Psychiatric Emegencies Flashcards
0
Q
Management of acute confusion
A
- Restraint and seclusion
- Oral Haloperidol 5mg +- lorazepam or olanzepine (5-10mg)
- IM same as above
1
Q
What can occur with antipsychotics and delirium.
A
Can precipitate it
2
Q
Fatal side effect of antipsychotic?
A
Neuroleptic malignant syndrome
3
Q
What can nms be due to?
A
Recent dose increase Typicals Dose reduction Dehydration Organic brain damage Alcoholism
4
Q
MAJOR Symptoms of NMS
A
Fever
Rigidity
Raised CK
5
Q
MINOR symptoms of nms
A
Tachy Raised BP Tachypnoea Diaphoresis Altered consciousness Leucocytosis
6
Q
Treatment of nms
A
Withdraw AP BDZ + sedation Rehydrate Atypical ventilation Dopamine agonists (bromocriptine/L-dopa) Muscle relaxant (dantrolene)
7
Q
Risks of restarting AP after NMS
A
63% recurrence
Use atypicals
Avoid depot
Close obs
8
Q
Management of acute mania
A
Investigate for organic causes
Stop antidepressants
BDZ, Lithium, olanzepine
