Psychiatric Emergencies Flashcards
what is DEFCON level 5
normal peacetime
example: typical psych pt seeking care for suicidal ideation, increaseed anxiety, med managment
what is DEFCON 4
increase intelligence and security
ex. intoxicated, suicidal. cant go home but does not want to be here
What is DEFCON 3
air force ready to mobilize in 15 minutes
ex. pt with hx of schizo actively hallucinating. Non-violent but concern for flight risk
What is DEFCON 2
armed forces ready to deploy and engage in 6 hours
ex. pt that is clearly escalating, fidgeting, pacing. may be hallucinating, watching staff.
what is DEFCON 1
nuclear war imminent
ex. pt brough by PD after witnessed psychotic episode with continued violence
night night
what is the treatment of acute psychosis
antipsychotic +/- Benzos
what is the treatment of anxiety
MH eval, F/u place
Lorazepam PO/IV/IM
antipsychotics (haloperidol)
Hydroxizine PO/IV/IM
what is the treatment of bipolar
when manic/hypomanic, can use lithium, valoprate or risperidone
what are bipolar patients at high risk for
Suicidal Ideation
what is the BATHE technique
Background: whats goin on in life?
Affect: how do you feel about that?
Trouble: what troubles you the most about this?
Handling: how are you handling that?
Empathy: that must be very difficult for you
When does Schizophrenia typically present
Adolescents through 20s
what is the treatment of schizophrenia
try to keep calm
assess for risk to themselves/others
mental health consult
antipsychotics (Olanzapine, haloperidol)
Benzos
