Psychiatry Flashcards
signs and sx of TCA overdose, management
anticholindergic, cardiotoxicity, CNS toxicity
sodium bicarb
side effects of atypical antipsychotics
wt gain, DM
tx for nephrogenic diabetes insipidus caused by lithium tox
HCTZ
amiloride
tx of acute dystonia
benztropine
tx of tardive dyskinesia
stop neuroleptic, try atypical
antidepressant avoided in patient with risk for sz
bupropion
dx of mood disturbances while psychotic and periods of psychosis with normal affect
schizoaffective disorder
first line therapy for depression
SSRI
NT changes in depression
decreased NE, 5HT, dopamine
depression symptoms
SIG E CAPS
sleep disturbance loss of interest increased guilt decreased energy impaired concentration appetite changes psychomotor changes SI
MDD duration
2 weeks
length of time for SSRI to work
3-4 weeks
antipsych meds
- priapism
- lowers sz threshold and smoking cessation use
- appetite stim results in wt gain
- works with SSRI and incr REM sleep
- used in children for bedwetting
- trazodone
- bupropion
- mirtazapine
- trazodone
- imipramine
sx of serotonin syndrome
autonomic instability
increased movements
AMS
drug of choice in bipolar disorder with renal failure
anticonvulsants (valproic acid, carbamazepine)
congenital malformation with lithium
ebstein anomaly
length of time for anxiety and worry symptoms for generalized anxiety disorder
6 months
tx of acute dystonia
tx of tardive dyskinesa
tx of NMS
benztropine
d/c drug, switch to less EPS
dantroline
most serious side effect of clozapine
agranulocytosis
medical conditions causing depression
hypothyroid hyperparathyroid parkinson storke CNS neoplasm pancreatic CA
drug of choice for alcohol withdrawal
benzos
pathognomonic feature of PCP
belligerence and horizontal/vertical nystagmus
drug used in HTN in patient with cocaine/amphetamine intoxication
phentolamine, benzo
metabolic lab abnormalities in patient with vomiting/purging
hypochloremic metabolic alkalosis, increased amylase
length of times sx of PTSD for diagnosis
1 month
tx of NMS
dantrolene
three reasons for involuntary psychiatric hospitalizatyion
harm self
harm others
gravely disabled
tx of depression with neuropathic pain
duloxetine
medications for tourette syndrome
fluphenazine, pimozide, tetrabenazine
2 concerning side effects of atomoxetine
suicidal ideation
liver injury
bipolar pt treated with mood stabilizer has depression, tx?
atypical antipsych
