Psych Medications
When starting a patient on Antidepressant medications, this is what one is monitoring for.
What is Suicidal Ideation?
When they start Antidepressants, patients may have more energy now to act on their thoughts or plans.
This is the primary justification for using restraints in a psychiatric setting.
What is prevention of harm to self or others (danger to self or others)?
Being grandiose, craving admiration from others, and feeling like you are privileged results in this diagnosis.
What is Narcissistic (Personality Disorder)?
Name two nursing interventions Pre ECT.
Examples: NPO after midnight; Vitals, Dr. Order for ECTs, Encourage Voiding before, Removed jewelry or loose objects, IV medications, hold some medications night prior
This term describes the outward expression of emotion.
Drug class most commonly used to treat anxiety disorders.
Benzodiazepines (Ativan, Klonopin, etc.)
Name 3 different Therapeutic Intervention a Nurse can use when a patient is experiencing a mental health crisis.
Examples: Clear the day hall, give them space, offer PRNs, Restraint or Seclusion, offer change of environment, talk with the patient, offer coping skills, etc.
What is bipolar disorder?
True or False: Pregnant ladies can receive ECTs
True. ECT can be a great treatment for ones that cannot take antidepressant medication.
Class of drugs used to address BOTH positive and negative symptoms of schizophrenia.
What are ATYPICAL antipsychotics?
Typical antipsychotics only address positive symptoms.
This intervention involves placing a patient alone in a room to decrease stimulation.
What is seclusion?
This disorder is characterized by hallucinations, delusions, withdrawal or isolation.
What is Schizophrenia?
Name 2 adverse responses that may occur with ECTs.
Temporary memory loss (POST ECT - very short); Muscle aches, Headache, nausea or vomiting, etc.
A patient with schizophrenia is withdrawn, lacks energy, and feels guilty. This patient displays this type of symptom.
What is a negative symptom?
Serious and irreversible side effects which involve involuntary muscle spasms involving tongue, fingers, toes, neck, trunk or pelvis.
What is tardive dyskinesia (TD)?
Staff meetings and treatment plan are used to maintain control and minimize manipulation by a patient experiencing acute mania. The goal is to provide this for the patient.
What is Consistency?
Characterized as having difficulty in forming close relationships and having magical beliefs and or behaviors.
What is Schizotypal Personality Disorder?
Remember this is link to MILD Schizophrenia.
Around 30 to 60 seconds.
This is the Therapeutic Serum Level of Lithium.
What is 0.6 - 1.2?
Rember Monitor Lithium Toxicity (nausea, tremors, confusion) - Watch dehydration and sodium!
A rare but potentially fatal syndrome involving muscle rigidity, fever, and elevated WBC's.
What is Neuroleptic Malignant Syndrome (NMS)?
This is the most important element to maintain in a therapeutic milieu.
What is safety.
Being unable to have a stable relationship, fear of abandonment, having impulsivity, and intense emotions classifies this disorder.
What is borderline personality disorder (BPD)?
Before ECT, this medication is commonly given to reduce oral secretions and the risk of aspiration.
What is anticholinergic?
This antipsychotic requires monitoring for a decrease in WBCs.
What is Clozapine?