Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Psych > The Syndromes > Flashcards

The Syndromes Flashcards

1
Q

Name the syndromes (4)

A

Serotonin Syndrome
Anticholinergic “toxidrome”
Neuroleptic malignant (NM) syndrome
Malignant hyperthermia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Serotonin syndrome - medication history

A

Pro-serotinergic drug

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Serotonin syndrome - time to develop

A

< 12 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Serotonin syndrome - vital signs

A

HTN
Tachycardia
Tachypnea
Hyperthermia (>41.1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Serotonin syndrome - Pupils / Mucosa / Skin

A

Mydriasis
Sialorrhea
Diaphoresis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Serotonin syndrome - Bowel sounds

A

Hyperactive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Serotonin syndrome - Neuro-muscular tone

A

Increasesed (mostly lower limbs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Serotonin syndrome - Neuro-muscular reflexes

A

Hyperreflexia

Clonus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Serotonin syndrome - Mental status

A

Agitation

Coma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Anticholinergic “toxidrome” - medication history

A

Anti-cholinergic agent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Anticholinergic “toxidrome” - time to develop

A

< 12 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Anticholinergic “toxidrome” - vital signs

A

HTN
Tachycardia
Tachypnea
Hyperthermia (<38.8)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Anticholinergic “toxidrome” - Pupils / Mucosa / Skin

A

Mydriasis
Dry Erythema
Hot and dry to touch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Anticholinergic “toxidrome” - bowel sounds

A

Decreased / Absent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Anticholinergic “toxidrome” - Neuro-muscular tone

A

Normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Anticholinergic “toxidrome” - Neuro-muscular reflexes

A

Normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Anticholinergic “toxidrome” - Mental status

A

Agitated delirium

18
Q

NM syndrome - medication history

A

Dopamine antagonist

19
Q

NM syndrome - time to develop

20
Q

NM syndrome - Vital signs

A

HTN
Tachycardia
Tachypnea
Hyperthermia (>41.1)

21
Q

NM syndrome - Pupils / Mucosa / Skin

A

Normal
Sialorrhea
Pallor, diahporesis

22
Q

NM syndrome - Bowel sounds

A

Normal or decreased

23
Q

NM syndrome - neuromuscular tone

A

“Lead pipe” rigidity

24
Q

NM syndrome - neuromuscular reflexes

A

Bradyreflexia

25
Q

NM syndrome - Mental status

A

Stupor, alert mutism, coma

26
Q

Malignant hyperthermia - medication history

A

Inhalational anasthesia

27
Q

Malignant hyperthermia - time to develop

A

30 min - 24 hr

28
Q

Malignant hyperthermia - vital signs

A

HTN
Tachycardia
Tachypnea
Hyperthermia (up to 46)

29
Q

Malignant hyperthermia - Pupils / Mucosa / Skin

A

Normal
Normal
Mottled appearance / diaphoresis

30
Q

Malignant hyperthermia - Bowel sounds

31
Q

Malignant hyperthermia - Neuromuscular tone

A

Rigor mortis “like” rigidity

32
Q

Malignant hyperthermia - Neuromuscular reflexes

A

Hyporeflexia

33
Q

Malignant hyperthermia - mental status

34
Q

Serotonin syndrome Tx

A

Discontinue precipitating drugs
Supportive management
Serotonin antagonist - cyproheptadine

35
Q

NM syndrome Tx

A 
Discontinue precipitating drugs
Supportive management
Dopamine agonists (Bromocriptine >> Amantadine)
Muscle relaxant (dantrolene)
Lorazepam
36
Q

Malignant Hyperthermia Tx

A 
IV Dantrolene
Correct metabolic acidosis
Monitor serum potassium
- insulin / glucose
- calcium chloride or gluconate
- IV lidocaine (arrhythmia)
Cool to < 38
Maintain urinary output
37
Q

Anticholinergic Toxidrome Tx

A

Cooling
Benzos
Physostigmine (CI w/ TCAs bc seizures)
-anti-cholinesterase agent

38
Q

Cyproheptadine indication/MOA

A

Serotonin Syndrome

39
Q

bromocriptine indication/MOA

A

Neuroleptic Malignant Syndrome

40
Q

dantrolene indication/MOA

A

Neuroleptic Malignant Syndrome

41
Q

physostigmine indication/MOA

A

Anti-ACh poisoning / anti-cholinesterase

42
Q

amantadine indication/MOA

A

Parkisonian syndrome / DA releaser & enhancer (NMDA antagonist too)

Psych (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions