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Flashcards in Psych & Neuro Deck (17)
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1
Q

What needs to measured before commencing antipsychotic therapy?

A
FBC, U+E, LFT, 
Lipids, weight
Fasting blood glucose
Prolactin 
BP
ECG
Cardiovascular risk assessment
2
Q

Which antipsychotic needs more close monitoring?

A

Clozapine

3
Q

When do FBC, U&E, LFTs need monitoring

A

At the start of therapy and annually

4
Q

When do lipids, weight, fasting blood glucose and prolactin need to be monitored?

A

At start of therapy
3 months lipids weight, 6months gluc and prolactin
Annually

5
Q

SE of metoclopramide

A

Parkinsonism

6
Q

What alzheimer’s drug is licensed for someone who has parkinson’s as well?

A

Rivastigmine (AChEi)

7
Q

Which anti-nausea drug is safe in Parkinson’s?

A

Domperidone

doesn’t cross BBB

8
Q

Which drug is useful if haloperidol isn’t enough for sedation in palliative care?

A

Midazolam

Used in ICU & palliative care

9
Q

When is sumatriptan containdicated?

A

Ischaemic heart disease

10
Q

3 1st line treatments for meningitis

A

Cefotaxime
Aciclovir
Dexamethasone

11
Q

Treatment of status epilepticus

A

Buccal midazolam or IV lorazepam
Repeat
Then IV phenytoin if not resolved

12
Q

How long do you treat with SSRIs after a response has been seen?

A

Minimum 6months

Reduces risk of relapse

13
Q

What can lithium in pregnancy cause?

A

Ebstein abnormality

Baby born with tricuspid valve regurg and stenosis

14
Q

What 7 drugs (or classes) can cause idiopathic intracranial hypertension?

A
TCAs
Lithium
Contraceptives
Steroids
Levothyroxine
Cimetidine (H2 antagonist)
Isotetinoin
15
Q

Name the drugs that worsen epilepsy control

A
alcohol, cocaine, amphetamines
ciprofloxacin, levofloxacin
aminophylline, theophylline
bupropion
methylphenidate (used in ADHD)
mefenamic acid
16
Q

What needs to be monitored in sodium valproate therapy?

A

FBC

LFTs (during 1st 6 months)

17
Q

What needs to monitored in lithium therapy?

A

Lithium levels
TFTs
U+Es (can accumulate of renal function drops)