Term
| white blood cell ct should be |
|
Definition
|
|
Term
| MCV (MEAN CORPUSCULAR VOLUME) IS... IN ALCOHOLISM THIS NUMBER IS... |
|
Definition
|
|
Term
PLATELET COUNT NORMALLY IS
THIS CAN BE INC OR DECREASED BY WHICH DRUG |
|
Definition
150-450 THOUSAND PER MM3
DEJPAKOTE |
|
|
Term
normal alt values are_____
Normal ast values are _____
these are ____ in alcoholism
they can be increased by the following medications ____ _____ _____ and ____ |
|
Definition
ALT: 0-55 u/l
AST: 0-50 u/l
increased
depakote, luvox, zyprexa and cymbalta |
|
|
Term
normal levels of CA are ____
what psych med class can decrease levels of CA?
inc levels of ca result in what types of symptoms |
|
Definition
8.4-10.2 mg/dl
anticonvulsants
lethargy, behavioral changes, anorexia, fatique. |
|
|
Term
normal BUN levels:
normal CRE levels:
VERY IMPORTANT IN MONITORING WHICH psych drug in particular |
|
Definition
BUN:7-25 MG/DL
Cre: 0.6-1.3
lithium |
|
|
Term
glucose normal:
for adults over 60 normal is:
Glucose monitoring is very important when using what psych drug class? |
|
Definition
70-105 mg/dl
over 60: 80-115
conventional antipsychotics particularly zyprexa. |
|
|
Term
normal K:
can be increased with chronic ____ use.
can be decreased with _____ and _____ use
and decreased in individuals with a diagnosis of: |
|
Definition
3.5-5.1 mEq/L
chronic marajuana use
dec with Li use and laxative use
diagnosis of anorexia |
|
|
Term
Na normal is
can be decreased when used with which psychiatric drug class?
as well as with the drugs _____ and ____
Low Na can mimic which psychiatric symptom? |
|
Definition
136-146 mEq/L
dec with anti depressants
as well as with trileptal and Li
can mimic psychosis or mood disturbances |
|
|
Term
TSH levels normally are
increased in ______
watch when using this drug which is toxic to the thyroid |
|
Definition
2-10 mcgU/ml
increased in: hypothyroidism
Li |
|
|
Term
mDD how many criteria needed
how long symptoms must persist |
|
Definition
4 criteria in addition to depressed mood and loss of interest
at least 2 weeks
SIGECAPS |
|
|
Term
Dysthymic disorder
criteria needed
length needed |
|
Definition
while depressed at least 2 other symptoms
length at least two years with no more than a two month period during that time that was free from symptoms |
|
|
Term
Bipolar I
number of criteria needed if elevated/expansive
..if irritable
length needed |
|
Definition
elevated, expansive PLUS 3 other criteria
if irritable plus 4 criteria
length: at least one week or any length if hospitalized
DIGFAST |
|
|
Term
Bipolar two
criteria
length needed to determined hypomanic episode
other criteria needed )#) |
|
Definition
need at least 1 depressive episode and 1 hypomanic episode
hypomanic is at least 4 days with no hospitalization
3 if elevated/expansive or 4 if irritable |
|
|
Term
cyclothymic
criteria
length |
|
Definition
2 years without a break in symptoms for more than 2 months
sub threshhold symptoms of both mania and depression (hypomania and dysthymia) |
|
|
Term
Panic disorder
number of criteria needed
length? |
|
Definition
4 in addition to intense fear and discomfort.
plus at least 1 month of concern or worry about future attacks. or change in behavior related to attack.
THIS ISN"T FUN |
|
|
Term
|
Definition
obsessions or compulsions or both plus
takes at least 1 hour per day |
|
|
Term
PTSD
criteria number
length |
|
Definition
must be a traumatic event
at least 3 avoidance/detachment sympto
at least 2 inc arousal synmtoms
at least 1 re-experiencing symptoms
3-2-1 AIR
greater than 1 month |
|
|
Term
|
Definition
excessive worry and anxiety, difficulty controlling the anxiety plus 3 symptoms
at least 6 months |
|
|
Term
|
Definition
memory impairment
graduals cognitive decline
at least two:
aphasia
apraxia
agnosia (recognition) |
|
|
Term
Schizophrenia
criteria
length |
|
Definition
2 classic symptoms or 1 if delusions or hallucinations are bizzare or keep a running commentary or two or more voices conversing.
at least 6 months. |
|
|
Term
schizophreniform
criteria/length |
|
Definition
| same as schizophrenia except length of disturbance is less than 6 months (but greater than 1 month. |
|
|
Term
brief psychotic d/o
criteria/length |
|
Definition
| only 1 classic schizophrenia symptom for greater than a day but less than a month |
|
|
Term
delusional d/o
criteria and length |
|
Definition
non bizzare delusions for at least 1 month
functioning not impaired |
|
|
Term
| use these for EPS symptoms |
|
Definition
anticholinergic agents
benztropine (cogentin) and trihexyphenidyl (artane)
then benedryl (antihistamine)
dopamine agonists like amantadine (symmetrel) |
|
|
Term
anticholineric toxicity
pharm treatment |
|
Definition
| physostigmine an acetylcholinesterase inhibiter. |
|
|
Term
with clozaril stop use if wbc count decreases below
and/or ANC below
normal dose |
|
Definition
2000-3000, anc below 1500
check weekly at begining or for first year if previous agranulocytosis occurred.
dose 300-450, may only inc by 25
mg/day if they stop for 2 days they must be re titrated. |
|
|
Term
|
Definition
360-440
bamble (cause prolongation) |
|
|
Term
naltrexone (ReVia)
used for __ and ___
mechanism |
|
Definition
opiod and alcohol (opiod antagonist)
blocks rewarding effects of substance |
|
|
Term
acamposate (campral)
works for increasing abstinance of _____ by _____________ |
|
Definition
| alcohol by decreasing cravings |
|
|
Term
antabuse (disulfram)
used to help with _________ use disorders
works though |
|
Definition
alcohol
aversive therapy .. makes you sick if you drink while taking it.
continues to work up to 14 days after last dose |
|
|
Term
bupronex (bupronorphine)
substance use it treats
how? |
|
Definition
heroin and opiates
decreases cravings |
|
|
Term
|
Definition
heroin addiction
helps with withdrawal |
|
|
Term
ORLAAM (levomethadyl
treats:
how: |
|
Definition
treats heroin withdrawal
longer acting opiod than methadone 3x week dose |
|
|
