Psychiatric clinical perles leik Flashcards
what is the difference between major depression and minor depression
fewer symptoms -at least two but less than 5
Sign - E - Caps Mnemonic:
sleep
interest
guild
energy
concentration
appetite
psychomotor
suicide
labs: needed for depression
CBC, TSH, folate ,vitamin b12, UA
Bipolar is characterized by
mood instability, cycles of mania, depression
peak incidence of bipolar is
14 - 30
bipolar one
expeirences episodes of mania
bipolar two exxperience
hypomanic episode - less severse than manic episode
anorexic patinets have a higher risk of
osteopenia/osteoprosis
Wellbutrin (bupropion) is contraindicated in what patients
anorexic, bulimics and pts who have seizures
which SSRI has the shortest half life
paxil
with paxil pts need to be
weaned off slowly
a common side effect of paxil is
ED
TCAs are also used for
migraine headached and herpetic neuralgia
what are some TCAs
elavil
pamelor
sinequn
do not combine SSRIS and
MAO’s should be 14 days in between doses
what are some atypical antidepressants
bupropion (Wellbutrin)
buprioprion (zyban)
SSRI’s are indicated for
chronic anxiety disorders (social and panic)
Physical abuse cases another provider should
be in the room
bupropion is used to treat
major depression, seasonal affective disorder, smoking cessation
Female athlete triad is
amenorrhea, low bone mass, low BMI
lone CGT elevation can be a sign of
occult alcohol abuse
AST/ALT ration of 2:0 or higher is more likely in
alcoholism
Korskoff syndrome is caused by
chronic thiamine deficiency
what is the black box warning for SSRI’s
may increase the risk of suicide in <24yrs old
with paxil do not
stop abruptly wean off
black box warning for atypical antidepressants
contraindicated in seizure disorders, anorexia, bulimia
Bupropion (zyban) used for
for smoking cessation
SNRI black box warning do not use in pts with
acute angle glaucoma
anticholinergic use in caution with
Urinary retention (BPH), narrow - angle gaoucma
kava and valerian root are both used for
anxiety and insomnia
