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Flashcards in Psych Deck (11)
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1
Q

what meds would you give to an acutely agitated patient?

A

benzo (lorazepam) or antipsychotic (haloperidol)

2
Q

first line medications in treatment of alcohol use disorder?

A
  • naltrexone (mu-opioid receptor antagonist)
    • hepatotoxic
    • dont use in people who are taking opioids
  • acomprosate (glutamate modulator)
    • use in people with liver disease or opioid use
3
Q

second line therapy for alcohol abuse disorder only used in highly motivated patients

A

disulfuram

4
Q

which opioids are detected on UDS?

A

morphine, heroin, codeine

5
Q

what substance can cause a false positive for PCP on UDS?

A

dextromethorphan

6
Q

second generation antipsychotic names

A

ziprasidone, aripirazole, lurasidone, clozapine, olanzapine, quetiapine, risperidone

7
Q

antipsychotic only used in patients who have failed at least 2 antipsychotic trials

A

clozapine (risk of agranulocytosis)

8
Q

treatment for TCA overdose with prolonged QRS or ventricular arrythmia

A

IV sodium bicarbonate

9
Q

how does sodium bicarbonate correct prolonged QRS in TCA overdose?

A

sodium load will alleviate depressant action on myocardium sodium channels

10
Q

what are some medications that can increase lithium levels and cause lithium toxicity (gastrointestinal upset, ataxia, tremor, seizures)?

A
  • thiazide diuretics
  • nsaids
  • ACE-i
  • tetracyclines
  • metronidazole
11
Q

pt presents with OD on barbiturates. what do you give them?

A

sodium bicarbonate; alkalinizes urine which enhances renal excretion of barbiturates