used to treat acute mania?
Olanzapine or Quetiapine
How long do A Anti - Psychotics need to be used for Acute Mania?
4 to 6 weeks to work
Can be up to 3 months for symptoms to fully improve
What is needed to be done before undertaking A Anti - Psychotics?
Physical examination - Weight, BP, Diet, history of movement disorders, smoking and other meds
Blood tests - fats and prolactin (raised with APs)
ECG - CVD effects (one to three months)
How should anti psychotics be monitored after commencing them?
Whether you are taking the medication in the correct way
Is it helping?
Symptom side effects - psychosis? Agitation
Who should monitor the Anti psychotic effects?
Mental Health Team
What patients should never have a Antipsychotic?
Phaeochromocytoma - raises BP
What safeguarding should be given to older people on Antipsychotics?
BP drops on standing - prone to falls
What drugs do Anti - psychotics interact with?
Lithium
Antimuscarinic drugs - dry mouth etc
TCAs
Alcohol
What drugs do Anti - psychotics interact with?
Lithium
Antimuscarinic drugs - dry mouth etc
TCAs
Alcohol
How does alcohol interact with Anti - Psychotics?
Increases sedative effect
More drowsy
Which Atypical has the lowest side effects?
Apiprazole
Which Atypical has a higher chance of causing Hyperprolactinemia?
Risperidone
GNrH lowers, increase LH and FSH
Oligo, Galacto, Gynaecomastia
If Neuro Malignant Syndrome is uncontrolled what is it likely to cause?
Rhabdomyolysis
