NR 607- final Questions With Complete Solutions
Autonomic instability w serotonin syndrome
-Mydriasis
-Tachycardia
-Hypertension
-Shivering
-Diaphorosis
-Diarrhea
Anatomical disease explanation of serotonin syndrome
Presynaptic neuron
Synaptic cleft
Postsynaptic neuron
Serotonin vesicle
Blocked serotonin uptake pump
Serotonin receptors
Hyperstimulation serotonin syndrome
diagnosis of serotinin syndrome
made on clinical presentation alone!
treatment of serotonin syndrome
AE of DBS- r/t the surgery
infection, HA, seizure, and hemorrhage
antipsychotics avail in LAI
,haloperidol
risperidone
paliperidone
aripiprazole
olanzapine
akathisia
-The subjective feeling of restlessness w a compelling urge to
move
-May include repetitive movements:
--finger tapping, rocking, and crossing/uncrossing legs
Factitious d/o
-falsify presenting physical sxs in the absence of illness/
impairment to deceive others even in the absence of external
rewards.
--A related diagnosis= factitious disorder imposed on another
(formerly factitious disorder by proxy or Munchausen by proxy)
in which an individual falsifies physical/ psychological sxs
/induces illness/ injury on another person, presenting the other as
ill, impaired/injured
--differentiated from malingering in intent- individs w
malingering report sxs for personal gain
----money
----time off work.
,risk factors for dissociative disorders
-trauma; neglect and physical, sexual/emotional abuse;
cumulative traumas early in life; or repeated/sustained trauma/
torture assoc w captivity
--Women are more likely than men
dissociative amnesia
-The primary symptom-difficulty remembering autobiographical
info, unlike normal forgetting.
-most commonly relates to a particular event: combat or abuse,
-memory loss may also include:
--details about one's identity or life history.
-Episodes usually involve a sudden onset and may last minutes,
hours, days/ less commonly: mo -yrs!!
-Many individ initially unaware of the gaps in memory until
they notice that they do not recall info about their identity/when
circumstances make them aware that autobiographical info is
missing
dissociative fungue
-a subtype of dissociative amnesia
-a separate diagnosis in ICD-10.
-Dissociative fugue -can last from minutes to months
-seen in individuals w both dissociative amnesia and dissociative
identity disorder.
-During a dissociative fugue, an individual cannot recall
some/all of their past, may travel from their home/daily activity,
and may be confused about their identity or even assume a new
one.
, -Dissociative fugues in children and adolescents- tend to be brief
and travel only involves short distances
tx for dissociative amnesia
-involves psychotherapy and trauma-informed care.
--Psychotherapy may encompass techniques to process the
trauma that triggers dissociative symptoms.
psychotherapies commonly used for dissociative amnesia
-CBT
-sensorimotor psychotherapy
-EMDR is also used although controversial
--meds may be used to treat other related sxs
the resilience zone
-a conceptual framework used to understand an individ's
capacity to cope w stress, trauma, and dissociation.
--a range of emotional and physiological states in which a
person feels stable and can effectively manage challenges.
optimal zone
-calm, connected, and engaged.
--can handle stressors without becoming overwhelmed/shutting
down.
hyperarousal zone
-When stress becomes too intense
--characterized by anxiety, panic, or irritability. Here, the body
and mind are in a heightened state of alertness.
hypoarousal zone
Autonomic instability w serotonin syndrome
-Mydriasis
-Tachycardia
-Hypertension
-Shivering
-Diaphorosis
-Diarrhea
Anatomical disease explanation of serotonin syndrome
Presynaptic neuron
Synaptic cleft
Postsynaptic neuron
Serotonin vesicle
Blocked serotonin uptake pump
Serotonin receptors
Hyperstimulation serotonin syndrome
diagnosis of serotinin syndrome
made on clinical presentation alone!
treatment of serotonin syndrome
AE of DBS- r/t the surgery
infection, HA, seizure, and hemorrhage
antipsychotics avail in LAI
,haloperidol
risperidone
paliperidone
aripiprazole
olanzapine
akathisia
-The subjective feeling of restlessness w a compelling urge to
move
-May include repetitive movements:
--finger tapping, rocking, and crossing/uncrossing legs
Factitious d/o
-falsify presenting physical sxs in the absence of illness/
impairment to deceive others even in the absence of external
rewards.
--A related diagnosis= factitious disorder imposed on another
(formerly factitious disorder by proxy or Munchausen by proxy)
in which an individual falsifies physical/ psychological sxs
/induces illness/ injury on another person, presenting the other as
ill, impaired/injured
--differentiated from malingering in intent- individs w
malingering report sxs for personal gain
----money
----time off work.
,risk factors for dissociative disorders
-trauma; neglect and physical, sexual/emotional abuse;
cumulative traumas early in life; or repeated/sustained trauma/
torture assoc w captivity
--Women are more likely than men
dissociative amnesia
-The primary symptom-difficulty remembering autobiographical
info, unlike normal forgetting.
-most commonly relates to a particular event: combat or abuse,
-memory loss may also include:
--details about one's identity or life history.
-Episodes usually involve a sudden onset and may last minutes,
hours, days/ less commonly: mo -yrs!!
-Many individ initially unaware of the gaps in memory until
they notice that they do not recall info about their identity/when
circumstances make them aware that autobiographical info is
missing
dissociative fungue
-a subtype of dissociative amnesia
-a separate diagnosis in ICD-10.
-Dissociative fugue -can last from minutes to months
-seen in individuals w both dissociative amnesia and dissociative
identity disorder.
-During a dissociative fugue, an individual cannot recall
some/all of their past, may travel from their home/daily activity,
and may be confused about their identity or even assume a new
one.
, -Dissociative fugues in children and adolescents- tend to be brief
and travel only involves short distances
tx for dissociative amnesia
-involves psychotherapy and trauma-informed care.
--Psychotherapy may encompass techniques to process the
trauma that triggers dissociative symptoms.
psychotherapies commonly used for dissociative amnesia
-CBT
-sensorimotor psychotherapy
-EMDR is also used although controversial
--meds may be used to treat other related sxs
the resilience zone
-a conceptual framework used to understand an individ's
capacity to cope w stress, trauma, and dissociation.
--a range of emotional and physiological states in which a
person feels stable and can effectively manage challenges.
optimal zone
-calm, connected, and engaged.
--can handle stressors without becoming overwhelmed/shutting
down.
hyperarousal zone
-When stress becomes too intense
--characterized by anxiety, panic, or irritability. Here, the body
and mind are in a heightened state of alertness.
hypoarousal zone
