Random notes Flashcards
Best treatment for psychotic symptoms of Catanoia
Benzos
What is the first line therapy for acute dystonic reaction?
IV Benadryl 50mg
Taking what two medications can increase the risk of QT prolongation
Effexor and Haldol
When prescribing TCAs to patients, what medical condition is contraindicated for this type of treatment?
Hepatic impairment since TCAs are metabolized by the liver
GEM
Grief evaluation measurement tool is used to assess for complicated grief symptoms in a mourning adult
Other than neuroleptics, what other class of medications can cause epse (extrapyramidal side effects)?
Anti-emetics, anti-malarial, anticonvulsants, serotogenic agents, and stimulants
Maternal smoking and alcohol use during pregnancy
Has shown a strong correlation to increased aggression in childhood and adolescence
opioid antagonist used to treat alcohol use disorder. It is FDA-approved for alcohol use disorder.
Naltrexone
used to differentiate psychogenic non-epileptic seizures from epileptic seizures.
Video electroencephalography
Present in the third decade of life, are more common in females than males, and are not due to physiological disability to CNS
psychogenic non-epileptic seizures
What is the recommended first-line treatment of undifferentiated agitated delirium
Benzos with the option of Ketamine as adjunctive therapy if benzos are ineffective and the patient is not hypertensive
Presents with sedation, coma, anticholinergic effects, seizures, dilated pupils, blurry vision, confusion, and arrhythmias
TCA overdose
Tinnitus is most strongly correlated with which mental health condition?
Anxiety
Sodium Bicarbonate
Treatment for TCA overdose
What is the most common emergency caused by marijuana ingestion?
Panic attack
Phencyclidine (PCP)
A.K.A Angel dust is a potent hallucinogen
NDMA receptor antagonist that behavioral effects resemble schizophrenia
PCP
Include rage, reddish skin, dilated pupils, nystagmus, and excitation
PCP ingestion
Best drug for methylphenidate poisoning
Benzos
Has serotonergic activity and has the potential to causes serotonin syndrome but is considered an analgesic
Tramadol
Cause anovulation and irregular menses in females due to decreased FSH
Increased Prolactin levels
Most common age group is for fibromyalgia
females 20-55 years old
Medication FDA approved to treat adult depressive disorders and aid in smoking cessation
Bupropion (Wellbutrin)
Echolalia is considered a disorder after what age?
After 3 years of age
Commonly presents in patients with autism, Tourette’s, schizophrenia, dementia, transcortical sensory aphasia, catatonia, and epilepsy
Echolalia
May worsen psychosis or precipitate a change to mania or hypomania in bipolar patients
Paroxetine
How long does premature ejaculation have to be present to be diagnosed?
at least 6 months
What is the only fda approved drug for PMDD but not for more than 3 cycles
Drospirenone with ethinyl estradiol
True or False: Can MAOIs and Cocaine or MDMA precipitate serotonin syndrome if taken together?
True
Blurred vision, dry mouth, urinary retention, tachycardia, acute angle glaucoma, confusion, and delirium
Anticholinergic side effects
Approved for long term tx of GAD
Buspirone
Causes dizziness, headache, and nervousness
Buspirone
Psychiatric disorder characterized by symptoms affecting sensory or motor function
Conversion disorder
Combination may have an additive QT prolonged effect
Escitalopram and Risperidone
What has been shown to be the most effective in the treatment of conduct disorders
Multisystem Therapy
FDA approved for the treatment of bipolar depression
Olanzapine in combination with Prozac
Can help tx bipolar depression
Latuda
Lamictal
Originated by Marsha Linehan
DBT
Helps with enuresis by reducing urine production
Desmopressin
What are the risk factors for suicide?
- Previous suicide attempt
- Age 45 in male
- Age 55 in female
- Divorced
- Single/Separated
- Caucasian
- Living alone
- Psych disorder
- Substance abuse
- Family hx of suicide
- Recent loss
- Male gender
Carotid bruits, fundoscopic abnormalities, and enlarged cardiac chambers
Hallmarks of Vascular Dementia
Hypnagogic & Hypnopompic hallucinations
Are sleep related hallucinations
Requires a separate release of information for the release of any information on chemical dependency
Federal Law 42 CFR
Involves providing resources to those with the least access and the greatest need
Social Justice
Usually based on smaller sample sizes and fewer outcome events and indicate reduced precision in estimate of effect
Wider confidence interval
Who is the policy maker deciding who has admitting privileges at a community health care facility
The hospital ( at the local level)
Process of quality improvement
Plan Do Study Act (PDSA)
Lithium therapeutic index
0.6-1.2
Depakote therapeutic index
50-125
Creatinine range
0.6-1.2
BUN
10-20
Pts with which disorder should not be given stimulants because it can potentiate/exacerbate more dopamine to be released thus worsening symptoms
Schizophrenia
Safer in pregnancy for anxiety
Buspar
Safest SSRI in pregnancy for depression
Zoloft
off label use for ADHD
Wellbutrin
What is the concept of when people engage in self-mutalilating behavior but have no desire to die?
Parasuicide
What mood stabilizer is also used for trigeminal neuralgia
Carbamezapine
What factors are different in malignant catatonia vs. Nms
Echolalia and no med use
NRI, non-stimulant that is FDA approved to treat ADHD in children and adolescences
Viloxazine (Qelbree)
Can treat premature ejaculation
SSRIs
FDA approved to improve depression in patients with fibromyalgia
Cymbalta; SNRIs
Which mood stabilizer causes the least weight gain
Lamictal
Which is the least sedating antipsychotic?
Abilify
Antipsychotics that cause the least weight gain
ZAL (Ziprasidone, Apriprazole, Lurasidone)
What medications are known for decreasing effectiveness of oral contraceptives
Tegretol, Topiramate, Dilantin
How can depression present differently in adolescence
Presents as anger and irritability
