Flashcards in UWORLD Deck (37)
anxiety, insomnia, perceptual disturbances, tachycardia, seizures, psychosis - withdrawal from what?
agitation, tremors, tachycardia, HTN, possible progression to seizure and DT - withdrawal from what?
give what three things?
benzos, anticonvulsants, thiamine
Diagnosis of ADHD requires what:
presence of symptoms before age of TWELVE and SIX or more inattentive or hyperactive symptoms.
Dx of adjustment disorder with depressed mood.
Within 3 months of identifiable stressor with significant functional impairment and marked distress (v. normal sadness)
Time frame for GAD.
6 or more months
unstable and intense relationships, anger, self-destructive behavior - what personality disorder?
hypomania ad major depression
dx/criteria od MDD
5+ sx for 2+ weeks: SIG E CAPS - depressed mood, sleep disorder, interst deficient (anhedonia), guilt, eergy-less,
hypotension, tachycardia, dry skin, menstrual irregularities, hypokalemia, elevated pancreatic enzymes
tx for AN and BN
CBT, fluoxetine (SSRI), nutritional rehab
prominent mood symptoms and mania
treatment of treatment-resistant schizophrenia
MOA of PCP
NMDA receptor antagonist, leading to excess release of excitatory neurotransmitters. (hallucinogen)
delusions or halllucinations for more than 2 weeks in absence of major depressive or manic episodes. Mood sx preset for majority of illness.
(schizophrenia has absence of mood sx for most of illness)
difference bw schiphrenia and schizoaffective
schizophrenia has NO mood symptoms at any point (no mania or depression)
psychosis and mood together v. delusions and hallucinations WITHOUT mood
bipolar and MAD (w/ mood sx) v. schizoaffective disorder (w/o mood sx for at least 2 weeks - only schizo hallucinations during this time, NO MOOD)
tx of GAD
SSRI (NOT benzos)
define schizophrenia criteria for dx
2 or more sx for 1 or more months (w/o tx) and more than one sx (delusions, hallucinations, disorganized speech)
continual disturbance for 6+ mo
two drugs to slow demenita
donepezil (AChE inhibitor) and memantine (NMDA inhibitor)
Never give elderly what type of drug?
Avoid anticholinergic medications which can impair cognitive function, ESPECIALLY in ELDERLY, (i.e. Benadryl , hydroxyzine***)
Black box warning for what antipsychotics (for dementia + psychosis)
olanzapine (Zyprexa), aripiprazole (Abilify), risperidone (Risperdal), or quetiapine - double risk of death!
Medication examples for tx of med addiction in elderly.
- Naltrexone –opiate antagonist to reduce cravings
- Buprenorphine, Benzodiazepines (i.e. valium/Diazepam taper)
Hill's DoC for geriatric depression
dysthymia (progressive depressive disorder)
more than 2 years with no more than 2 mo WITHOUT symptoms
SIG E CAPS
Major Depressive Episode
P... PSYCHOMOTOR RETARDATION/AGITATION
Episode = more than 2 weeks of 5/9 characteristics
Grandiosity - inflamed self esteem
Flight of ideas
Talkativeness - pressured speech
Episode = 1 or more weeks (BP1 is manic only, BP2 is hypomanic and Major Depressive Episode)
greater than two years of mild depression and hypomania sporadically (essentially dysthymia with intermittent hypomania)
tx for OCD (and 2nd line for BN)
tx for BN (1st line)