Psychiatric Nursing De-Escalation Techniques
Medication for bipolar disorder requiring monitoring of thyroid, kidney, and sodium levels -
Lithium.
Three atypical antipsychotics used in psychiatric settings - Quetiapine, Risperidone, Ziprasidone.
What to avoid during a de-escalation attempt - Avoid raising your voice, aggressive gestures, or
confrontational posture.
What to do before administering midazolam for sedation - Screen for sedation needs and
ensure flumazenil is available as an antidote.
When to use physical restraint during de-escalation - Only after verbal de-escalation has failed
and safety is at risk.
Why avoid standing face-to-face with an agitated patient - To reduce intimidation and allow
personal space for safety.
Antidote for benzodiazepine overdose - Flumazenil.
Antipsychotic requiring WBC monitoring due to risk of agranulocytosis - Clozapine.
Common side effects of SSRIs - Insomnia, sexual dysfunction, increased suicidal ideation in some
cases.
Condition indicated by fever, muscle rigidity, and altered mental status after antipsychotic use -
Neuroleptic Malignant Syndrome (NMS).
Medication for bipolar disorder requiring monitoring of thyroid, kidney, and sodium levels -
Lithium.
Three atypical antipsychotics used in psychiatric settings - Quetiapine, Risperidone, Ziprasidone.
What to avoid during a de-escalation attempt - Avoid raising your voice, aggressive gestures, or
confrontational posture.
What to do before administering midazolam for sedation - Screen for sedation needs and
ensure flumazenil is available as an antidote.
When to use physical restraint during de-escalation - Only after verbal de-escalation has failed
and safety is at risk.
Why avoid standing face-to-face with an agitated patient - To reduce intimidation and allow
personal space for safety.
Antidote for benzodiazepine overdose - Flumazenil.
Antipsychotic requiring WBC monitoring due to risk of agranulocytosis - Clozapine.
Common side effects of SSRIs - Insomnia, sexual dysfunction, increased suicidal ideation in some
cases.
Condition indicated by fever, muscle rigidity, and altered mental status after antipsychotic use -
Neuroleptic Malignant Syndrome (NMS).
