Study Flashcards
(13 cards)
Contraindications to benzodiazepams
Pregnancy, breastfeeding, respiratory conditions, neuromuscular conditions, narrow angle gylcoma
Side effects of Benzodiazepams
GI upset, dizziness, sexual dysfunction, respiratory depression, visual changes, memory impairment, suicidal ideation
Withdrawal sx of Benzodiazepams
Sweating, tremor, N+V, seizures, anxiety and psychosis
Tx - diazepam, carbamazepine and antipsychotic
Sx of benzodiazepam toxicity
Ataxia, hypotonia, hypotension, respiratory depression, coma
Flumazenil is antidote
SSRI contra-indications
Mania and LQTS
SSRI Side effects
GI upset, dry mouth, sexual dysfunciton, anxiety, hyponaturemia, sedation, insomnia, tremor, dizziness, suicide, SSRI syndrom
ECT MOA
Increase neurotransmitters, globabl cerebral blood flow and increase metabolic rate
SE of ECT
Drowsiness, Headache, muscle ache, nausea, memory impairment, manic switch, HTN, arrhythmias, MSK injury, anaesthetic risks
Anti-psychotic SE
Metabolic (Weight gain, hyperglycaemia, hyperlipidemia)
Sedation
Prolonged QT
Hyperprolacterinema (gynaecomastia, erectile dysfunction, infertile)
Neuroleptic maligant syndrome (fever, ANS instability, mental status changes, increase CK)
Anti-cholinergic effects
Orthostatic hypotension
Clozapine - agranularcytosis, myocarditis, cardiomyopathy, toxic megacolon
Lithium CI
Pregnancy, breastfeeding, chronic kidney disease
Lithium SE
GI upset, tremor, EPS, nephrogenic DI, skin changes, muscle weakness, ECG changes, hypothyroidism, leucocytosis, serotonin syndrome
Li toxicity
GI, alterned mental status, hyper reflexia, tremor, ataxia, seizure, AKI
Number of sx needed for dx
Psychosis - 2
Mania - 3
Depression - 5
Generalised anxiety disorder - 3
Panic attack - 4 physical sx
PTSD - trauma, flashbacks/nighmares/avoidance/negative alternations in cognition
BPD - 5
Substance - 2 (more =severity)
