Psychiatric Emergencies Flashcards
When would you hospitalize a patient?
it the pose a threat to themselves or to another
who is most likely to commit suicide? who is most likely to attempt? why is there a difference?
commit- men and adolecents
attempt - females and elderly
men use more lethal methods and get the job done, females do it partly for attention
Is there a correlation between fhx and suicide?
yes if its present in the past have to consider it now
What do we need to evaluate in a suicidal patient? how?
is it eminent, assess risk
see if there is a plan, if it is eminent, are the planning for their future, were there previous attempts? self mutilation?
what is the scale for assessing risk of suicide?
SAD PERSONS: Ses Age Depression Previous attempt Ethanol abuse Rational thinking loss Social support lacking Organized plan No spouse Sickness
When do we hospitalize a patient when we are concerned of suicide?
no social support
hx of previous attempts/self mutilation/impulsive behavior
plan
When do we Baker Act?
if patient is a serious danger to self or others or if they are likely to suffer from neglect if current behavior continues
what is dystonia?
se of anti-psych drugs, involuntary muscle contraction of tongue, neck, eyes or back
LIFE THREATENING if it evolves to laryngeal spasm
When would one get dystonia?
first starting med or when increasing does
how do we treat dystonia?
congentin, benadryl, ativan/valium
what is neuroleptic malignant syndrome?
anti-psych med induced, LIFE THREATENING, severe muscle rigidity, high temp, tremor, mutism, tachy, increased BP, dysphagia
How do we treat neuroleptic malignant syndrome?
supportive care, dantrolene
