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Psychiatry > treatment > Flashcards

treatment Flashcards

1
Q

tx Wernicke-Korsakoff

A

IV thiamine prior to IV glucose (glucose in thiamine deficient state will exacerbate cell death)

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2
Q

tx OCD

A

SSRI, clomipramine (TCA)

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3
Q

tx benzo overdose

A

flumazenil

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4
Q

tx benzo withdrawal

A

taper

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5
Q

tx schizophreniform disorder

A

self-limited

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6
Q

tx delusional disorder (not schizophrenia)

A

psychotherapy

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7
Q

tx lithium renal toxicity

A

mild (3): dialysis

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8
Q

tx acute dystonia

A

IM benztropine (anticholinergic) or diphenhydramine

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9
Q

tx neuroleptic malignant syndrome

A

D/C antipsychotic, hydrate and cool, IV dantrolene or PO bromocriptine, monitor creatine phosphokinase

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10
Q

tx bipolar

A
  • mood stabilizers: lithium, valproic acid
  • can add antipsychotics with benzos
  • 2nd line: carbamazepine, lamotrigine, gabapentin
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11
Q

tx specific phobia

A 
systematic desensitization (flooding)
- little role for meds
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12
Q

tx akathisia (antipsychotic side effect)

A
  • reduce antipsychotic as much as possible
  • first line: B-blocker
  • second line: benzo, anticholinergic
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13
Q

tx very severe depression (ie: suicide attempts, refusing to eat, etc.)

A

ETC

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14
Q

tx Tourette syndrome

A

alpha adrenergic (clonidine, guanfacine), atypical antipsychotics, haloperidol for severe cases

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15
Q

tx narcolepsy

A

modafinil or methylphenidate

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16
Q

tx bed wetting

A

imipramine

behavioral interventions

17
Q

tx delirium

A
  • fix underlying problem

- haloperidol

18
Q

tx PTSD

A

psychotherapy, SSRI, prazosin (nightmare med)

19
Q

tx OCD

A

SSRI, clomipramine

20
Q

tx serotonin syndrome

A

cyproheptadine

21
Q

tx TCA cardiovascular toxicity

A

NaHCO3

22
Q

tx GAD

A

SSRI/SNRI, buspirone, benzos

  • use 6 mo to life
  • CBT
23
Q

tx MDD with psychotic symptoms (timeline for meds)

A

antidepressant + antipsychotic

  • after psychotic symptoms abate, continue med for 3 mo then taper off
  • continue antidepressant 6 mo to life
24
Q

tx acute stress disorder

A

facilitate/strengthen family and community support

25
Q

tx postpartum blues

A

support

26
Q

tx borderline personality disorder

A

dialectical behavioral therapy

27
Q

tx opioid withdrawal symptoms

A

clonidine, buprenorphine, methadone

  • loperamide for diarrhea
  • promethazine for N/V
  • IBU for mm. aches
28
Q

tx pain disorder

A

biofeedback, validation of pain, relaxation techniques

29
Q

tx sleep terror disorder

A

self-limiting, reassure parents, support safe sleeping environment

Psychiatry (4 decks)

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