TREATMENTS Flashcards

1
Q

First line therapy of choice for PTSD?

A

SSRI (Sertraline-Zoloft)

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2
Q

Treatment for nightmares associated with PTSD?

A

Prazosin

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3
Q

Treatment for tremors associated with PTSD?

A

Beta Blockers

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4
Q

Labs for Eating Disorders?

A

CBC
Thyroid Studies
Metabolic Panels

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5
Q

Treatment for eating disorders?

A

Psychiatry

Nutrition Consult

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6
Q

Treatment for seizures associated with Alcohol Withdrawl

A

Benzos

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7
Q

Treatment for Nicotine Withdrawl

A

Long Acting: Nicotine Patches
Short Acting: Gum / Lozenges

Buproprion (Wellbutrin)

Varenicline (Chantix)

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8
Q

Treatment for Cannabis Use Disorder

A

No treatment indicated unless they are having a “bad trip”

Can offer Cognitive Behavioral Therapy or Marijuana Anonymous

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9
Q

Labs for suspected Opioid Intoxication?

A

Serum Glucose
Liver Enzymes
Serum CPK if “found down”

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10
Q

Treatment for acute opioid intoxication?

A

Naloxone

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11
Q

Treatment for Bipolar Disorder

A

Manage acute symptoms and refer to Psychiatrist

Haloperidol if Manic

MEDEVAC

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12
Q

What Maintenance therapy will usually be employed by psychiatrist for a bipolar patient?

A

*Lithium
*Valproic acid (Lithium and This are mood stabilizers)
Lamotrigine (Lamictal)
Quetiapine (Seroquel)

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13
Q

Mainstays of therapy for depression?

A

Psychotherapy

SSRIs or SNRIs

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14
Q

Which of the following is not a common side effect of SSRIs / SNRIs in patients over 24 years old?

A) Sexual Dysfunction
B) Tremors
C) Weight Gain
D) Suicidality

A

D) Suicidality

No clear evidence that SSRIs have any impact on suicidality

General consideration is that suicidality may be increased in patients 18-
24 years of age

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15
Q

Initial treatment for mild to moderate Post-Partum Depression?

A

Cognitive Behavioral Therapy

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16
Q

Treatment for Post-Partum Depression if psychotherapy was unsuccessful or Severe Post-Partum Depression?

A

SSRIs

17
Q

Treatment for Post-Partum Depression if psychotherapy was unsuccessful or Severe Post-Partum Depression in a patient that is currently breastfeeding?

A

Paroxetine (Paxil)

Sertraline (Zoloft)

18
Q

Treatment for Generalized Anxiety Disorder

A

Cognitive Behavior Therapy

SSRIs/SNRIs

19
Q

What is the treatment for an acute panic attack?

A

Benzodiazepines
or
Antihistamines (Hydroxazine-Atarax)

20
Q

What medication can be used to reduce the frequency of panic attacks and reduce the severity of anxiety?

A

SSRIs
or
SNRIs (Only Venlafaxine-Effexor)

21
Q

Treatment for acute agitation associated with Psychosis?

A

Haloperidol (Haldol)

In certain situations Offer reassurance and simply talking to them may be enough “Re-direct them”

22
Q

What are the side effects of anti-psychotics?

A

1) Akathisia - Motor restlessness with compelling urge to move and inability to sit still
2) Parkinsonian syndrome - Mask like facies, resting tremor, cogwheel rigidity, shuffling gait, psychomotor retardation
3) Dystonia - Involuntary contractions of muscles
4) Tardive Dyskinesia - Involuntary movements of the face, tongue and odd movements of extremities

23
Q

First line treatment for sleep disorder?

A

Sleep Hygiene

24
Q

What are the components of sleep hygiene?

A

No caffeine/nicotine in evening

Daily exercise regimen (avoid evening workouts)

Avoid alcohol

Limit fluids in evening

Relaxation techniques

25
Q

What treatment for acute sleep disorders should be utilized if sleep hygiene is ineffective?

A

Antihistamines - Hydroxyzine or Diphenhydramine

26
Q

What long term treatment for sleep disorders should be utilized if sleep hygiene is ineffective?

A

Trazadone

27
Q

What is the best treatment for a patient with a personality disorder in conditions that have temporarily decompensated into transient psychosis?

A

Haldol

28
Q

What psychological treatment methods would be beneficial for a patient with a personality disorder?

A

Cognative Behavior Therapy

Group Therapy

29
Q

Psychotherapy methods for treatment of PTSD?

A

1) Exposure therapy
2) CBT (Cognitive Behavioral Therapy)
3) EMDR (Eye Movement Desensitization and Reprocessing

30
Q

What is the screening tool for PTSD?

A

PCL-5

31
Q

What are the SSRIs?

A
Fluoxetine
Paroxetine
Sertraline
Escitalopram
Citalopram
32
Q

What are the SNRIs?

A

Venlafaxine

Duloxetine

33
Q

What is the screening tool for eating disorders?

A

SCOFF

S-SICK
C-Lost CONTROL
O-Lost more than ONE Stone
F-Do you believe youre FAT when others say youre thin
F-Does FOOD dominate your life?
34
Q

What is the screening tool for Depression?

A

PHQ-9