Psych/Sleep Flashcards
Post Partum Depression, what is the next best treatment step?
Paroxetine and Pyschotherapy
If a patient is breastfeeding, what is the next best anti-depressant medication to use?
Sertraline or Escitalopram
What medication can be given in the 3rd trimester or post-partum within 4 weeks of birth for moderate and severe depression symptoms?
Brexanolone
What medication has a mechanism of action that binds to melatonin receptors in the suprachiasmatic nucleus?
Ramelteon
What medication is a dual orexin receptor antagonist that can treat insomnia and can be used for either sleep onset or sleep maintenance insomnia?
Suvorexant
Fluvoxamine is contraindicated with what other medication?
Ramelteon
Fluvoxamine is used to treat what?
What is the MOA?
OCD
SSRI
What is the Alcohol use disorder screening tool?
AUDIT
What second generation Pysch medication has an increased risk of gynecomastia and elevated prolactin?
Risperidone
What psych condition is a condition marked by behavioral symptoms such as stress and sadness beginning within 3 months of an identifiable stressor?
Adjustment Disorder
Inability to move, rigidity, mutism, usually an underlying Psych disorder, what am I?
What is the Tx?
Malignant Catatonia
Benzo or Electro Convulsive Therapy
Dysautonomia, Fever, Mental Status Change, Rigidity, patient is from a psych facility. What is the most likely diagnosis?
NMS Neuromuscular Malignant Syndrome
Tx: ICU care, supportive care
What disorder can cause tremor, hyperreflexia, and myoclonus? Patient and medications are the hint
Serotonin Syndrome, usually too much of an anti-depressant
What are two ways to differentiate between NMS and Serotonin Syndrome?
1) Time Onset -> NMS onset is over a few days even weeks, Serotonin Syndrome is usually 24 hours
2) Physical Exam -> NMS patients have a sluggish response, rigidity and bradycardia, Serotonin syndrome patients have tremor, hyperreflexia, and myoclonus
Patient has a surgery done, afterwards, the patient has rigid muscles, tachycardia, hyperthermia, and acidosis. What could this be? Tx?
Malignant Hyperthermia
Tx: Dantrolene
