Serotonin/ECT
What are symptoms of Serotonin Syndrome?
Abdominal pain
Tachycardia
Fever
Increased BP
Delirium
Mood swings
Myoclonus, muscle rigidity
apnea
What does ECT do to a patient?
Give them a brief seizure which is induced by electrical current
What is ECT used for?
Lengthy depression (Malnourished)
Delusion depression
Schizophrenia with catatonia
Previous med have failed
Safer with some medical conditions
What is Clozapine and Risperidone used to treat?
Schizophrenia
What are some common side effects for 2nd gen antipsychotics
Metabolic syndrome
Weight gain
Dyslipidemias
Increase blood sugar
Insulin resistance
What are interventions with someone who has serotonin syndrome?
Stop the agent causing it
Give a serotonin block
Cooling blanket
Dantrolene
Artificial vent
Anticonvulsants
Induction of paralysis
How long to seizures last with ECT?
What is Haldol used to treat?
Schizophrenia
What generation is Clozapine and Risperidone?
2nd gen
What is lithium used for?
Bipolar
What is given to the patient during ECT?
General anesthesia
for muscle paralysis and sleep
What is done right before the patient goes to sleep with ECT?
BP cuff is placed on arm or leg and is inflated
What generation is Haldol?
1st gen antipsychotic
What symptoms does Clozapine and Risperidone use to treat?
Positive and negative symptoms
What are the common side effects of Lithium?
Thirst
N/V
Tremor
Polyuria
Lethargy
What needs to be done before the patient goes to ECT?
Chest x ray
Echocardiogram
CBC
Electrolyte
BUN
Urinalysis
How many times does a person do ECT?
2-3x week
Total of 16-20 treatments
What are adverse effects of Haldol?
Tardive dyskinesia
Weight gain
sexual dysfunction
Endocrine disturbances
Anticholinergic sd effects
What are the side effects of Clozapine and Risperidone?
Weight gain
Metabolic syndrome
What are signs of early toxicity?
Gastrointestinal upset
Hand tremor
Confusion
Muscle irritability
Sedation
What medication do you want to discontinue before ECT?
Benzo
What happens to the patient when waking up after ect?
Disorientated
Confused
Possible Rograde amnesia
What type of symptoms does Haldol target?
Positive
What are severe side effects of 1st generation antipsychotics?
Acute dystonia
Akathisia
Psuedoparkinsonism
Tardive dyskinesia
What are advanced signs of toxicity?
Ataxia
Blurred visions
Clonic movements
Large output of dilute urine
Stupor
Hypertension
Coma