Psychiatric and Behavioral Disorders Flashcards

1
Q

Consider offering ___ or olanazapine (Zyprexa) ODT 10 mg for
severe agitation or anxiety

A

alprazolam (Xanax) 0.25 mg

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2
Q

If Broset is greater than___ or verbal, physical threats or attacks on objects, then
physical restraint procedure MUST be initiated unless sedated to RASS of +1 or less.

A

3

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3
Q

What does RASS stand for

A

Richmond Agitation Sedation Score

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4
Q

If RASS score is ≥+2, attempt to determine cause of agitation (i.e. drug or alcohol
intoxication or withdrawal, medical or psychiatric problem) and consider ___

A

oral benzodiazepine or oral antipsychotic

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5
Q

Repeat RASS score every __ minutes and at patient hand off to hospital.
Goal is RASS score of 0 to -1

A

10

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6
Q

Haloperidol may cause postural hypotension, tachycardia, and acute ___

A

dystonic reactions

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7
Q

Ziprasidone or haloperidol may induce ___ in patients with history of
prolonged QT or patients taking QT-prolonging drugs.

A

Torsades de Pointes

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8
Q

Ziprasidone or haloperidol is preferred for patients with known psychiatric disorders.
___ is preferred for patients who are known or suspected to be under the influence
of stimulants or other intoxicants, who are in withdrawal, or who are postictal.

A

Midazolam

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9
Q

RASS score ranges from 4 to -5. Describe 4 and three

A

4: Overtly combative to EMS. Dangerous to EMS
3:Verbal and physical uncooperative towards EMS

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