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Flashcards in Psych Deck (28):
1

Confabulation

Making stuff up without conscious intention to deceive

2

Tramadol + SSRI

Serotonin syndrome -
Cognitive - headache, confusion, hallucinations
Autonomic - shivering, sweating, vasoconstriction
Somatic - myoclonus, hyperreflexia, tremor

3

Dementia of Alzheimers Type
Slow the decline

Cholinesterase inhibitors (e.g. Donezepil)

4

Alzheimers
Mild MMSE

20-24

5

Alzheimers
Moderate MMSE

13-20

6

Alzheimers
Severe MMSE

<12

7

Dementia with Lewy Bodies
Management

Benzodiazepines (behavioural disturbances)
Anticholinergics (Parkinsonisms)
Risperidone or Olanzapine for psychosis - DO NOT GIVE TYPICAL ANTIPSYCHOTICS

8

Typical antipsychotics

Chlorpromazine, Haloperidol, Zuclopenthixol

9

Typical antipsychotic
Side effects

EPSEs, elevated prolactin, neuroleptic malignant syndrome, prolonged QT, arrhythmias

10

Chlorpromazine
S/E

Increases sun sensitivity

11

Zuclopenthixol

Depot

12

Atypical antipsychotics

Olanzapine, seroquel (quetiapine), risperidone, clozpine

13

Atypical antipsychotics
Side effects

Fewer EPSEs, increased risk of CVA, metabolic side effects

14

Olanzapine S/E

Weight gain
Diabetes

15

Quetiapine (Seroquel) S/E

Sedative
EPSE

16

Risperidone
S/E

Pain at injection site
Lactation

17

Clozapine
S/E

Neutropaenia, agranulocytosis, myocarditis, diabetes, weight gain, HTN, hepatitis, piaprism
ONLY IN TREATMENT RESISTANT SCHIZOPHRENIA OR RECURRENT SUICIDAL IDEATION

18

SSRI

Citalopram
Escitalopram
Fluoxetine
Sertraline

19

SSRI
S/E

Headache, nausea, vomiting, sexual dysfunction

20

Citalopram S/E

Prolonged QT

21

Escitalopram

Used in PND

22

SSNR

Venlafaxine

23

TCA

Amitriptyline, clompiramine, mirtazapine

24

TCA S/E

anti-SLUD, sedation, weight gain, orthostatic hypotention, sinus tachycardia, death in OD, prolonged QT, T wave inversion

25

Mirtazapine
S/E

Increased appetite
Weight gain
Agranulocytosis

26

Irreversible MAO inhibitors
S/E

Hard cheese effect - hypertensive crisis due to reaction with tyramine in cheese

27

Lithium
S/E

Hypothyroidism, epigastric discomfort, weight gain, vertigo, tremor, acne, psoriasis, leukocytosis, polyuria, benign T wave changes, nephrotoxicity

28

Parkinson's Treatment

L-dopa and carbidopa
Dopamine agonists
Anti-cholinergics (Benztropine)