Mental health 2.txt

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Mental health 2.txt
2014-01-19 16:22:49
Mental health

Mental health 2
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  1. Thioridazine (typical antipsychotic) is
    contraindicated in people with CNS depressants or comatose states
  2. Zyprexa
    2nd generation antipsychotic; can be used for bipolar mania; can raise blood sugar; hypotension, dizziness, sedation, constipation, weight gain, dry mouth; can be used for OCD
  3. Dopamine blocker results in
    controlling positive symptoms of schizophrenia; EPS
  4. Clozapine
    don’t give to people with seizures; need WBC count at normal level and need to have labs drawn; one week supply of med at a time; hypersalivation
  5. Antipsychotics can cause
  6. Lithium
    check level; used for manic episodes of bipolar; levels-0.6 to 1.2 maintain and 1.0-1.5 for acute; if sodium is depleted, then lithium is reabsorbed by the kidneys which increases the possibility of toxicity; need to eat enough sodium and 2500-3000 ml water a day
  7. Why is SSRI given?
    To minimize effects of EPS
  8. MAOI
    hypertensive crisis
  9. Serotonin syndrome
    change in mental status, restlessness, myoclonus, hyperreflexia, tachycardia, labile blood pressure, diaphoresis, shivering and tremors
  10. Meds for severe depression
    tricyclics, SSRIs (Celexa, Paxil), MAOIs, heterocyclics (Buspar, remeron), SNRI (Cymbalta, Effexor, Pristiq)
  11. Mood stabilizers
    lithium, Depakote, CCB, antipsychotics
  12. Buspar
    given for generalized anxiety disorder; 10-14 day delay to work; don’t get dependent on it; doesn’t depress CNS
  13. Substitution therapy for alcoholics
    benzos for alcohol, anticonvulsant meds for mgmt. of withdrawal seizures, methadone, stimulants (Haldol)
  14. Benzodiazepines
    most effective and least toxic for anxiety; may cause physical dependence and tolerance; withdrawing from them abruptly can be lifethreatening
  15. Dopamine blocking effects
    can result in EPS, controls positive symptoms of schizophrenia
  16. Anticholinergic medication effects
    dry mouth, blurred vision, constipation, urinary retention, tachycardia; blocking acetylcholine to its receptor cells, parasympathetic
  17. EPS
    tremor, shuffling gait, drooling, ridigity, muscle weakness, restlessness and fidgeting, involuntary muscle movements, rolling back of the eyes, bizarre facial and tongue movements
  18. Dopaminergic effects
    enhance dopamine release
  19. Neuroleptics
    lower brain levels of dopamine by blocking dopamine receptors thus reducing schizophrenia symptoms
  20. SSRIs
    Celexa, Lexapro, Prozac, Paxil, Zoloft; increase serotonin in brain; insomnia, headache, weight loss; might take 4 weeks to work; don’t discontinue abruptly
  21. Milieu therapy
    scientific structuring of the environment in order to effect behavioral changes and to improve the individual’s psychological health and functioning; safe and therapeutic environment in collaboration with others
  22. Task group
    group with a deadline
  23. Teaching group
    breast feeding
  24. Self-help
  25. Orientation phase of group
    goals are established, leader and members establish rules, structure of the group, no trust yet
  26. Working phase of group
    problem solving and decision making, productive work is undertaken, trust has been established, can accept criticism
  27. Termination of group
    can be difficult, might have grief
  28. Setting for group
  29. Size for group
    7-8 people
  30. Blocking of dopamine results in
  31. Sullivan
    interpersonal relationship, anxiety,self satisfaction
  32. Make sure milieu is
    safe, supportive environment and consistent