psychiatric disorder contemp II

Card Set Information

Author:
darbydo88
ID:
70759
Filename:
psychiatric disorder contemp II
Updated:
2011-03-04 18:48:18
Tags:
Contemp II
Folders:

Description:
Contemp II
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user darbydo88 on FreezingBlue Flashcards. What would you like to do?


  1. a complex, chronic mental disorder
    Disturbances in feeling, thinking, and behavior
    Major psychotic illness in which the individual may be out of touch with reality
    schizophrenia
  2. Symptoms of schizophrenia
    • delusions,
    • hallucinations,
    • disorganized thinking,
    • incoherence
  3. phases of diseases
    • Prodromal: gradual appearance of signs & symptoms
    • Active: Positive or negative
    • Residual
  4. marked social isolation ro withdrawal
    impairment in role functioning
    markedly peculiar behavior
    marked impairment in personal hygiene
    blunted/inappropriate effect'digressive, vague speech or lack of speech
    odd beliefs ro magical thinking
    unusual perceptual experiences
    lack of initiative, interests, or energy
    Prodromal and residual symptoms
  5. Delusions
    hallucinations
    disorgaized speech
    disorganized or bizarre behavior
    catationia
    positive symptoms of schizophrenia
  6. flat affect
    lack of voluntary action
    speechlessness
    no pleasure from events that usually give pleasure
    inability to perform goal directed activities
    negative symptoms of schizophrenia
  7. associateed with an excess of dopamine in the brain
    schizophrenia
  8. meds used for schizophrenia do what
    block dopamine receptors
  9. meds don't affect which symptoms much
    negative
  10. types of meds
    • Phenothiazines
    • butyrophenones
    • thioxanthenes
  11. more effective with negative symptoms
    • dibenziazepines
    • benzisoxazoles
    • olanzapine
    • quetiapine
    • ziprasidone
  12. Adverse effects of meds for schizo
    • WBC count drops with clozapine
    • high risk of agranulocytosis
    • dystonia
    • dysarthria
    • parkinson-like syndrome
    • akathisia
    • akinesia
    • tardive dyskinesia
    • anticholinergic effects
    • cardiovascular
    • sedation
    • blood
  13. Dystonia
    • muscle contrations
    • laryngeal spasm and coughing
    • unable to turn head
  14. dysarthria
    difficult speech
  15. parkinson-like syndrom
    • shuffling gait
    • muscular rigidity
    • resting tremor
    • facial grimacing
    • bradykinesia
    • cooperation may be difficult
    • patient positioning
    • insturment positioning; retraction
  16. akathisia
    • restlessness, pacing
    • plan short appointments
  17. akinesia
    • loss of voluntary movement
    • lethary
    • fatigue
    • adjust patient positioning
  18. tardive dyskinesia
    • involunatry mouth and jaw movements
    • difficulty in instrumentation
    • wearing dentures difficult or impossible
    • muscle fatigue; may need mouth prop
  19. anticholinergic effects
    • xerostomia
    • blurred vision
    • dental caries prevention
    • fluoride dentifrice
    • saliva sub
    • difficulty seeing visual aids
  20. cardiovascular
    • postural hypotinsion
    • tachycardia
    • palpitations
    • have patient sit up slowly and wait before standing
    • monitor vital signs
  21. sedation
    • drowsiness
    • interfere with patien'ts daily routine
    • patient may be late; needs reminders
  22. blood
    • reduced leukocytes
    • agranulocytosis
    • increased suseptibility to infection
    • oral candidiasis may be present
  23. other tx for schizo
    psychosocial therapy
  24. DH care for schizo
    • oral implications:
    • alcohol/drugs lead to poor periodontal health
    • xerostomia leads to rampant caries
    • Appt planning: not carried out during exacerbation
    • decrease stimulation; create a restful atmosphere, keep music low and soft
    • use mouth prop with tartive dyskinesia
  25. Mood disorders
    • Major depressive disorder
    • Bipolar
  26. depressed mood, diminished interest, significant weight loss or gain, insomnia or hypersomnia, psychomotor agitation, fatigue, worthlessness, guilt, indecisiveness, lack of concentration, recurring thoughts of death /suicide
    major depressive disorder
  27. tx of major depressive disorder
    • – Psychopharmacotherapy
    • – Psychotherapy/cognitive behavior therapy
    • – Electroconvulsive therapy
  28. Psychopharmacoherapy
    • SSRI (selective serotonin re-putake inhibitors)
