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Flashcards in Psych Emergencies Deck (23)
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1
Q

Common causes of behavioral alterations

A
Hypoglycemia
Hypoxia
Hypoperfusion
Mind-altering substances
Psychogenic
Environmental exposure
Meningitis
Seizure disorders
Toxic ingestions/OD
Withdrawal from drugs or alcohol
2
Q

Organic brain syndrome

A

Temporary or permanent dysfunction of the brain caused by a disturbance in the physical or physiologic functioning of brain tissue.

3
Q

Causes of organic brain syndrome

A

Sudden illness
Recent head trauma
Seizure
Drug and ETOH intoxication, OD, or withdrawal
Diseases of brain : Alzheimer, meningitis

4
Q

Organic causes of depression

A

Emotional response to a major illness; medication side effects; changes in endocrine system.

5
Q

Cultural causes of depression

A

Some cultures view geriatrics as a burden causing anguish and feelings of uselesness

6
Q

Function disorder

A

Etiology cannot be traced to an obvious change in the actual structure or physiology of the brain itself.

7
Q

Psychological function involve :

A
Consciousness
Motor activity
Speech
Though
Affect
Memory
Orientation
Perception
8
Q

Inappropriate affect

A

Emotion out of synch with the situation

9
Q

Flat affect

A

Absence of emotion

10
Q

Neologism

A

Patient invents words

11
Q

Echolalia

A

Patient echoes words heard

12
Q

What should you evaluate during a behavioral crisis?

A
General appearance
Speech
Skin
Posture/Gait
Mental status
Mood
Thought
Perception
Judgement
Memory
Attention
13
Q

Psychosis

A

State of delusion in which the person is out of touch with reality

14
Q

Causes of psychosis include :

A

Use of mind-altering substances
Intense stress
Delusional disorders
Schizophrenia

15
Q

Common s/s of schizophrenia

A
Delusions
Hallucinations
Apathy
Mutism
Flat affect
Lack of interest in pleasure
Erratic speech, emotional responses, and motor behavior
16
Q

COASTMAP

A
Consciousness
Orientation
Activity
Speech
Thought
Memory 
Affect and Mood
Perception
17
Q

Management of psychosis

A

Explain what is being down and what the patient’s role will be.
Keep orienting the patient to time, place, and people.
Involve people the patient trusts
Consider ALS backup for sedative or antianxiety drug if not compliant and possible danger to self or others.

18
Q

Agitated delirium

A

Acute global cognitive impairment associated with fluctuations in mental status and behavior; inattention; disorganized thinking; AMS.

19
Q

s/s of agitated delirium

A
Disorientation
Hallucinations
Delusions
Hyperactive irrational behavior w/inattentiveness
HTN
Tachycardia
Diaphoresis
Dilated pupils
20
Q

GAS PIPES mnemonic for depression assessment

A
Guilt
Appetite
Sleep
Paying attention
Interest
Psychomotor abnormalities
Suicidal thoughts
21
Q

s/s panic attack

A
SOB
Palpitations or tachycardia
Sweating
Nausea or abd distress
Fear of dying
Dizzy, lightheaded, faint
Trembling or shaking
Feeling of choking
Paresthesia
CP or discomfort
Losing control or going crazy
22
Q

Legal actions when restraining someone without authority

A

Assault
Battery
False imprisonment
Violation of civil rights

23
Q

At least ______ people should be present to carry out the placement of restraints.

A

5