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Emergency Medicine
Managing Behavioral DOs
16
Other
Graduate
07/06/2012

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Cards

Term
what is the most common type of suicide attempt?
Definition
medication overdose
Term
what is a hallucination?
Definition
false perceptions experienced in a sensory modality in an alert individual. auditory hallucinations are most commonly associated with psychiatric causes of psychosis those associated with other sensory modalities are usually organic in nature.
Term
what are delusions?
Definition
fixed false beliefs that are not changed by presenting facts to the contrary (i.e. persecution or grandiosity)
Term
What is a chronic disease characterized by functional deterioration along with hallucinations, delusions, disorganized speech and/or behavior or catatonic behavior categorized as "positive behaviors", or they may have blunted affect, emotion withdrawal, lack of spontaneity or impaired attention considered "negative behaviors"
Definition
schizophrenia
Term
what is schizophreniform DO?
Definition
dx when a pt has signs and symptoms of schizophrenia for less than 6 months
Term
What is a psychosis that lasts less than 4 weeks and usually is a result of a traumatic life experience (i.e. sexual assault or death of a loved one)
Definition
brief psychotic DO
Term
What is a persistent dysphoric mood or a pervasive loss of interest and pleasure in usually activities (anhedonia) lasting longer than 2 weeks and associated with feelings of guilt, self-reproach, worthlessness, hopelessness, recurrent thoughts of death or suicide, loss of appetite, insomnia, fatigue, and difficulty concentrating?
Definition
major depression
Term
What DO is characterized by recurrent, cyclic episodes of manic and depressive sx, with depressive sx occurring more often than manic sx (energetic behavior, no need for sleep, racing thoughts, poor impulse control, and pressured speech)
Definition
bipolar DO
Term
what is a cognitive DO characterized as a gradual onset of pervasive disturbance in cognition that impairs memory, abstraction, judgment, personality, and higher critical functions such as language.
Definition
dementia
Term
what is a cognitive DO characterized as a global impairment in cognitive function, usually acute in onset with fluctuating severity of symptoms: diminished level on consciousness, inattention, sensory misperceptions, visual hallucinations
Definition
delirium
Term
What are some reversible causes of delirium?
Definition
infection, electrolyte abnormalities, toxic ingestions, head injury
Term
what anxiety DO is described as consisting of recurrent episodes of severe anxiety and sudden extreme autonomic symptoms that peak within 10 minutes and last up to one hour?
Definition
panic DO
Term
what anxiety DO is characterized by persistent worry or tension for at least 6 months without panic symptoms?
Definition
GAD
Term
What are two recommended meds for violent patients?
Definition
-Lorazepam (a benzo & a sedating agent) 1-2 mg IM if safe and can be titrated to desired effect
-Haldol (neuroleptic sedating agent) 5-10 mg IM or 5 mg IV, can be used alone or with a benzo
Term
For a pt with bipolar DO, what are two meds commonly prescribed as chronic mood stabilizers?
Definition
valproic acid
lithium salts
Term
What class of drugs is effective in treating acute episodes of anxiety?
Definition
benzodiazepines (i.e. alprazolam: 0.25-0.5 mg PO, lorazepam: 1-2 PO/IV)
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