questions Flashcards
management of bipolar
first line acutely: antipsychotics (olanzapine, quetiapine, risperidone)
also: lithium, valproate. carbamazepine, ECT
difference between bipolar 1 and 2
bipolar 1: mania
bipolar 2: depression with episode of hypomania
what causes serotonin syndrome
excess of serotonin in the synaptic cleft
- most commonly caused by taking SSRI and MAOI
- st johns wort and SSRI can cause it too
presentation of serotonin syndrome (triad)
neuromuscular excitation: hyperreflexia, clonus, myoclonus
altered mental state: delirium, agitation, insomnia
autonomic dysregulation: tachycardia, high temp, shivering, sweating, diarrhoea
treatment of serotonin syndrome
benzodiazepines for agititation
if severe ventilation and sedation
cyproheptadine may be used
excessive displays of emotions and attention seeking behaviours
sexually inappropriate
denial of accusations
histrionic personality disorder
presentation of baby blues
first 7 days usually
mood swings
low mood
anxiety
irritability
tearfulness
difference between baby blues and post natal depression
post natal depression > 2 weeks and women are affected around 3 months post birth
treatment of post partum depression
CBT
SSRI + CBT
CBT + SSRI + specialist perinatal psychiatry team
screening tool for postnatal depression
edinburgh postnatal depression scale
which psychiatric medications must be avoided in pregnancy
lithium- ebstiens anomaly
sodium valproate- neural tube
carbamazepine- congenital malformations
which anti-depressants are excreted in breast milk
all of them
SSRI and tricyclics show lower levels
- not fluoxetine
can still take them just monitor baby
buzzwords for vascular dementia
abrupt onset
step wise decline
side effect of memantine
constipation
physiological abnormalities in anorexia
hypokalaemia
low FSH/LH oestrogen and testosterone
raised cortisol and growth hormone
impaired glucose tolerance
hypercholesterolaemia
low T3
