PSYCHIATRY AND ETHICS Flashcards
LET’S PARTY
SUBSTANCE INDUCE MOOD DISORDER BIPOLAR I CYCLOTHYMIC DISORDER PSYCOTHIC DISORDER BRIEF, SCHIZOAFFECTIVE, SCHIZOPHRENIA HYPERTHYROIDISM
BIP I SINGLE MANIA W OR W/O DEP
BIP II MDD + AT LEAS T 1 HYPO MANIA
BIPOLAR W/ MOST RECENT EPISODE MAN OR DEP
IWU:
TOXICOLOGY
TSH
FM:
HOSPITALIZE ANTIPSICHOTICS INITIALLY
LITHIUM
FU:
LITHIUM TOXICITY:
LITHIUM BLOOD
UA
LYTES
TSH
COUNSEL MEDICATION ADHERENCE
FAMILY
I’M HAVING A HEART ATTACK!!!
PA W OR W/O AGORAPHOBIA
DZ X
PANIC ATTACK INTOXICATION GAD SUPRA VENTRICULAR TKC HYPOGLYCEMIA HYPERTHYROIDISM
IWU:
EKG TOXICOLOGY CBC TSH BLOOD GLUCOSE
ACUTE INTERVENTION BZD - EX ALPRAZOLAM
FM LONG TERM MGMT SSRI -SNRI -TRYCICLICS -IMAO LOWER DX THAN ANTI DEPRESSIVE CBT - PSYCHOTHERAPY TO ADDRESS UNDERLYING ISSUES
HE DESERVE TO BE PUNCHED FOR THE WAY HE WAS TALKING ABOUT ME!
DZ X BRIEF PSYCHOTIC PARANOID PERSONALITY DISORDER SUBSTANCE INDUCED DELUSIONAL
IM:
U TOXICOLOGY SCREEN
HOSPITALIZE DANGEROUS TO OTHER
IDENTIFY SOCIAL SUPPORT SUCH AS FAMILY
ADJUNCT PSYCHOSOCIAL THERAPY
PHARMAC:
1 ST LINE ATYPICAL OLANZAPINE,RISPERIDONE
INTERVENTION CRISIS HALOPERIDOL
FU:
SIDE EFFECTS OF ANTI 5HT2, D2 MEDS
CBC
OGT
WT GAIN
LIPID….
NAUSEA AND MUSCLE CRAMPS TWO DAYS AFTER SURGERY
DZ X
OPIATE WITHDRAWAL PILO-ERECTION LACRIMATION STUFFY NOSE DIARRHEA ….. UN OPPOSED MU R/….
OPIATE DEPENDENCE CHRONIC MALADAPTIVE PATTERN TOLERANCE DESIRE TO CUT SOCIAL OCCUPATIONAL IMPAIRMENT…..
POLY SUBSTANCE DEPENDENCE 3/ 12 MOS
IWU:
TOXICOLOGY SCREEN
IM:
METHADONE
I’M WORRIED ABOUT THE CLEANSES AND SAFETY OF MY FOOD
OCD BEHAVIO TX SSRI
OCPD BEHAVIORAL TX
DELUSIONAL ANTI D2
PHOBIA: BEHAV FLOODING DESENSITIZATION
IM:
SSRI OR CLOMIPRAMINE
FM:
BEHAVIORAL THERAPY
I CAN NOT LONGER HANDLE MY DIFFICULT SON
3/4 BEHAVIORS
1 AT LEAST X 6 MOS
AGGRESSIVE CRUELTY
DESTRUCTION PROPERTIES
INDECENCY THEFT
VIOLATION SEVERE OF RULES
ODD
CONDUCT D
MANIA
ADJUSTMENT
IM:
CLINICAL INTERVIEW BOY
CLINICAL INTERVIEW MOTHER
FM:
INDIVIDUAL THERAPY RELATIONSHIP AND THERAPEUTIC ALLIANCE
THEN BEHAVIORAL MOD COGNITIVE RESTRUCTURING
TO CHANGE BEHAVIOR
MY HEART SKIPPED A BEAT
BINGE / PURGING
IWU:
NA K BUN / CREATININE GLUCOSE EKG
IM:
ADMIT TO AVOID FURTHER COMPLICATIONS
CLINICAL INTERVIEW
FM:
BECK DEPRESSION INVENTORY
FAMILY THERAPY W/ BEHAVIORAL MODIFICATIONS
SOME IMPROVEMENT WITH SSRI
DZ X
CONVERSION DISORDER
OPHTHALMIC DISORDER
MALINGERING
SOMATIZATION DISORDER
IM:
NEUROLOGY
OPHTHALMOLOGY
NORMAL CORTICAL EVOKED POTENTIAL
FM:
SPONTANEOUS RESOLUTION
INDIVIDUAL PSYCHOTHERAPY
CP. 25 YO
PE: HBP
DEPENDENCE = TOLERANCE / WITHDRAWAL + COMPULSIVE ADMINISTRATION
IWU:
EKG
U TOXICOLOGY
FM:
REHABILITATION UNIT
MAY NEED B BLOCKERS
I WANT TO QUIT SMOKING
DZX
OTHER SUBSTANCE
NICOTINE DEPENDENCE
IWU:
CXR U TOXICOLOGY FM: PATCHES OR INHALERS TAPER 3 WK BUPROPION NRT- VARENCICLINE
EDUCATION:
SMOKING CESSATION GROUPS
EMERGENCY EXCEPTION TO INFORM REFUSAL OF THERAPY
COMPETENCE: LEGAL
CAPACITY: MEDICAL
LEGALLY COMPETENT - LIFE THREATENING AND LACKS THE CAPACITY TO DECIDE OVERRIDE REFUSAL OF LIFE SAVING THERAPY
IF PT LEGALLY COMPETENT - HAS CAPACITY - LIFE THREATENING EVEN LIFE SAVING THERAPY MOST BE REFUSED
