Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

EMER 198 > LO7-8 Behavioural Emergencies > Flashcards

LO7-8 Behavioural Emergencies Flashcards

1
Q

Behavioural disorder and examples

A

interferes with a persons ability to perform activities of daily living

Mental health problem
Depression
Borderline, personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Behavioural emergency

A

exist when the abnormal behaviour threatens a persons health and safety with the health and safety of another
Imminent to have harm on others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Psychiatric emergency

A

person becomes suicidal, homicidal, or has a psychotic episode in which a person often experiences delusions and hallucinations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Delusions

Hallucinations

A

Delusions: false beliefs
Hallucinations: false perceptions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Causes of abnormal behaviour

A

Diabetes, seizure disorder, severe infections, metabolic disorders, head injury, stroke, alcohol, tumours in the brain and drugs may all cause derangements in behaviour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

organic brain syndrome

A

abnormal behaviour are actually suffering from physical illness or are under the influence of a substance that effects normal cerebral function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Toxic and deficiency states

A 
Drug induced psychoses
Nutrition disorders 
Poisoning with bromide or other heavy metals 
Kidney failure 
Liver failure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Drug induced psychoses especially from:

A 
Digitalis 
Steroids 
Disulfiram 
Amphetamines 
LSD, PCP and other psychedelics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Delirium

A

Is a symptom not a disease

Temporary/reversible condition that results in rapid changes to behaviour

May complicate the assessment of the underlying problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Excited delirium

A

is a controversial condition that arises typically in male subjects with a history of mental illness and/or acute or chronic drug abuse, particularly stimulant drugs.

Some groups claim that this condition was “invented” to cover up the use of excessive force by law enforcement

the American College of Emergency Physicians has accepted excited delirium as a unique syndrome, despite the World Health Organization, and the American Psychiatric Association failing to acknowledge it as a medical or psychiatric diagnosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Excited delirium is characterized by a combination of the following:

A
  • Delirium
  • Agitation or anxiety
  • Violent bizarre behaviour
  • Inappropriately clothed
  • Hallucinations or visual disturbances
  • Inability to feel pain
  • Superhuman strength
  • Elevated body temperature (hyperthermia)
  • Excessive sweating even in cold weather
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Paramedics should consider the following when dealing with a patient displaying the signs of
excited delirium:

A

• Are we safe?
• Consider the need for physical restraint and sedation (ALS skill). Physical restraint is something that should be conducted with appropriate resources and preferably the assistance of law enforcement.
• Is the patient safe?
• Arms, legs, and body securely affixed to the cot?
• If the choice to restrain is made are we restraining the patient in such a way to allow for
breathing and airway control?
• If ALS sedates the patient are we in a position to assist with breathing and provide
supplemental oxygen?
• What else could be going on?
• remember that we need to rule but all other conditions before deciding on one specifically.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Psychosocial causes

A

Individuals may develop abnormal reactions to stressful psychosocial events or developmental influence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When exposed to stress this causes a crisis most of the time the patient will resolve the crisis in one of two ways they are:

A

Coping with it they will find ways to alter the situation to make it less stressful

Attempt to alleviate the discomfort by escaping including drug, alcohol, psychiatric symptoms and in some cases suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Categories of psychiatric disorders

A 
Cognitive 
Thought 
Mood 
Neurotic 
Substance related disorders and addictive behaviour 
Somatoform 
Factitious 
Impulse control 
Personality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Disorders of consciousness

A

Distractibility and inattention
Confusion
Delirium
Stupor and coma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Disorders of motor activity

A

Restlessness
steryotyped movement
compulsions
retarted movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Stereotyped movements

Compulsions

A

Stereotyped movements: involves the repetition of movements that do not seem to serve any useful purpose

Compulsions: repetitive actions that are carried out to relieve the anxiety of obsessive thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Neologisms

A

words that the patient invents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Echolalia

A

the patient echos the words of the examiner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Retardation of thought

