Psychology Flashcards
Paranoid personality disorder
Lack of trust, hypersensitive, overly suspicious
Men
Schizotypal personality disorder
Discomfort with relationships, eccentric, odd beliefs, odd speech
Absence of psychosis
Antisocial Personality Disorder
Disregard for others since age 15
Lying, aggressive, fights
Lack of remorse
At least 18 years old
Borderline personality disorder
Instability of mood, self image, relationships Unstable, intense relationships Efforts to avoid abandonment Women Self harm is common
Histrionic personality disorder
Attention seeking behavior
Dresses seductively
Signs and sx of anorexia-nervosa
Dry skin (xerosis), cardiac murmur (mvp), lanugo hair, cold intolerance, blue hands/feet, constipation, orthostatic hypotension, amenorrhea, osteopenia, bradycardia will look like ADDISONS
Russell’s Sign
Bite marks on dorsum of hand due to gagging in bulimia
Bulimia has hypokalemia
Female athlete triad
Eating disorder
Stress fracture/osteoporosis
Amenorrhea
Do not treat with NSAIDs
Serotonin syndrome treatment and drug to avoid
AVOID acetaminophen
DC serotonergic agent: SSRI, SNRI, regale, Zovirax, at johns wort, Wellbutrin, lithium, cocaine, tryptans
Tx with benzo lorazepam
Bipolar I
At least 1 manic episode with or without major depression. Depression is usually present more than mania (manic episode lasts at least 1 week, grandiose, no sleep, flight of ideas, etc)
Bipolar II
At least one episode of depression
at least one hypomanic episode (lack of social/cognitive impairment)
NO HISTORY of mania
Cyclothymia
numerous periods of hypomania and depression for at least 2 years that switch off
Bipolar treatment
Lithium
Valproate (Depakote)
Carbamezapine (Tegretol)…Leukocytopenia
Atypicals (Risperidone, Seroquel, Zyprexa, Geodon)
Atypical Antipsycotic that causes agranuloctyosis (need constant WBC count)
Clozapine (Clozaril)
Cogentin
Used to trat EPS side effects
anticholinergic
helps re-establish relationship between dopamine and acetylcholine
Atypical antipsycotics
Seroquel
Olanzapine (Zyprexa): WEIGHT GAIN, diabetes
Risperdal (good in elderly, least to cause weight gain
Clozapine (Clozaril)- agranulocytosis
Geodon
Abilify
SSRIs safe in children
Fluoxetine (Prozac) 8 yo- long half life (also used to tx. panic attacks)
Escitalopram (Lexapro) 12 yo
Schizophrenia
need to have sx for at least 1 month of delusions, hallucinations (positive sx) , disorganized speech, catatonic behavior, negative sx (flat affect, alogia, poor grooming, anhedonia)
Tx with 1-2 mg Lorazepam (Ativan)
Schizoaffective Disorder
Mood disorder with psychotic features. Psychosis can occur without mood disturbances. Delusions or hallucinations occur in the absence of depression for more than 2 weeks
Brief Psychotic disorder
psychotic symptoms with sudden onset and full remission within one month ( more than 1 day less than 1 month)
Delusional disorder
one or more delusions over a month. Lack of impairment in functioning. Lack of manic episodes or depression.
Schizophreniform disorder
Schizophrenia at least one month but no more than 6 months. Impaired social and occupational functioning but not required like with schizophrenia.
Meds for trouble getting to sleep
Ambien
Sonata
Meds for trouble maintaining sleep
Lunesta
Restless leg syndrome treatment
Iron Supplementation
Requip- dopamine agonist
Gabapentin
Wernicke Encephalopathy
caused by thiamine deficiency.
gait ataxia, confusion, ocular abnormalities
Tx with 500mg IV thiamine 2 days and 250 mg IV thiamine 5 days
Korsakoff syndrome
chronic condidtion
tx with PO thiamine
impaired memory and anterograde amnesia
Cocaine intoxication
tachycardia, pupil dilation (mydriasis), diaphoresis, nausea
Opioid Toxicity
Depressed mental status Decreased RR Decreased Tidal Volume Decreased HR hypotension hypothermia Constricted (Miotic) pupils
Opioid Toxicity Antecdote
Naloxone (Narcan) to increase respirations
Dysthimic disorder
chronic depression where sx are milder and last more than 2 years (major depression is loss of interest in activities, vegetative state etc for more than 2 weeks)
Antidote for Benzodiazapine OD
Flumazenil (Romazicon)
Vomiting should be induced with gastric lavage and activated charcoal in pt who is not comatose
Axis Dx.
I: acute sx that need tx (mood disorders, schizophrenia, depression, panic attack, etc)
II: Personality disorders and intellectual disability (retardation, learning disability, OCPD)
III: Medical disorder relevant to problems (kidney failure, diabetes)
IV: Psychosocial disorder (Divorce, homeless)
V: Global assessment functioning (0-100)
