Tutorial 2- Mood disorders Flashcards
What is EMW
Early morning wakening
What is delusional perception
Actions causing thoughts e.g. a light turning red means I must kill my wife
How do you treat psychotic depression
Antipsychotics and antidepressants
How does itrritabilty relate to mania
Sleep around 2 hours a night leading to more irritable as the disease progresses
How do you differentiate between mania and hypomania
Insight and functionality (able to go to work)
What is important to get in all psychiatric diseases?
A collateral history
How do you differentiate between psychotic mania and schizophrenia?
You can’t without admitting to hospital and observing their personality
What is paramount not to do when behaving with an aggressive patient
Do not damage relationship with the families. If they have confided in you don’t say oh “so and so told me”.
The patient can be as nasty as they like to you as you’ll never see them again. If they are blaming their family for them being in hospital, take responsibility and demonstrate that it is you who has put them there
What is the normal dose of lithium?
What is the normal dose of lithium in old people?
- 4-1.0
0. 4-0.8
What is a sign of it lithium toxicity
What do you do before starting lithium?
After how many does do you monitor lithium levels? When do you monitor this?
A flap
U&E’s TFT especially TSH and do an ECG
Lithium is taken at night due to it being a sedative and making you go to the bathroom more so the test should be carried out on the 5th morning after taking it
What are you very wary of with lamotrogeine
Rash/itch= very and stop immediately
May lead to Steven Johnson’s syndrome
How do you deal with someone who has mania on the ward
Put them on a side ward to preserve dignity and reduce overstimulation.
Community mental health nurses can follow them up
