PSYCHIATRIC MEDS

Question 1

serotonin syndrome

Answer 1

cyproheptadine (5-HT2

receptor antagonist)

Question 2

hypertensive crisis

Answer 2

phentolamine

Question 3

neuroleptic malignant

syndrome

Answer 3

dantrolene, dopamine
agonist (eg, bromocriptine),
discontinue causative agent

Question 4

delirium tremens

Answer 4

benzodiazepines (eg,
chlordiazepoxide, lorazepam,
diazepam)

Question 5

acute dystonia

Answer 5

benztropine or

diphenhydramine

Question 6

lithium toxicity

Answer 6

discontinue lithium, hydrate
aggressively with isotonic
sodium chloride, consider
hemodialysis

Question 7

tricyclic
antidepressant
toxicity

Answer 7

supportive treatment, monitor ECG, NaHCO3

(prevents arrhythmia), activated charcoal

Question 8

alcohol

Answer 8

benzodiazepines.

Question 9

barbiturates

Answer 9

symptom management

eg, assist respiration, BP

Question 10

benzodiazepines

Answer 10

flumazenil (benzodiazepine receptor antagonist, but

rarely used as it can precipitate seizures).

Question 11

opioids

Answer 11

naloxone

Question 12

amphetamines

Answer 12

benzodiazepines for agitation and seizures.

Question 13

cocaine

Answer 13

benzodiazepines;
consider mixed α-/β-blocker (eg, labetalol) for
hypertension and tachycardia. Pure β-blocker
usage is controversial as a first-line therapy.