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First Line Rx for positive symptoms in Schizophrenia?
- Haloperidol (higher potency)
- Chlorpromazine
Second line: Clozapine
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Treatment for generalized anxiety disorder?
- First: Psychotherapy and relaxation
- Second: Benzodiazepines and Buspirone
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Patient presents with hyperthermia, seizures, hypotension, anticholinergic affects (tachycardia, dry mouth, urinary retention), and a prolonged QRS. What is the drug and what is the Rx?
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Patient presents with pinpoint pupils, respiratory depression, lethargy. What's the substance? Rx?
- Opiods
- Treat with Naloxone
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Patient reports to ED with Nausea, Vomitting, Tinnitus, Hyperventilation, and an anion gap acidosis. Whats the substance? Rx?
- Salicylate toxicity
- Treat with Charcoal, Dialysis, and NaHCO3
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Pt reports to ED with headache, nausea, vomitting, altered mental status. What is the substance? Rx?
- Cyanide
- Treat with Nitrates and Hydroxycobalamin
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Pt reports to ED with bradycardia, hypotension, and hypoglycemia, with SOB and pulmonary edema signs. What is the substance? Rx?
- B-blocker
- Treat with Glucagon, Ca, Insulin, Dextrose
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Patient presents to ED with tachycardia, elevated temp, pupils are 9mm and appears very agitated. What is the substance? Rx?
- Cocaine
- Benzodiazepines
- ASA and Nitrates for supportive care
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Pt reports to ED with Nausea, vomiting, visual changes, and arrhythmias. What is the substance? Rx?
- Digoxin
- Treat with digoxin abs
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Patient presents to ED with abdominal pain, N/V/D, hematemisis, hypotension, metabolic acidosis, liver necrosis with accompaning coagulopathies, drowsiness. He has a seizure and slips into a coma. What is the substance? Rx?
- Fe poisoning
- Ipecac initially
- Deferoxamine
- Don't use charcoal or lavage
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Patient comes to ED with sedation and respiratory depression. What is the substance? Rx?
- Benzodiazepines
- Rx with flumazenil
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What is the Rx for bedwetting?
Desmopressin and Imipramine
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