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WALDEN Flashcards

1
Q

high levels of serotonin, high fever, muscular rigidity, mental status changes, hyperreflexia, dilated pupils, life threatening reaction, contraindicated with MOA, TCA, SSRI

A

Acute serotonin syndrome

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2
Q

Rare life threatening idiopathic reaction from typical and atypical antipsychotics, affect dopamine in the brain, high fever, muscular rigidity, mental status, fluctuating BP, urinary incontinence

A

Malignant neuroleptic syndrome

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3
Q

Allows 72 hours involuntary detention for evaluation and treatment of high
risk suicidal patients

A

Baker act

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4
Q

Zyprexa, Risperdal, Seroquel

A

Atypical antipsychotics

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5
Q

Haldol black box warning

A

Typical antipsychotic

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6
Q

Lamictal,Tegretol, Depakote

A

Anticonvulsant

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7
Q

loss of libido Erectile dysfunction, anorexia

A

SSRI-side effect

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8
Q

of OCD/depression, celexa/citalopram, Lexapro/escitalopram, Prozac/fluoxetine,
Zoloft/sertraline, Paxil/paroxetine

A

SSRI- first line treatment

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9
Q

Wellbutrin (increases risk of seizures) , Zyban(smoking)

A

Atypical antidepressant

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10
Q

Effexor, Cymbalta

A

SNRI

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11
Q

For depression, can be for post herpetic neuralgia, Elavil, doxepin, nortriptyline,
side effect- suicide, hoard pills, cardiac arrhythmias and neuro effects seizures

A

TCA

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12
Q

bipolar disorder

A

Lithium

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13
Q

Contraindicated with other antidepressants and high tyramine foods ( fermented
foods, beer cheese wine fava beans)

A

MAO

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14
Q

Anxiety panic or insomnia,

A

Benzodiazepines

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15
Q

Used for severe alcohol withdrawal and seizures

A

Valium

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16
Q

Disturbance in cognitive, emotional behavior, somatic regulations, depressed
mood and loss of interest or pleasure are major symptoms, (depressed mood for 2 weeks or longer, anhedonia, decreased/increased appetite, weight loss or gain, sleep disorder, psychomotor agitation or retardation, fatigue, loss of energy, feeling of worthlessness(poor self-image), inappropriate guilt, recurrent thoughts of death(suicide), difficulty thinking or concentrating/indecisiveness

A

Depression

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17
Q

CBC, TSH, Vit B12

A

Depression DX

18
Q

First line SSRI

A

Depression TX

19
Q

Akinesia- inability to initiate movement, akathisia- unable to stay still, tardive dyskinesia- involuntary movements- lip smacking, tongue face and extremities

A

Extrapyramidal symptoms

20
Q

Inability to experience pleasure from activities usually found enjoyable

21
Q

Is a behavior disorder, common comorbidities- oppositional defiant disorder,
conduct disorder, learning disorder, depression, anxiety, tics and Tourette’s, bipolar and substance abus

22
Q

SSRI, antidepressant, sertraline, reduce sperm count, increases infertility Black Box warning

23
Q

Olanzapine, antipsychotic, for schizo and bipolar, monitor CBC for low WBC, weight, b/p, mental status, lips, prolactin, glucose CAUSES ELEVATED LIPDS

24
Q

Is characterized by mania and depression refer to psychiatrist TX lithium, Depakote, SSRI

25
Q

Delusions, paranoia, disorganized speech, hallucinations, refer to psychiatrist,

A

Schizophrenia

26
Q

Typical antipsychotic

Eg. ziprasidon (Geodon) haloperidol (Haldol) and refer pt. to psychiatrist for management

A

Schizophrenia TX

27
Q

Inflated sense of self, during manic episode, bipolar symptom, narcissistic disorder, special powers, spiritual connections, or religious relationships

A

Grandiosity

28
Q

Onset adolescence, fear of gaining weight, purging uses laxatives, vomiting, binge eating, food restriction, complications osteoporosis, BMI <18.5, lanugo, amenorrhea, peripheral edema, cardiac arrhythmias

A

Anorexia nervosa

29
Q

Characterized by flashbacks of traumatic event,

30
Q

PCL-5

31
Q

First line treatment SSRI, cognitive behavioral therapy, eye movement desensitization and reprocessing (EMDR)

32
Q

Depression, menopausal symptoms,

A

St john wort

33
Q

Anxiety and insomnia

A

Kava Kava/valerian root

34
Q

Spelling or counting backwards

A

Attention and calculation

35
Q

Is when maladaptive behavior pattern occurs from repeated alcohol
abuse BAC >.08 is illegal

A

Alcohol abuse

36
Q

GGT, AST ALT

A

Alcohol abuse DX

37
Q

Screening for problem drinking or dependence, 2 out 4 suggests
alcohol abuse

A

Cage Questionnaire

38
Q

Sudden onset of confusion, delusions, hallucinations, grandmal seizures

A

Acute delirium tremors

39
Q

Benzodiazepine, Vitamins AA, refer to ED

A

Acute delirium tremors TX

40
Q

Chronic thiamine deficiency,

A

Korsakoff’s syndrome

41
Q

Nicotine gum, chew and par in buccal mucosa, no smoking cause
nicotine overdose, cause MI, HTN
TX Zyban and/or Chantix

A

Smoking cessation

42
Q

First line TX is sleep hygiene, refer to sleep lab, Benadryl, Benzodiazepines

PSYCHO (2 decks)

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