What should you not rx if a patient is taking kava and why?
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BNZ, CNS depressants b/c kava already causes drowsiness; adding addtl
sedating meds=safety concern
If a patient presents with TD, how would you proceed?
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Lower current dose or switch to SGA
What is a consequence of prolonged hyperprolactinemia?
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Osteoporosis
Cultural formulation interview
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Clarify meaning of illness/predicament; contextualize situation to local
world; empower patient
Medication to tx bipolar depression
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Lamotrigine; olanzapine-fluoxetine combo; latuda
What is the first line treatment for psychosis and agitation in dementia?
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SGAs - but try nonpharmacological therapies first
What setting is appropriate for tx alcohol withdrawal - outpatient or inpatient?
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, Inpatient
Pneumonic for mania
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DIGFAST (distractable, impulsive, grandiose, flight of ideas, activity
increase, sleep disturbance, talkativeness)
MMSE (Folstein Scale) - what does it test for?
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Screen for dementia, monitor severity/progression over time; monitors
concentration, ability to learn new material, recall, fund of knowledge
Which psychiatric sx can result from steroid use?
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Mania, depression, psychosis
How to ensure continuous improvement when tx patients?
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, Use rating scales to establish baseline, assess improvements
Hypothyroidism lab trends
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TSH high, T3/T4 low
What major side effect of SNRIs should you monitor for?
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Increased blood pressure
Which labs are elevated during an infx?
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CRP, WBC
Freud psychosexual stages of development
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Give this one a try later!
BNZ, CNS depressants b/c kava already causes drowsiness; adding addtl
sedating meds=safety concern
If a patient presents with TD, how would you proceed?
Give this one a try later!
Lower current dose or switch to SGA
What is a consequence of prolonged hyperprolactinemia?
,Give this one a try later!
Osteoporosis
Cultural formulation interview
Give this one a try later!
Clarify meaning of illness/predicament; contextualize situation to local
world; empower patient
Medication to tx bipolar depression
Give this one a try later!
Lamotrigine; olanzapine-fluoxetine combo; latuda
What is the first line treatment for psychosis and agitation in dementia?
Give this one a try later!
SGAs - but try nonpharmacological therapies first
What setting is appropriate for tx alcohol withdrawal - outpatient or inpatient?
Give this one a try later!
, Inpatient
Pneumonic for mania
Give this one a try later!
DIGFAST (distractable, impulsive, grandiose, flight of ideas, activity
increase, sleep disturbance, talkativeness)
MMSE (Folstein Scale) - what does it test for?
Give this one a try later!
Screen for dementia, monitor severity/progression over time; monitors
concentration, ability to learn new material, recall, fund of knowledge
Which psychiatric sx can result from steroid use?
Give this one a try later!
Mania, depression, psychosis
How to ensure continuous improvement when tx patients?
Give this one a try later!
, Use rating scales to establish baseline, assess improvements
Hypothyroidism lab trends
Give this one a try later!
TSH high, T3/T4 low
What major side effect of SNRIs should you monitor for?
Give this one a try later!
Increased blood pressure
Which labs are elevated during an infx?
Give this one a try later!
CRP, WBC
Freud psychosexual stages of development
Give this one a try later!
