Seizure, Suicide + Poisoning Flashcards

1
Q

RF for szs

A

stroke, head injury, emotion, fever

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2
Q

Conditions that cause seizures

A

Febrile sz
Sleep deprivation
Hypoglycemia
Hyponatremia
CNS infection
Alcohol withdrawal
Substane use
Acute trauma

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3
Q

Management of actively szing pts

A

Ensure good airway control (OPA, lateral decubitus position)
Use benzos to stop seizure (IN midaz for peds or IV diazepam)
R/O metabolic cause (hypoglycaemia, hypoxia, heat stroke, electrolyte imbalance)

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4
Q

Counselling for szs

A

Triggers: sleep, diet, alcohol
Med adherence
Med interactions
Rescue meds
Driving
Safety
Women: avoid valproic acid, take 5mg folic acid, IUDs best contraception

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5
Q

Driving rules after sz

A

Single, unprovoked: no driving x3mo
After dx: can drive if no sz for 12mo + med compliant

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6
Q

Meds for generalised, absence + focal

A

Generalised: carbamazepine, lamotrigine, phenytoin
Absence: carbamazepine, lamotrigine, phenytoin
Focal: carbamazepine, phenytoin, levetiracetam

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7
Q

RF for suicide

A

Prev attempt
Older men
Hx of SH
Sexual minority
Fam hx of suicide
Legal problems
SUD
PTSD
PD
Cancer
Single
Hx of abuse

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8
Q

Management for low + high risk pts with SI

A

High risk - hospitalisation
Moderate/ low risk:
Contract for safety
Crisis planning
Treat underlying medical condition

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9
Q

Nonsuicidal self-injury (NSSI)
DSM V criteria

A

> 5 days past year
Expects NSSI will provide relief
Experiences negative thoughts before NSSI, preoccupation with NSSI or frequent thoughts of NSSI
NSSI linked to distress

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10
Q

What is involved in a Crisis plan?

A

Provide specific instructions for FU
Develop plan if sx worsen, inc signs of crisis
Self-management skills (distraction, stress relief)
Identify social and community resources
Discuss protective factors
Reduce access to lethal means

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11
Q

Gastric lavage when?

A

less than 2 hrs ago, potentially lethal, no antidote available

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12
Q

What to give in an unconscious patient

A

dextrose, oxygen, narcan, thiamine

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13
Q

BB antidote

A

glucagon

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14
Q

Iron antidote

A

desferoxamine

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15
Q

Bradycardic pt rx

A

atropine

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16
Q

Management of sz in pregnant pts

A

left lateral decubitus position, oxygen, mg sulphate, consider narcan, consider thiamine, consider dextrose

17
Q

2nd line sz meds for kids after benzo

A

phenytoin, valproate, phenobarbital

18
Q

What to give to prevent recurrence of febrile sz?

A

tylenol

19
Q

Reversible causes of sz

A

hypoglycemia, hypoxia, hypocalcemia, hypovolemia, heat, opioid OD, missed meds

20
Q

Precipitating factors for suicide

A

drugs/ alcohol, access to means, life events, new terminal/ chronic dz, media effects

21
Q

Predisposing factors

A

neuropsych disorders, fam hx, prev attempt, adverse childhood experiences, SES

22
Q

Risk tool for suicide

A

CFI-S - convergent functional assessment for suicide - 22 questions

23
Q

Non-suicidal self injury RF

A

female, serious MH, SUD, hx of TBI