psychiatry Flashcards
ask about smoking
Congratulate
History of smoking
When
why stop
who are smokers at home
Impacts
Red Flags
S quit date
T ell them
A anticipate withdrawal
R emove
Nicotine replacements
Patch 25/day
gums
inhaler
Medications
Buproprione 150mg OD 3 days then 150mg BID x 3 months
c/i seizure, eating disorder
Vareniciline - decrese urge to smoke and withdrawal symptoms
3 FAFAFA
failure
famplet
fallow up -
Alcohol ask and mngt
1st time?
Why, when, who
CAGE
MOAPS LD
Medications
Disulfiram - DI phenytoin, warfarin, SE eye pain, tingling sensations
Acamprostate - CI kidney problems, depression SE: diarrhea, abdominal pain, mood changes
Naltreoxone - caution: liver, depression SE: nausea, dizziness, headache, sleep
manic patinet
CC
1OCD
MOAPS
DIG FAST
d- distractability - do you get distracted easily?
i - mpulsiveness
grandiosity - powers
fligth of ideas - thoughts racing in mind or jump from one topic to another
activity - increased activity or energy
sleep -
talkative - more talkative or difficulty understanding in conversations
lithium- NV tremors diarrhea polyuria
lamotrigine - if pregnant
suicide patient
SAD PERSON
SEX - male
AGE - >65
D - depression
P - revious attempts
PPANTS - B
Plan, prepare, attempt, note, talk, substance, Belongings
E- thanol
R - ational thinking lost - what will you achieve, do you hear voices
S - uicide in the family
O - organized plan
N- no support
S- erious illness
after - going on mind, what are your plans, if a crisis comes agai nwhat will you do
> 3 admit
release
ff up after 3 days
OCD
Dementia
problme with memory
1OCD gradual? increase decrease
memory number? words?
read,write, calculate
organize schedule, yir, olf rbrnyd
recent: breakfast
Remote: president WWII
ADL
Death
Dressing
Eating skip meals
Ambulatory moving around
Toilet loss control and wet self
Hygiene showers
SHAFT
Shopping
House keeping help in cleaning
Accounting baning at home
Food who cook forget stove on
Traffic difficulty driving and lost way
MOAPS
Dementia differential diagnosis
FAN -LV
Frontotemporal
Alzheimers
NPH
Lewy
Vascular
.
D: degenerative –Alzheimer’s parkinsonism
E: emotional –pseudo depression
M: metabolic - endocrine: thyroid, renal and hepatic failure, Wilson’s
E: eye and ears, severe impairment
N: nutritional: thiamine, B12, and folat
T: trauma, tumour, toxins
I: infections, meningitis, encephalitis, AIDS and syphilis
A
