Psychiatry Flashcards
A woman who presents with dilated pupils, sinus tachycardia, HYPOTENSION, dry mucous membranes is suspicious for …
To avoid cardiac toxicity what do you treat with?
TCA poisoning. Hypotension due to TCA alpha 1 adrenergic receptor blocking and other effects due to anti-cholinergic side effects. Note that TCA’s are associated with coma, convulsions, and cardiac toxicity.
Treat with sodium bicarbonate – to prevent arrhythmias. Sodium bicarbonate acts as an antidote by alkalinizing the plasma.
What is the appropriate treatment for acute dystonia -- oculogyric crisis, sustained involuntary muscle spasms? What class of drugs causes this reaction
Treatment: Benztropine (anti-cholinergic).
Caused by high potency typical anti-psychotic.
The nigrostriatal dopaminergic pathway is implicated in…
The mesocortical and mesolimbic pathways are implicated in…
Parkinson’s – Nigrostriatal
Schizophrenia - mesolimbic (positive symptoms) and mesocortical (negative symptoms)
What is the most common side effect of an SSRI?
GI upset
