Moderate Anxiety
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-reduced perceptual field
-reduces alertness to environmental events
-decreased ability to learn
-decreased attention span
-decreased ability to concentrate
-increased restlessness
-increased HR and RR
-gastric discomfort
-increased muscular tension
-increase in speech rate, volume, and pitch
-a feeling of discontent, can have impairment in personal relationships
(begins to focus on self)
PTSD
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-caused by a psychologically traumatic event
-sx may persist for more than 1 month and cause a
significant amount of impairment and distress
-avoidance of stimuli associated with trauma
-hypervigilence, emotional numbing, flashbacks
-tx: group and individual therapy, medication for insomnia
(prasozin for nightmares), anxiety, and/or depression
-NI: supportive, non-judgmental approach, encourage
expression of feelings, and encourage healthy coping
mechanisms
Alcohol Intoxication and VS
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VS decrease, if depressant suddenly removed the body doesn't adjust
quickly so VS rapidly increase, rapid increase in vitals causes cardiovascular
collapse
Stimulants
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, -used in ADHD due to a sluggish frontal lobe
-increase attention span
-goal oriented behavior
-decreased impulsiveness
-distractibility
-hyperactivity
-restlessness
-methylphenidate (ritalin)
Common treatment for bipolar disorder
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-antipsychotics in combination with anticonvulsant
-olanzapine
-ziprasidone
-haloperidol
-antidepressants may be utilized with careful monitoring as they can
sometimes trigger mania
-anxiolytics - benzodiazepines for treatment stabilization
-omega 3 FA's
Wernike-Korsakoff syndrome
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memory deficit if encephalopathy that is not treated, need
B1 (thiamine) to treat
, Alcohol withdrawal symptoms
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Within 4-12 hours of cessation or reduction in prolonged or heavy alcohol
use (several days or longer). Symptoms include coarse tremors of the
hands, tongue, or eyelids, nausea or vomiting, weakness or malaise,
tachycardia, sweating, elevated blood pressure, anxiety, depressed mood
or irritability, transient hallucinations or illusion, headache, and insomnia.
how long does it take for antidepressants to start working?
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1-2 weeks, fluoxetine is 4-5 weeks
trazadone
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-prescribed at bedtime to help sleep
-warning: possible priapism
-most common SE: dizziness, drowsiness, blurred vision, dry mouth, unusual
weakness and tiredness, nightmares
Should a patient take their lithium dose before a lab draw?
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-reduced perceptual field
-reduces alertness to environmental events
-decreased ability to learn
-decreased attention span
-decreased ability to concentrate
-increased restlessness
-increased HR and RR
-gastric discomfort
-increased muscular tension
-increase in speech rate, volume, and pitch
-a feeling of discontent, can have impairment in personal relationships
(begins to focus on self)
PTSD
,Give this one a try later!
-caused by a psychologically traumatic event
-sx may persist for more than 1 month and cause a
significant amount of impairment and distress
-avoidance of stimuli associated with trauma
-hypervigilence, emotional numbing, flashbacks
-tx: group and individual therapy, medication for insomnia
(prasozin for nightmares), anxiety, and/or depression
-NI: supportive, non-judgmental approach, encourage
expression of feelings, and encourage healthy coping
mechanisms
Alcohol Intoxication and VS
Give this one a try later!
VS decrease, if depressant suddenly removed the body doesn't adjust
quickly so VS rapidly increase, rapid increase in vitals causes cardiovascular
collapse
Stimulants
Give this one a try later!
, -used in ADHD due to a sluggish frontal lobe
-increase attention span
-goal oriented behavior
-decreased impulsiveness
-distractibility
-hyperactivity
-restlessness
-methylphenidate (ritalin)
Common treatment for bipolar disorder
Give this one a try later!
-antipsychotics in combination with anticonvulsant
-olanzapine
-ziprasidone
-haloperidol
-antidepressants may be utilized with careful monitoring as they can
sometimes trigger mania
-anxiolytics - benzodiazepines for treatment stabilization
-omega 3 FA's
Wernike-Korsakoff syndrome
Give this one a try later!
memory deficit if encephalopathy that is not treated, need
B1 (thiamine) to treat
, Alcohol withdrawal symptoms
Give this one a try later!
Within 4-12 hours of cessation or reduction in prolonged or heavy alcohol
use (several days or longer). Symptoms include coarse tremors of the
hands, tongue, or eyelids, nausea or vomiting, weakness or malaise,
tachycardia, sweating, elevated blood pressure, anxiety, depressed mood
or irritability, transient hallucinations or illusion, headache, and insomnia.
how long does it take for antidepressants to start working?
Give this one a try later!
1-2 weeks, fluoxetine is 4-5 weeks
trazadone
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-prescribed at bedtime to help sleep
-warning: possible priapism
-most common SE: dizziness, drowsiness, blurred vision, dry mouth, unusual
weakness and tiredness, nightmares
Should a patient take their lithium dose before a lab draw?
Give this one a try later!
