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CEN Psychosocial Emergencies > Psychosis > Flashcards

Psychosis Flashcards

(74 cards)

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1
Q

Pyschotic behavior

A

An alteration in reality marked by delusions, hallucinations, disorganized speech and disordered behavior

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2
Q

If lab testing is positive for an physiological imbalance then pt has..

A

Delirium related psychosis

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3
Q

Some causes of delirium

A 
Hypoglycemia
Electrolyte Dysfunction
Drug intoxication
Endocrine Disorder
Intracranial Bleeding
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4
Q

S/S of delirium

A

Rapid Onset
Fluctuating Course
Visual, Tactile, Olfactory Hallucinations
Not oriented to time, person, place

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5
Q

IF lab tests are negative (everything normal)

A

Consider psychiatric causes

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6
Q

4 Psychiatric Causes

A
  1. Schizophrenia
  2. Acute Mania
  3. Psychotic Depression
  4. Dementia
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7
Q

Schizophrenia “”

A

“Split mind.”

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8
Q

What age do ppl develop shizo

A

Early 20s

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9
Q

What are positive symptoms of schizophrenia

A

Schizophrenic has

Non-Schizophrenic does not have

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10
Q

What are negative symptoms of schizophrenia

A

Non-Schizophrenic has

that Schizophrenic does not have

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11
Q

Who are the only pts we don’t encourage to talk

A

Acute Mania

Require yes or no

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12
Q

Medications for acute mania

A

Lithium (Lithobid)
Carbamazepine (Tegretol)

Antidepressants
Antipsychotics
Anticonvolsants

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13
Q

Main factor in lithium toxicity?

A

Dehydration

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14
Q

Other factors in lithium toxicity

A

Diuretics
NSAIDS
Hypoatremia
Renal Impairment

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15
Q

Early signs of lithium toxicitiy

A

Marked tremor
Anorexia
N/V/D
Lethargy

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16
Q

Late Signs of lithium toxicity

A

Restless
Abd muscle movements and incoordination
Seizures

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17
Q

Tx for lithium toxcitiy

A

Large volume IV

Hemodialysis

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18
Q

Things to avoid with psychotic depression

A

Decision Making

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19
Q

Things to encourage with psychotic depression

A

Expression of decision making

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20
Q

Who is more likely to attempt suicide?

A

Woman

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21
Q

Who most likely succeeds at suicide

A

Men

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22
Q

First thing to care for in attempted suicide

A

Physical injuries

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23
Q

Encourage suicide pt to..

A

talk about the problems

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24
Q

Ask pt’s with suicide to look for..

A

alternative coping mechanisms

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25
Dementia is a ...
Chronic Irreversible Decrease in mental functioning
26
Near the end of dementia pts can become..
psychotic
27
What is classic sign of dementia
disorientation to time, place, and person
28
Dementia pt's respond well to what during communication
Touch Face the pt Adequate lighting Caregiver
29
What med can be used for dementia
Antispychotics
30
2 s/s that go with antispychotics
Dystonia | Akasthisa
31
Dystonia
Disorganized muscle movement
32
Oculogyric Crisis
Eyes roll in the back of the head
33
Blepharospasms
Eyelids stay shut
34
Buccolingual Crisis
Mouth is forced open, tongue may protrude
35
Opathalmos
Head is arched backwards
36
Tarticollis
Head takes awkward position to the side
37
Toripelvic Crisis
Pt's pelvis constantly moves
38
Akasthisa
Constant need to move
39
When can the antipsychotic symptoms occur?
Shortly after the drug is given or even 5 days after the drug is given OR Change of dose MENTAL STATUS UNCHANGED - CAN BE SCARY FOR PT
40
Tx for dystonia
Quiet/Decreased stimuli room Benadryl Antiparkinson drug Benztropine or Artane
41
Tx for akathisia
Propranolol - dec movement
42
What disorder with dystonia can you die from?
Neuroleptic Malignant Syndrome
43
What is Neuroleptic Malignant Syndrome and when can it occur?
Can occur ANY time you are taking the drug - usually when it is hot out. Lifethreatening reaction to antispychotics
44
What are the early symptoms of NMS
Starts with confusion and drowsiness AMS Muscle Rigidity Tremors
45
What are the bad symptoms of NMS
Lead pip rigidity Tremor High fever Autonomic Dysfunction CAN LEAD TO RHABDO RENAL FAILURE
46
What drugs worsen Serotonin Syndrom
More than one SSRI Opioids Illicit Drugs St. John's Wort
47
SSRI Syndrome s/s #1
AMS agitation anxiety confusion
48
SSRI Syndrome s/s #2
Autonomic Instability tachy flushing diaphoresis
49
SSRI Syndrome s/s #3
Neuromuscular Abnormalities hyperflexia clonus lower extremity rigidty
50
Tx for NMS and SSRI syndrome
``` Stop the med Cooling Stabilize vitals Correct hypoxia - vent Reduce muscular rigidity ```
51
What is SSRI Syndrome
Too much serotonin in your body | Needed for nerve and brain cells to function
52
2 Drugs for Tx of NSM and SSRI SYndrome
Bromocriplie (Parlodel) | Dantrolene (Dantrium)
53
What is panic disorder
Anxiety due to a threat that does not exist
54
When do symptoms of panic disorders peak
In 10 minutes from onset and subside within 30 minutes (Running from a bear that isn't there)
55
OCD usually shows up
childhood/adolescants
56
What are compulsions
Carrying through with the need Drive to preform specific "Checking the lock"
57
OCD 2 things
Obsession and Compulsion
58
PTSD usually occurs
3 months after event (can be years later)
59
Tx for anxiety disorders rx
Benzos Anixolytics Antidepressants
60
What to encourage for anxiety disorders
Feeling - Verbalize Concerns
61
Signs of abuse for the caregiver giving the abuse
``` Hostile Mad at themselves No guilt/remorse Focuses on child behavior instead of injuries Refuse to leave child alone Display anger towards child ```
62
Behavioral Signs of abuse in a child
``` Low Self Esteem Attention Seeking Fearful of abuser Anxious when other children cry Does not turn to care giver for solace ```
63
Signs of emotional abuse
``` Withdrawal Eating Disorders Head Banging Suicidal Self-destructive Rocking Learning difficulties Enuresis ```
64
Enuresis
Wetting bed when it is no longer appropraite
65
Crescent shaped bruises are from
Pinching
66
Oval shaped bruises are from
Biting
67
Canine molars of an adult is..
1-1.6 inches
68
Suspicious fractures of children
``` Humerus Sternum Fingers Spinous Process Scapula Posterior Ribs ```
69
Accidental burn
Child with thrash and have uneven burn
70
Suspicious burn locations
lips, tongue rectum, perineum dorsum of hand
71
A suspicious burn related to clothing coverage
Burns that are on areas that are normally covered by clothing are suspicious
72
Abusive Brain Injury
Shaken Baby Syndrome
73
3 Classic Triad of Shaken Baby Sydrome
Subdural Hemorrhage Retinal Hemorrhage Decreased LOC
74
What is Munchausen Syndrome
PT that enjoys seeking medical care - but it is proxying onto someone else

CEN Psychosocial Emergencies (1 decks)

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