test 2 Flashcards
What are the components of MSE? 8
appearance, Attitude, Speech, Mood/affect, Thought process, thought content, insight, judgement
What are the three components of the MSE and what about them
cognitive- sevens?
abstract thinking- how are things alike?
Memory-three words
visuospatial ability- clock drawing
somatic symptoms and depression
Can lead to misdiagnosis
What three neurotransmitter are related to depression
Serotonin, norepi, dopamine
Symptoms with MDD and how it relates to diagnosis
and One major symptom
they are present for at least two weeks but most people will have episodes that are separated by two months.
Feels worse in the am- Diurnal variation
How do they diagnose MDD 3 things and one thing they won’t do
In chart there will be a record of a single episode
or
Recurrent, degree of severity, evidence of psychotic, catatonic, or melancholic features
What three questions are on the suicide risk assessment
Are you feeling like hurting yourself?
Do you have a specific plan?
do they have the means?
persistent depressive disorder is also known as
dysrythmic disorder
three features of persistent depressive disorder
depressed for most of the day and for more days than not. at least 2 year, diurnal variations- worse at night
What are the three antidepressant medications?
what effect do they have?
Trycyclic antidepressants (TCA)
Selective serotonin reuptake inhibitors (SSRI)
Monoamine oxidase Inhibitors (MOAI)
Anticholinergic
Interventions for suicidal patient
question/persuade/refer
What are the five levels of suicidal behavior
ideation. threat. gesture, attempts, successful suicide
TCA
MA
2 education`
blocks reuptake
Alcohol increases sedative and decreases depressive aide
Smoking increases metabolism
MAIOS
education 3`
No tyramine containing foods
avoid st johns because of risk of serotonin syndrome
need to wait two weeks before trying something new
SSRI 7 symptoms
Insomnia. weight gain, sexual dysfunction, CNS stimulant, serotonin syndromem
SSRI teaching
3
and 1 to watch for 4
No NSAIDS or blood thinners increase GI BLEED
no meds that increase serotonin
no pregnant
alt mental status, coordination issues, tremors fever
Atypical antidepressant
education 2
Lower seizure threshold, serotonin syndrome
Which antidepressant does not have regular side effects and what are the regular side effects-3
SSRI
HA/chest pain/ in bp
What are the s/s of serotonin syndrome
confusion, fever, irregular heart, dilated pupils, loss of consciousness
General education for antidepressants
Hypotension and anticholinergic effects cant see cant pee cant spit cant shit
What are the indications for ECT 3
Schizophrenia, bipolar, major depression
What could happen with ECT
Mortality, permanent memory loss, brain damage
Major depressive disorder 3 things
AM is worse
Episodes separated by at least two months
no signs of mania
Persistant depressive disorder
other name and then 3 things
Dysthymic
worse in PM
most days most of the time
not without symptoms for longer than two months
Three categories of somatic disorders and examples and three types
Factitous-munchuasen
Conversion- blind no reason
Illness-hypochondria
Primary-avoiding work
secondary- want focus of attention
tertiary-solve conflict
lithium tox signs
5
diarrhea, increased temp, blurred vision, excessive urine output, confusion,
3 things about lithium and what do we use to treat?
check weekly or twice a week.
don’t let Na flux
increases GABA
bipolar mania
Manic stages
1-hypomania happy but irritable
2-acute mania- euphoric, paranoid, illusions, social and sexual increase
3 delirious
bipolar 1 and 2 and one more
1-classic depression/ mania
2-hypomania and depression
cycothymic- hypomania and mild depression- small swings
somatic positive sign meaning
I know I am pregnant
Delusion of reference
Radio is talking to me
Delusion of control
someone is controlling me
echopraxia
imitating someones movement
what type of drugs are antipsychotics? what are the side effects called that they can have?
Anticholinergics
Extaprymidal symptoms
What are the early Etr pary symptoms and what do they involve and what is the late one and 2 things about it?
dystonia-rigid mm
akathisia-movement all around
parkinsonism
late one- tardive dyskinesia-mouth
months to years to develop
use AIIMS scale
