Psychosis Flashcards
List 4 (out of 11) organic causes of psychosis
- Acute confusion
- Dementia
- Temporal lobe epilepsy
- Infections of the nervous system eg AIDs, neurosyphilis, encephalitis
- Brain injury
- Brain tumours
- Huntington’s disease
- Metabolic disorders eg Vit B12 deficiency, porphyria
- Endocrine disorders eg Cushing’s syndrome, thyroid disease
- Medication effects eg high dose steroids
- Autoimmune disorders eg lupus, thyroid disease
What is the Oxford English Dictionary definition of ‘Psychosis’?
“a severe mental disorder in which thought and emotions are so impaired that contact is lost with external reality”
What treatments are first line for treatment of first presentation psychosis?
- Antipsychotics
- CBT
What are 3 (out of 5) common side effects of antipsychotics?
- Metabolic - weight gain, diabetes, hyperlipidaemia
- Sedation
- Extrapyramidal
- CVS (prolonged QTc)
- Hormonal (Hyperprolactinaemia)
What NICE guidance is available about the monitoring requirements needed when patients are on antipsychotics?
- Weight
- Waist circumference
- Pulse and BP
- Fasting blood glucose and HbA1c
- Blood lipids
- Prolactin levels
- Movement disorder assessments
- Assessment of nutritional status
- ECG
What is the duration of the following MHA section; 135?
Can be used once
What is the duration of the following MHA section; 136?
Can be used once
What is the duration of the following MHA section; 2?
Up to 28 days
What is the duration of the following MHA section; 3?
6 months
What is the duration of the following MHA section; 4?
72 hours
What is the duration of the following MHA section; 5(2)?
72 hours
What is the duration of the following MHA section; 5(4)?
6 hours
Give a description of the following MHA section; 135
Warrant to gain access to premises to remove the patient to a place of safety
Give a description of the following MHA section; 136
Allows police to remove a person from a public place to a place of safety
Give a description of the following MHA section; 2
Admission for assessment
Give a description of the following MHA section; 3
Admission for treatment
Give a description of the following MHA section; 4
Emergency admission for assessment
Give a description of the following MHA section; 5(2)
Emergency holding order (patient already admitted to hospital on an informal basis)
Give a description of the following MHA section; 5(4)
Emergency holding order (patient already admitted to hospital on an informal basis)
What treatment is required when someone is placed under the MHA section 135?
Does not allow for treatment
What treatment is required when someone is placed under the MHA section 136?
Does not allow treatment
What treatment is required when someone is placed under the MHA section 2?
Treatment can be given for the mental disorder itself or conditions directly resulting from the disorder
What treatment is required when someone is placed under the MHA section 3?
Treatment can be given for the first 3 months, then consent is required or a second opinion
What treatment is required when someone is placed under the MHA section 4?
Treatment can only be given under common law
What treatment is required when someone is placed under the MHA section 5(2)?
Treatment can only be given under common law
What treatment is required when someone is placed under the MHA section 5(4)?
Treatment can only be given under common law
Who must apply/recommend the use of MHA section 135?
- 1 Doctor
- 1 AMHP
- Police
Who must apply/recommend the use of MHA section 136?
Police power, police will remain in attendance until further assessment is arranged
Who must apply/recommend the use of MHA section 2?
- AMHP or nearest relative
- Recommendation by 2 doctors (at least 1 must be section 12 approved)
Who must apply/recommend the use of MHA section 3?
- AMHP or nearest relative
- Recommendation by 2 doctors (at least 1 must be section 12 approved)
Who must apply/recommend the use of MHA section 4?
- Application by AMHP or nearest relative
- Recommendation by any doctor
Who must apply/recommend the use of MHA section 5(2)?
Recommendation from the doctor or approved clinician in charge of the patients care or their nominated deputy
Who must apply/recommend the use of MHA section 5(4)?
Recommendation from registered nurse
Who can discharge/renew the MHA section 2?
Patient can appeal to a tribunal, can be discharged by the responsible clinician, hospital manager or nearest relative
Which MHA sections do not allow a patient to appeal?
- 4
- 5(2)
- 5(4)
