Mark K - Audio Lecture Notes (Videos
1-11)
Fact: On boards- Always blame the fault on yourself.
Ex: -->
Instead of saying “YOU wrote the wrong order”.....instead say,”I am having a difficult time
understanding what you exactly want”.
(Psych)
When a patient is in denial- what do you do?
Confront
Brainpower
Read More
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:02
/
0:15
Full screen
(Psych)
Usually you never support the denial phase….EXCEPT for:
Grieve/loss
Dependency abuser =
Abuser gets his partner to do EVERYTHING for him
,Codependent abusing =
Innocent partner does anything her abuser partner waants bc she feels worthy and appreciated
that she does something for him.
With codependency do you have ONE or TWO patients?
TWO (The abuser and the innocent partner)
Deficiency of vitamin B1 deficiency- you lose touch with REALITY =
Korsakoff's
“If you don't have B1, you'll B1” =
Korsakoff's
Deficiency of thiamine deficiency- you lose touch with REALITY =
Korsakoff's
Amnesia
Memory loss
Korsakoff's
Amnesia (Memory loss) with confabulation (making up stories). They make up stories bc they
forgot. They truly BELIEVE their madeup story- thats why they are psychotic.
Confabulation
Making up stories
, How do you prevent Korsakoff's?
Take vitamin B1/ thiamine
Mouthwash should be avoided by which patients?
Alcoholics
Aftershave, perfume, insect spray, (nause), and red wine need to be avoided by which patients?
Alcoholics
Your pt is high off cocaine- what is critically important to assess?
Answer: CHECK THEIR REFLEXES (you dont care abour respiratory bc you know it wont effect
this)
(Overdose or withdrawal questions hint: You must always remember if they are downers or
uppers)
Ex: The squad calls you. They say they are 10 mins away and the pt is overdosed on cocaine.
What would you expect to see? (SELECT ALL THAT APPLY)
A) Irritability
B) Borborygmi
C)high/fast reflexes
ALL of them are expected s/s
rational: If the question asked WITHDRAWAL from cocaine instead of Cocaine.....then you'd
pick the opposite (downers instead of uppers)
Borborygmi
loud, gurgling bowel sounds
1-11)
Fact: On boards- Always blame the fault on yourself.
Ex: -->
Instead of saying “YOU wrote the wrong order”.....instead say,”I am having a difficult time
understanding what you exactly want”.
(Psych)
When a patient is in denial- what do you do?
Confront
Brainpower
Read More
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:02
/
0:15
Full screen
(Psych)
Usually you never support the denial phase….EXCEPT for:
Grieve/loss
Dependency abuser =
Abuser gets his partner to do EVERYTHING for him
,Codependent abusing =
Innocent partner does anything her abuser partner waants bc she feels worthy and appreciated
that she does something for him.
With codependency do you have ONE or TWO patients?
TWO (The abuser and the innocent partner)
Deficiency of vitamin B1 deficiency- you lose touch with REALITY =
Korsakoff's
“If you don't have B1, you'll B1” =
Korsakoff's
Deficiency of thiamine deficiency- you lose touch with REALITY =
Korsakoff's
Amnesia
Memory loss
Korsakoff's
Amnesia (Memory loss) with confabulation (making up stories). They make up stories bc they
forgot. They truly BELIEVE their madeup story- thats why they are psychotic.
Confabulation
Making up stories
, How do you prevent Korsakoff's?
Take vitamin B1/ thiamine
Mouthwash should be avoided by which patients?
Alcoholics
Aftershave, perfume, insect spray, (nause), and red wine need to be avoided by which patients?
Alcoholics
Your pt is high off cocaine- what is critically important to assess?
Answer: CHECK THEIR REFLEXES (you dont care abour respiratory bc you know it wont effect
this)
(Overdose or withdrawal questions hint: You must always remember if they are downers or
uppers)
Ex: The squad calls you. They say they are 10 mins away and the pt is overdosed on cocaine.
What would you expect to see? (SELECT ALL THAT APPLY)
A) Irritability
B) Borborygmi
C)high/fast reflexes
ALL of them are expected s/s
rational: If the question asked WITHDRAWAL from cocaine instead of Cocaine.....then you'd
pick the opposite (downers instead of uppers)
Borborygmi
loud, gurgling bowel sounds
