Flashcards in Mental Health Act, ECT Deck (15):
Presumption of capacity?
Unless otherwise, ppl are assumed to have capacity and choose treatment
4 key reform objectives in metal health act?
2. Compulsory treatment
4. Oversight and service improvement
When to use compulsory treatment.
Appears to be mental illness
Immediate harm to self or others
Purpose of mental health act?
Allow ppl with severe mental illness to have compulsory treatment to prevent serious harm to themselves or another.
Evaluation of suicidal patient?
Who are most violent ppl in community?
Young men with substance abuse
Approach to violent patient
1. No weapons nearby
2. Not cramped room
3. Not in isolated place
4. accessEd to door
5. Not to feel cornered.
Describe neuroleptic malignant syndrome
1. Muscular rigidity
2. Autonomic symptoms (temp, sweating, BP, tachy), akinesia, mutism, change consciousness
3. elevated CK, leucocytosis
How to treat neuroleptic malignant syndrome?
bromocryptine (dopamine agonist)
Serotonin syndrome is?
How do you get serotonin syndrome?
How to treat serotonin syndrome?
-use 5HT receptor antagonist (cyproheptadine)
Indications for ECT?
Major depressive disorder
Rx resistant Schizophrenia
Contraindications for ECT?
Hyperthyroidism (Thyroid storm)