A

it seems to take a very long time to get from one thought to the next

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Circumstantial thinking

A

the patient includes many irrelevant details in his or her account of things

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Preservation

A

refers to the repetition of the same idea over and over again

24
Q

Delusions of persecution

A

the individual believes that others are plotting against him or her

25
Delusions of grandeur
the patient believes he or she is someone of great importance
26
Amnesia Confabulation
Amnesia: the loss of memory Confabulation: patients with severe memory deficits from organic brain disease will invent experiences to fill in the gaps
27
Illusion Hallucination
Illusion: miss interpretation of sensory stimuli Hallucination: it’s a perception that has no basis in reality and occurs without any external stimuli
28
Generalized anxiety disorder
When a person worries about everything for no particular reason or if the worrying is unproductive in the individual cannot decide what to do about an upcoming situation Must be present for more days than not for a period of at least six months and the worry must be difficult to turn off or control
29
Phobias
Focusses all his or her anxieties onto one class of objects or situations Confronted with the feared object or situation the person experiences intolerable anxiety
30
Panic disorder Agoraphobia
Characterized by sudden usually unexpected and overwhelming feelings of fear and dread accompanied by a variety of other symptoms Agoraphobia: the fear of going into public places : the fear of going into public places
31
Depression mnemonic
GASP PIPES: guilt, appetite, sleep disturbance, paying attention, interest, psychomotor abnormalitites
32
Manic behaviour
One of the most striking psychiatric conditions The manic patient is more likely to report being on top of the world I’ve never felt any better when they are not
33
Mental status examination
COASTMAP: consciousness, orientation, activity, speech, thought, memory, mood, affect and perception
34
The mental exam on a manic patient
Consciousness: easily distracted Orientation to place and time: disrupted Activity: hyperactive almost always report is significantly decreased need for sleep and I go for days without sleeping Speech: pressured and rapid very talkative Thought: flight of ideas and delusions patient may report of butter racing Affect: oh hallmark of mania the patient seems to be on a high and is usually cheerful Perception: may be disrupted
35
Somatoform disorders
People who are overly concerned with their physical health and appearance
36
Munchausen syndrome
intentionally getting sick for attention
37
Psychosis
state where patient is out of touch with reality and are focused on their version of it
38
schizophrenia
complex disorder that is neither easily defined nor readily treated Typical onset occurs during early adulthood May experience positive negative or disorganized symptoms
39
Positive symptoms Negative symptoms Disorganized symptoms
Positive symptoms: include delusions and hallucinations Negative symptoms: include apathy, mutism, a lack of interest in pleasure Disorganized symptoms: erratic speech, emotional response and motor behaviour
40
Paranoid schizophrenia
characterized by delusions or hallucinations usually centred on a specific theme
41
Disorganized schizophrenia
usually display the wrong emotion for a particular situation and have disorganize speech behaviour
42
Catatonic schizophrenia
Display odd motor activity such as strange expressions in their face or remaining rigid
43
Mental Status examination for the psychotic patient
Consciousness: awake and alert but may be easily distracted Orientation: may be disoriented as to time and place in severe cases Activity: most commonly accelerated with agitation and hyperactivity bizarre stereotyped movement are common Speech: may be pressured or sound strange because I’m an usual words that the patient has invented Thought: loosening associations thought insertion: thought withdrawl: affect and mood: likely to be disturbed in psychosis perception: auditory hallucinations are common in psychosis
44
loosening associations: thought insertion: thought withdrawl:
loosening associations: the logical connection between what idea in the next becomes obscure at least a listener thought insertion: the believe that thoughts are being thrust into his or her mind by another person thought withdrawl: the believe that thoughts are being removed
45
Medication for psychosis
Separated into two groups Atypical antipsychotic (AAP) agents Traditional antipsychotic agents
46
Atypical antipsychotic (AAP) agents
Acute dystonic reaction: the patient develops muscle spasms of the neck, face and back within a few days of starting treatment with the medication
47
Traditional antipsychotic agents
Atropine like effects: dry mouth, blurred vision, urinary retention and cardiac dysrhythmias
48
Attention Deficit Disorder
neurobiological condition characterized by developmentally inappropriate level of attention, concentration, activity, distractibility, impulsivity, and in the case of ADHD, hyperactivity the most commonly diagnosed childhood behavioural disorder with symptoms beginning by three years of age
49
ADHD Signs and Symptoms
Does not pay close attention to details • Makes careless mistakes at work, school, or other activities • Difficulty maintaining attention on tasks or play activities • Difficulty organizing tasks • Easily distracted • Unable to follow more than one instruction at a time • Talks excessively • Has trouble participating in “quiet” activities
50
Autism spectrum disorder
is a complex developmental disorder that appears in the first three years of life, but may be diagnosed much later. Autism affects the brain’s normal development of social and communication skills. Core features include impaired social interactions, impaired verbal and nonverbal communication, and restricted and repetitive patterns of behaviour.
51
autism Signs and Symptoms
* Unusual responses to the environment * Impaired social interaction * Repetitive movements such as rocking and twirling * Self-abusive behavior * Gross deficits in language development and speech patterns * Frequently associated findings: * Congenital blindness * Mentally impaired * Normal or even exceptional development with memory or math calculations * Grand mal seizures before adolescence
52
Anxiety meds overdose signs and symptoms
``` Severe hypoventilation Severe hypotension Bradycardia Slurred speech Altered mental status Impaired coordination ```
53
SSRIs
Side effects: headaches, dizziness, sexual dysfunction,nausea, diarrhea and insomnia
54
Heterocylic antidepressents
Side effects: anti cholinergic (dry) or cardiotoxic ( ecg changes and dysrhythmias)
55
Monoamine oxidase inhibitors (MAOIs)
Recommended for aytipical major depressive episodes Side effects: CNS irritabili

EMER 198 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions