Term
What is mental retardation is:
Independent with help
Trainable and sheltered workshops
Training not helpful/ comunicate and basic habits
Not trainable cant comunicate or have basic habits? |
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Definition
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Term
| What is the treatment for Autistic and Asperger disorder? |
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Definition
Autistic- Improve relationships, school, and achieve independient living
Asperger- Improve relationships |
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Term
| What is the treatment for Rett and Childhood disintegrative disorder |
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Definition
Rett- behavioral therapy and physiotherapy
CDD- improve relationship,school,indpendint living
Behavioral modification
use antipychotics for aggression |
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Term
Symptoms in ADHD must be present in two places. Where are these
What is The treatment and trade name for ADHD?x 3
What are the side effects? |
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Definition
Home and school
methylphenidate- Ritalin
Dextroamphetamine-Adderall
SE: decresed appetite, Insomnia, HA
Atomoxetine-Strattera -less SE |
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Term
what is anhedonia?
What is SIG E CAPS?
What is the first line treatment for Major Depression? |
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Definition
absence of plesure
Sleep
Intrests
Guilt
Energy
Concentration/Cognition
Appetite
Psycomotor
Suicide/Death prep
SSRIs |
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Term
name the 5 major SSRIs?
What is Prozac,Zoloft |
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Definition
Fluoxetine-Prozac
Sertraline- Zoloft
Paroxetine
Citralopram
Escitalopram |
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Term
What in a depressed pt worried about weight gain and sexual side effects what is the name of the drug to use( and the trade name)
what SSRI has the lowest cost per dose? |
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Definition
Bupropion-Welbutrin
Citalopram-Cipralax |
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Term
What drug is given for depression AND neuropathic pain?
What is the most commonly first DOC for depression
What is the drug that has a hi metabolism by liver and therfor a smaller half life |
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Definition
Desvenlafaxin - Pritiq
Fluoxetine - Prozac
Sertraline-Zoloft |
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Term
What is the difference btw Manic and Hypomanic symptoms?
What is the difference between Bipolar type 1 and 2
when dealing with mainia what is the NBS? |
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Definition
Mania- >1 week, affects functioning
Hypomania- <1 week no affect of functioning
1-Mania+ depression
2-Hypomania +depression
make sure condition is not secondary to drug use (cocaine / Amphet) good hx and urine drug screen. |
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Term
| What is the treatment for Bipolar disorder? |
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Definition
first distinguish Acute mainia from bipolar depression
AM- Lithium, Valproate, or Atypical Antipsycotics (if severe)
bipolar depression- Lithium or lamotrigine |
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Term
Discribe the following and there Treatments:
Dysthymia
Cyclothymia
Atypical depression
SAD |
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Definition
D- low depressed mood for more than 2 yrs
D- tx as if depression
Cyclothymia- hypomanic episods and mild depression for 2 yrs- lithium valproate, carbamazepine and psycotherapy
Atypical depression- Reverse vegetative changes (inc sleep, weight, appetite)
SSRIs and MAOIs
Seasonal mood changes
Buproprion and phototherapy |
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Term
| what is the difference btw Postpartum blues, Postpartum depression, and Postpartum psychosis? |
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Definition
baby blues- 0-2wks no negative feelings
PostPartum depression- 1-3 mo- may have negative feelings
Post partum psychosis- 2-3 weeks- delusions and thoughts of harm |
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Term
| What is the treatment for serotonin syndrome? x3 |
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Definition
Stop SSRIs
Cyproheptadine (serotonin agonist)
Symptomatic relief |
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Term
Distinguish btw Brief psychotic disorder
Schizophreniform disorder and Schizophrenia? |
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Definition
the only true way is time:
BPD- 1 day - 1 month
Sform- 1mo - 6 mo
Schizophrenia- >6 mo
all treated with antipsycotics |
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Term
What are the antipsycotics that cause these adverse effects?
Agranulocytosis? and needs CBC monitoring
should be avoided by DM and OBS
Causes movment disorders? |
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Definition
Clozapine
Olanzapine
Risperidone |
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Term
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Definition
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Term
What antipsycotic give greater increase risk for prologation of QT syndrome and should be avoided with pts with conduction defects?
What has the least liklyhood of gaining weight?x2 |
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Definition
Ziprasidone
Aripiprazole and ziprasidone |
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Term
What is the treatment for Panic disorder?
phobias?
OCD |
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Definition
SSRIs and Benzodiazepines like alprazolam
Behavioral modifications/relaxation techniques
SSRI's |
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Term
In what diseases are SSRIs the DOC?
What is the difference btw PTSD and Acute stress disorder
What is the Treatment x3 |
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Definition
PTSD
Depression/Dysthymia
OCD
GAD
P-DOG
PTSD- >1 month
ASD - 2days-1 mo
SSRIs: Paroxetine and sertraline
Relaxation techniques and hypnosis |
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Term
| What is the Treatment for GAD? x 4 |
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Definition
1.SSRIs
2Venlafaxin and 3buspirone can be used
4. psychotherapy/behavioral modification |
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Term
What Benzodiazepines are:
IM/Emergency
Used when addiction is a concern
Treatment of alcohol withdraw x2
Used in panic disroders? |
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Definition
Lorazepam
Conazepam
Chlordiazepoxide, oxazepam
Alprazolam |
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Term
| What is the benzodiazepine antagonist and when is it only used? x2 and why |
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Definition
Flumazenil
used in Acute situations
with NO chronic abuse
Can casue seizures |
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Term
how is --- treated?
Alcohol
Opiates
Cocaine/Amphetamines |
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Definition
Mechanical vent
Naloxone
Antipsycotics/Benzos/ Anti hypertensives |
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Term
How is Alcohol withdraw treated?
How is Amphetamine withdraws treated? |
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Definition
Benzos, thiamine, multivitamins, folic acid
Buproprion and or bromocriptine |
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Term
| What is the treatment for insomnia? x4 |
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Definition
Behavioral modification
zolpidem, eszopiclone, zaleplon |
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