Psychiatric Emergencies

Question 1

Management of agitation and violence in psychiatry

Answer 1

1.De-escalation, timeout, placement
2.oral treatment:
3. Im treatment
4. IV treatment
5. Expert advice

Question 2

Treatment of Dystonia caused by antipsychotics

Answer 2

Anticholinergics

Question 3

Treatment of akathesia caused by antipsychotics

Answer 3

• low-dose propranolol 30–80mg/day
• clonazepam (low dose)

Question 4

What are the antipsychotics that can be used in a case of previois neuroleptic malignant syndrome

Answer 4

Quetiapine or clozapine

Question 5

Treatment of catatonia caused by antipsychotics

Answer 5

Benzodiazepines
ECT

Question 6

Lithium level in blood that is indicative of mild to moderate Lithium toxicity

Answer 6

1.5–2.0 mEq/L)

Question 7

Lithium level in blood that is indicative of moderate to severe Lithium toxicity

Answer 7

2.0 to 2.5 m. eq. /L

Question 8

Lithium level in blood that is indicative of severe Lithium toxicity

Answer 8

> 2.5 meq. /L

Question 9

Treatment of Lithium toxicity

Answer 9

Emesis, gastric lavage, and absorption with sodium polystyrene sulfonate or
polyethylene glycol solution
. For any patient with a serum lithium level greater than 4.0 mEq/L,
hemodialysis

Question 10

Treatment of benzodiazepines toxicity

Answer 10

Flumazenil

Question 11

Treatment of serotonin syndrome

Answer 11

Benzodiazepines

Question 12

Pharmacotherapy of panic attacks

Answer 12

Benzodiazepines

Question 13

Psychopharmacolpgy of suicide

Answer 13

Benzodiazepines : for a short duration may reduce risk by treating anxiety.
• Lithium: having an anti suicide effect.
• Clozapine: reducing suicidality in schizophrenia and schizoaffective
disorders.
• Antidepressants