LAST review

Question 1

ss of acute mania

Answer 1

good humor to rage, no time for anything (eating sex drinking sleeping), labile mood, profane remarks, flight of ideas, clang association

Question 2

what are the toxic levels of lithium

Answer 2

1.5-2

Question 3

ss of severe lithium toxicity

Answer 3

ataxia, tinnitus, blurred vision, stupor, seizures

Question 4

long term effects of lithium

Answer 4

hypothyroidsm, kidney disease, nephrogenic DI

Question 5

ss of depression

Answer 5

decrease concentration, hopeless, helpless, powerlessness, worthlessness, anger, despair

Question 6

what breaks down tyramine

Answer 6

MAO

Question 7

Proscar class, action, withdrawl

Answer 7

class: SSRI
action: inhibit uptake of serotonin to increase serotonin
withdrawal: dizziness, tremors, GI disturbances

Question 8

5 stages of grief

Answer 8

denial, anger, bargaining, depression, acceptance

Question 9

4 As of Alzheimer

Answer 9

amnesia
aphasia
aproxia
agonisa

Question 10

what does aphasia mean

Answer 10

loss of language

Question 11

what does aproxia mean

Answer 11

loss of purposeful movement

Question 12

what does agonisa mean

Answer 12

loss of ability to recognize objects

Question 13

delirium is always what

Answer 13

secondary to another condition

Question 14

can delirum be corrected

Answer 14

yes but if not dementia

Question 15

ss of hypomania

Answer 15

pressurd speech, euphoric, increased appetitie, sex, finically extravagent, decreased need for sleep, must last up to 4 days

Question 16

what are the interventions for mania

Answer 16

safety, treat physical (dehydration, exhaustion, cardiac), self care, meds, boundaries

Question 17

what is lithium carbonte treat

Answer 17

1st line for bi polar

Question 18

how does lithium carbonate work

Answer 18

alters sodium transport

inhibits release of norepinephrine and dopamine

Question 19

what are some side effects of lithium carbonate

Answer 19

FINE hand tremors, polyuria, mild thirst, weight gain

Question 20

is persistent depressive disorder worse then major depressive disorder and how long does it last

Answer 20

MDD is worse

PDD lasts 2+ years

Question 21

what does serotonin effect

Answer 21

sleep, appetite , aggression , libido, hormones

Question 22

what is serotonin syndrome

Answer 22

life threatening, high serotonin levels, greatest risk is SSRIs+ MAOI and some cold meds

Question 23

serotonin syndrome ss

Answer 23

abd pain, bloating, cramping, fever, high BP, delirium, mood swings, apnea, tonic rigidty

Question 24

What class is Phenelzine

Answer 24

MAOI

Question 25

how does Phenelzine work

Answer 25

effects monomines (serotonin, dopamine, norepinephrine, and histamine),

Question 26

what is a complication of MAOI

Answer 26

hypertensive crisis (avoid tyramine foods)

Question 27

what are the contrainidcations of phenelzine

Answer 27

cardiovascular disease, hypertension, liver, CHF

Question 28

wordens taks of mourning

Answer 28

accept the loss, process pain in a healthy way, adjust to the world without them, find connection to deceased while embarking on a new life

Question 29

what do Cholinesterase inhibitors do

Answer 29

DELAY and prevent Alzheimer symptoms for a short period of time

Question 30

what is catatonia

Answer 30

statue like or exagerated movement can last hrs to years

Question 31

what are delisions

Answer 31

false fixed beliefs not corrected by reasoning | thought broadcasting/insertion/withdrawal

Question 32

what is dialectial behavior therapy mostly for

Answer 32

borderline

Question 33

what are the 4 concepts of dialectial behavior therapy

Answer 33

mindfulness (living in the momement) interpersonal (achieving goal without harming relationships) distress (bear emotional pain by accepting current situation) emotional (coping with negative emotions helathy)

Question 34

what does chlorpromazine do

Answer 34

1st gen, sedating agent may cause anticholinergic effects, prolonged QT interval

Question 35

what is Flumazeine for

Answer 35

reversal for benzos avoid alcohol

Question 36

what is tardive dyskinesia

Answer 36

involuntary repetitive movement, rapid jerking caused by 1st gen

Question 37

what are some traits seen in most personality disordeers

Answer 37

difficult perseiving/interpreting the world, poor judgment, difficulty with impulse control, inapproprite emtional reasponse, genuinely unaware their traits are causing a problem (blaming)

Question 38

what are some cluster B personality disorders

Answer 38

borderline historonic narsacsstic antisocial

Question 39

what are some cluster C personality disorders

Answer 39

OCD, avoidant, dependent

Question 40

what may cause paraphilla

Answer 40

neurodevelopmental disorders, brain injury, dementia, sexal victim

Question 41

what does risperidone do

Answer 41

2nd gen for schizophrenia risk of orthostatic hypotension and sedation so fall precautions