Psychiatry Flashcards
what anti-psychotic can be used in pregnancy?
olanzapine
what anti-depressant is licenced for use in children
fluoxetine
what are the absolute contraindications to ECT?
- MI within the last 3 monhts
- recent stroke/TIA
- intracranial lesion
- pheochromocytoma
what is the diagnostic criteria for anorexia nervosa
- BMI <17
- self induced weight loss
- fear of fatness
amenorrhoea - body image disturbance
what features make someone high risk with anorexia nervosa
- BMI <13 with weight loss more than 1kg per week
- prolonged QT, HR<40, BP <80
- temp <34
- unable to rise from squat without arms for leverage
cognitive impairment
What are the PTSD criteria
- traumatic event + 1 intrusive symptom + 2 increased arousal symptoms + 3 avoidance symptoms
what is the management for PTSD
- CBT or eye movement desensitisation and reprocessing
when can you diagnose PTSD?
4 weeks
what are examples of SSRIs
fluoxetine, sertraline, citalopram
what are examples of SNRIs
venlafaxine, dluloxetine
what are examples of tricyclics
amitriptyline, imipramine, doselupin
what are examples of monoamine oxidase inhibitors
phenalzine - irreversible
meclobamide - reversible
what are examples of typical antipsychotics?
- haloperidol, chlorpromazine
what are examples of atypical antipsychotics?
-olanzapine, risperidone, quetiapine, clozapine, aripiprazole
what are the 4 key side effects of typical antipsychotics?
- acute dystonic reaction (spasms that present hours to days within starting med)
- parkinsonism ( days-months)
- akathisia (restless legs)
- tardive dyskinesia (orofacial twitches/ movements years after starting drug)
what are side effects of clozapine
- agranulocytosis
- myocarditis
- paralytic ileus
what is an emergency detention order?
- 72 hour assessment
- no treatment authorised
- FY2 or above
what is a short term detention order?
- up to 28 days for assessment/treatment
- approved medical practitioner plus mental health officer
- right of appeal
what is a compulsory treatment order
- initially up to 6 months
- mental health disorder present
- mandatory tribunal
treatment authorised
what is an advanced statement?
patient writes what they wish to happen in terms of illness. Must be witnessed, dated and signed when the person is well. Can be overruled