323711
Description
Flashcards by Jaimie Shah, updated more than 1 year ago
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Created by Jaimie Shah
almost 12 years ago
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| Question | Answer |
| negative symptoms | flattened affect, social WD, anhedonia, apathy, poverty of thought (atypical antipsychotics are most effective here) |
| positive symptoms | delusions, disorganized speech/behavior, hallucinations, agitation |
| greatest risk factor for preogression to schizophrenia | schizophreniform disorder |
| schizophrenia has poor prognosis with the following | early age onset, negative symps, poor premorbid function, family hx, disorganized or deficit subtype |
| review antipsych med chart | pg. 461 |
| what do you need to check with clozapine therapy | baseline CBC and weekly after due to risk of agranulocytosis |
| Tioridazine SE | prolong QT and arrythmia; always get EKG if pt describes CP/SOB/Palpitations; assoc with abnormal retinal pigmentation |
| low pot antipsychotic SE | ortho hypothension, impotence (alpha block); acute urinary ret, dry mouth, blurry vision, and delirium (anti ach effect) |
| best antipsychotics if there is insomnia | quetiapine, ziparsidone, aprpiprazole |
| antipsychotic used to avoid sedation | risperidone |
| review SE profile chart | p. 463 |
| antimetics that cause tardive | metoclopramide, prochlorperazine |
| review medication chart for anxiety d/o | pg 467 |
| post partum spectrum chart | p 472 |
| TCA toxicity | antiach effect and alpha block- perp vasodilate and low BP; effect NA channels so prolont QRS, QT, PR can lead to VT or Vfib; tx with Na HCO3 |
| antidepressants that causes seizures | TCA and bupropion |
| SSRI with most severe anti-ach effects | amitryptiline (otherwise SSRI have little of this effect) |
| SE of lithium | acne, weight gain, dose related tremors/GI stress/HA, hypothyroid, Polyuria 2/2 DI, dont use in first trimester of pregnancy |
| when is divalproex used | when Li doesnt work and in rapid cycling bipolar |
| second line therapy for bipolar | carbimazepine |
| elderly who takes Li with RF now with low Na has N/V, disoriented, tremors, increased DTRs, and seizures | Li toxicity (needs dialysis) |
| high fever, tachy, muscle rigidity, altered conciousness and autonomic dys; unrelated to dosage or prior exposure | NMS |
| NMS tx | transfer to ICU, discontinue antipsychotic, bromocriptine to overcome dopamine receptor blockade, dantrolene needed and diazepam for rigidity |
| SSRI plus triptan or MAOI use; agitation, hyperreflexia, hyperthermia, rigidity and vol contraction due to sweating | Serotonin syndrome (fluids cyproheptadine to dec serotonin prod, BDZ for rigidity) |
| acute HTN with use of MAOI and antihistamine/nasal decongestants/ or tyramine rich foods; or with MAO + TCA | MAOI induced hypertensive crisis (tx as hypertensive crisis) |
| what do you check before starting a pt on antidepressants | check if have SI (first two weeks on meds can increase this to start) |
| olanzapine helps with weight gain in anorexia | true |
| SSRI will help prevent relapses of anorexia | true |
| Alcohol abuse table | p. 486 |
| List of abuse substances chart | pg 487 and 488 |
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