ICNP (International Classification for Nursing Practice)
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used for nursing diagnosis and Tx plan for suicide
-risk for suicide
-attempted suicide
-an impaired family process
-lack of family support
-risk for dysfunction family grief
-negative self-image
-risk for destructive behavior.
safety should be the highest priority for both the patient and the family.
Treatment of neuroleptic malignant syndrome
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, reduction of temp
monitoring fluid balance
monitoring for complications
-dantrolene (muscle relaxant) for SEVERE cases!
-bromocriptine (dopamine agonist) for mild cases
-amantadine (antiviral with dopaminergic properties)
Long term S&S which require lab monitoring for Lithium
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Medication-induced hypothryodism & Goiter
Mediaction induced kidney dysfunction, Diabeties insepidus
associative looseness
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shift of ideas from one unrelated topic to another
How and when are Serum lithium levels checked.
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Drawn at a trough level 10-12 hours after taken medication
,How many weeks should a Pt wait after stopping an SSRI OR SNRI to switch to a
MAOI?
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There needs to be a 2-5 week washout of SSRIs and other deppresents
before starting MAOIs
the NMDA receptors hypofunction hypothesis
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suggests that N-Methyl-D-Asperate (NMDA) an amino acid similar to
glutamate is implicated in the psychotic, negative, and cognitive symptoms
associated with schizophrenia.
SHIVERS* is Pnuemonic used to help recognize Serotonin Syndrome. List out
pneumonic
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, Shivering
Hyperfelxia & myoclonus; muscular rigidity only in most severe cases
Increased tempature, usually in most severe cases, likly caused by muscluar
hypertonicity
Vital sign instability, presenting as tachycardia, tachpnea, and or liable BP
Encephalopathy- Mental status change, such as agitation, delirium, and
confusion
Restlessness & incoordination, common b/x of excess serotonin activity
Sweating (diaphroesis) an autonomic response to excessive serotonin
stimulation
Serotonin (5-HT)
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important neurotransmitter pertains to completed suicide
-ventral medial pre frontal cortex abnormal levels of serotonin result in
increased suicide
-HPA hypothalamic-pituitary-adrenal axis (HPA) stress response
abnormalities which lead to increased suicide.
prolonged exposure therapy
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A cognitive-behavioral treatment for PTSD that involves repeatedly
exposing individuals to stimuli that remind them of their past trauma in
order to alter their fear networks.
poverty of thought
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used for nursing diagnosis and Tx plan for suicide
-risk for suicide
-attempted suicide
-an impaired family process
-lack of family support
-risk for dysfunction family grief
-negative self-image
-risk for destructive behavior.
safety should be the highest priority for both the patient and the family.
Treatment of neuroleptic malignant syndrome
Give this one a try later!
, reduction of temp
monitoring fluid balance
monitoring for complications
-dantrolene (muscle relaxant) for SEVERE cases!
-bromocriptine (dopamine agonist) for mild cases
-amantadine (antiviral with dopaminergic properties)
Long term S&S which require lab monitoring for Lithium
Give this one a try later!
Medication-induced hypothryodism & Goiter
Mediaction induced kidney dysfunction, Diabeties insepidus
associative looseness
Give this one a try later!
shift of ideas from one unrelated topic to another
How and when are Serum lithium levels checked.
Give this one a try later!
Drawn at a trough level 10-12 hours after taken medication
,How many weeks should a Pt wait after stopping an SSRI OR SNRI to switch to a
MAOI?
Give this one a try later!
There needs to be a 2-5 week washout of SSRIs and other deppresents
before starting MAOIs
the NMDA receptors hypofunction hypothesis
Give this one a try later!
suggests that N-Methyl-D-Asperate (NMDA) an amino acid similar to
glutamate is implicated in the psychotic, negative, and cognitive symptoms
associated with schizophrenia.
SHIVERS* is Pnuemonic used to help recognize Serotonin Syndrome. List out
pneumonic
Give this one a try later!
, Shivering
Hyperfelxia & myoclonus; muscular rigidity only in most severe cases
Increased tempature, usually in most severe cases, likly caused by muscluar
hypertonicity
Vital sign instability, presenting as tachycardia, tachpnea, and or liable BP
Encephalopathy- Mental status change, such as agitation, delirium, and
confusion
Restlessness & incoordination, common b/x of excess serotonin activity
Sweating (diaphroesis) an autonomic response to excessive serotonin
stimulation
Serotonin (5-HT)
Give this one a try later!
important neurotransmitter pertains to completed suicide
-ventral medial pre frontal cortex abnormal levels of serotonin result in
increased suicide
-HPA hypothalamic-pituitary-adrenal axis (HPA) stress response
abnormalities which lead to increased suicide.
prolonged exposure therapy
Give this one a try later!
A cognitive-behavioral treatment for PTSD that involves repeatedly
exposing individuals to stimuli that remind them of their past trauma in
order to alter their fear networks.
poverty of thought
