Behavioral Emergencies Flashcards
“in danger” of hurting themselves or others
behavioral crisis
“action” the patient is deemed a threat to others or themselves
behavioral health emergencies
Abrupt disorientation of time/place
Involves delusions and hallucinations
Delirium
What is the difference between delusions and hallucinations
Delusions: false beliefs
Hallucinations: sights/sounds that are not present
Progressive loss of time/place
Dementia
Emotional disorder - alternating depressive and manic episodes
Bi-polar disorder
6 Characteristics of Mania
- excessive ideas
- motor activity
- irritability
- talkiveness
- fast speech
- possible delusions
Characterstics of Depression
(IN SAD CAGES)
loss of INterest in activities
Sleep disturbance
Appetite change
Depressed mood
difficulty Concentrating
Activity level change
excessive Guilt
loss of Energy
Suicidal thoughts
What are the med(s) used to treat Bi-Polar Disorder?
lithium
What behavioral emergency is considered a lifethreat?
Excited delirium
what medication can be used to treat Schizoprenia (8)
- latuda
- haldol
- geodon
- clozapine
- seroquel
- zyprexa
- risperidone
- thorazine
What are these S/S of?
- delusions
- paranoia
- flat effect
- cognitive challenges
- erratic speech
- hallucinations
Schizophrenia
Onset of Schizophrenia
early adulthood (16-30)
- can be caused by substance, psychiatric illness or head trauma
- treat for HYPERthermia (keep cool)
- IV fluids/sedation (possible ALS)
- LIFETHREAT
excited delirium
Why is excited delerium considered a life threat?
- panic
- paranoia
- agitation
- ranting
- violence
- hyperactivity
- diaphoretic
Medication used to treat panic disorders (3)
- Xanax - alprazolom
- Ativan - lorazepam
- Klonopin - clonazepam
What is an SSRI medication and what is it used to treat
SSRI: has an act on the seratonin levels in your brain
- used to treat anxiety and/or depression
Identify 3 SSRI medications
- Celexa - citalopram
- Zoloft - sertaline
- Lexapro - escitalopram
what is Abilify (aripiprazole) used to treat and why?
schizophrenia, bipolar, depression and other disorders when other options have not worked
How to handle suicide/suicidal threats
- determine if there is a PLAN, does the patient have the MEANS, do they intend to be SUCCESSFUL
- support, LISTEN, ask about SUPPORT SYSTEM, vitals
- Impared social communication
- Resitricted repetitive behaviors
- symptoms may begin around 18m; some children may engage in self harm behaviors
- high risk of traumatic events due to poor social skills
Austism (ASD)
S/S of Autism
- avoids eye contact
- can’t explain what they want
- repeats words
- doesn’t engage in play
- not responsive to others
- delays in speech/non-verbal
What is emergency detention (getting papered)?
law enforcement or psychiatric doctor has signed off saying this pt. must be transported to the ED due to being a danger to themselves or others due to mental health/not of sound mind
