Psychiatry Flashcards
What drug is prescribed for Extra pyramidal side effects in anti psychotic therapy?
Procyclidine
SE of treatment with procyclidine?
Tardive dyskinesia
Illusion
An instance of a wrong or misinterpreted perception of a sensory experience.
Hallucination
A sensory experience that is experienced completely within a person’s mind. Appear to be real to them.
Over-valued idea
A false or exaggerated and sustained belief that is maintained with much less than delusional intensity (i.e. the individual is able to acknowledge the possibility that the ideas may not be true).
What drug can be used to alleviate alcohol withdrawal symptoms?
Chlordiazepoxide
Aversive drug management of Alcohol detox maintenance?
Disulfiram
What enzyme does Disulfiram target- what is the net effect?
Acetaldehyde dehydrogenase (ALDH)
What condition is DBT particularly effective in treating?
EUPD (PD)
For what condition would you use EDMR?
PTSD
What percentage of 5-19 year olds experience MH issues?
12.8%
What proportion of the UK population experience a MH issue each year?
1/4
What is the % of lifetime prominent MH issues that will have arisen by the age of 14?
50%
What is the % of lifetime prominent MH issues that will have arisen by the age of mid 20’s?
75%
How much shorter is the life expectancy of a patient with a severe disorder?
10-25 years
What is primary prevention? Give a psych example
Preventing an issue from occurring in the first place, 5 days to well being, time to talk day
What is secondary prevention?
Intervene early/before the issue starts to resolve it
What is tertiary prevention?
Ensure an ongoing issue is well managed to prevent any ongoing harm and to manage any crisis that occur
What medication can be used to treat Serotonin syndrome?
Cyproheptadine
What medications can be used to treat NMS?
- Lorazepam for muscle rigidity
- Dantrolene to regulate the temperature
- Bromocriptine removes the dopamine blockade
Which SSRI can you use in treatment of bulimia nerves?
Fluoxetine (best at reducing carb seeking behaviour)
Which TCA would you use when treating OCD?
Clomipramine
SSRI SE:
Gastrointestinal disturbance (nausea, vomiting,
diarrhoea, pain) – early*
Anxiety and agitation – early*
Loss of appetite and weight loss (sometimes
weight gain)
Insomnia
Sweating
Sexual dysfunction (anorgasmia, delayed ejaculation)
What are the CI for TCAs?
o Recent MI o Arrythmia o Severe liver disease o Mania o PMHx of OD
What 4 sets of SE can you get with TCAs?
Anticholinergic (dry eyes, constipation, urinary retention, blurred vision)
Adrenergic (post hypotension)
Histaminergic (weight gain and sleepy)
Cardiotoxic (QT prolonged, ST elevated, HB, arrythmia)
Give an example of a RIMA
Moclobemide
Contraception post birth?
- 21 days non needed
- Breast feeding can be effective contraception in itself- need to be properly breast feeding and have ammenorhoea
- Remember that the combined pill should not be started before six weeks after childbirth in women that are breastfeeding. The progesterone-only pill or implant can be started any time after birth
- Coil/mirena within 48 hrs of birth or over 4 weeks
Signs and symptoms of endometritis?
o Foul smelling discharge or lochia o Bleeding that gets heavier or does not improve with time o Lower abdo or pelvic pain o Fever o Sepsis