    • SNRI(serotonin and noradrenergic re-uptake inhibitiors
    • tricyclic and heterocyclic antidepressants
    • MAOI (monoamine oxidase inhibitors)
  29. Indications for electroconvulsive therapy
    • patient for whom antidepressant meds are contraindicatied
    • nonresponsive to meds
    • also has delusions
    • suicidal/diminished food intake
    • need for immediate response (catatonic patient)
  30. Oral health implications
    • Xerostomia,
    • high caries risk,
    • issues with denture retention,
    • infections,
    • loss of taste perception
  31. Appointment interventions
    • – Monitor Hx & meds closely, EO/IO, signs of xerostomia
    • – Positive reinforcement
    • – OHI to patient and caregiver – saliva substitute, fluoride therapy, alcohol free products
    • – Use tinted patient eyeware, use local anesthetic,
    • be aware of patient and possiblity of hyoptension
  32. Treatment for bipolar
    • –Pharmacotherapy
    • –Psychosocial interventions
  33. meds for bipolar
    • benzodiazepine
    • anticonvulsants
    • antipsychotics
    • lithim carbonate (mood stabilizer)
  34. causes dysgeusia and metallic taste in the mouth
    lithium
  35. Oral health implications
    • High risk for caries and perio disease, gingival tissues may appear abraded & lacerated,
    • xerostomia,
    • dysgeusia (metallic taste),
    • stomatitis,
    • glossitis, &
    • loss of taste.
    • Recommend saliva substitutes, daily fluoride therapy, preventive oral care instruction, diet evaluation
  36. Appointment interventions
    • Review Hx and meds,
    • simplify surroundings,
    • don’t rush patient,
    • 3-4 mo. Maintenance appointments,
    • use simple instructions
  37. Postpartum mood disturbances
    • postpartum blues
    • postpartum depression
    • postpartum psychosis
  38. period of nonpsychotic depression
    for a few days after giving birth is not
    uncommon. There may be crying, irritability, and mood shifts
    blues
  39. moderate to severe depression
    may begin by the second to third week
    postpartum. Symptoms include excessive fatigue, insomnia, loss of appetite, and loss of interest and enthusiasm
    Depression
  40. mood disorder, it may be of a
    depressive or manic type
    Psychosis
  41. what is puerperium
    6 week period after childbirth when the body undergoes physical and physiologic changes
  42. risk factors
    • Pre-existing mental illness,
    • stress,
    • conflicts about motherhood,
    • marital problems
  43. Symptoms
    • Early:
    • Insomnia,
    • restlessness,
    • tearfulness,
    • fatigue,
    • emotional instability
    • Progressive:
    • Confusion,
    • irrationality,
    • delirium,
    • obsessive about baby,
    • thoughts of bringing harm to self or baby
  44. Treatment
    • No treatment = risk of suicide or infanticide or both
    • Medical care indicated,
    • suicidal precautions,
    • medications,
    • psycohterapy
    • extended tx
  45. Anxiet Disorders
    • panic attack
    • panic disorder
    • posttraumatic stress disorder
    • generalized anxiety disorder
  46. An overwhelming sense of impending doom is the cardinal symptom of the attack
    Panic attack
  47. Recurrent panic attacks that are usually
    unexpected
    Panic disorder
  48. An initiating traumatic event has occurred
    outside the range of usual human experience
    Posttraumatic stress disorder
  49. is persistent, pervasive anxiety and excessive worry but they are not associated with lifethreatening
    fears or “attacks”
    Generalized anxiety disorder
  50. TX of anxiety disorders
    • Basic therapeutic approach ( eliminate cafffeine, alcohol and other drugs and add excercise)
    • • Cognitive-behavioral therapy
    • • Pharmacotherapy
    • –Antianxiety medications
    • –Antidepressant medication
  51. antianxiety meds are
    benzodiazepines
  52. side effects of benzodiazepines
    • confusion
    • dizziness,
    • muscle weakness
    • difficulty n speaking
    • skin rash
    • addiction
    • withdrawal
    • drowsiness
    • impaired eye-hand coordination
    • xerostomia
  53. DH care
    • Personal Factors:rapid heartbeat, hyperventilation, tightness of throat, constant fatigue
    • Oral: hypersensitivity of teeth, xerostomia, caries, biofilm, oral cleanliness may not be present, abrasion from excessive brushing
  54. Eating disorders
    • Anorexia nervosa
    • Bulimia nervosa
    • Bulimarexia

What would you like to do?

Home > Flashcards > Print Preview