Alcohol withdrawal/ Restraints
Signs of Mild Alcohol withdrawal?
Headaches
Dilated pupils
N/V
Loss of appetite
Minor hand tremors
Anxiety
What is the restraint limitation for children between the ages of 9-17?
2 hours
What are the nursing interventions for Bipolar Mania?
Medication - Lithium
Decrease Physical activity
Increase fluids and food
4-6 hours of sleep per night
ECT
Seclusion
What are the characteristics of OCPD?
Rigidity, inflexible standards for others
Constant rehearsal of social supports
Excessive goal seeking that is self defeating or relationship defeating
Strict standards interfere with project completion
Unhealthy focus on perfection
What are the characteristics of Schizotypal PD?
Severe social and interpersonal deficits
Extreme anxiety in social situations
Rambling conversation
Paranoia, suspiciousness, anxiety, delusion
Brief, intermittent episodes of hallucinations or delusions
Can be made aware
Vulnerable to cults
Signs of moderate alcohol withdrawal?
Mental confusion
Tactile hallucinations
Hypertension
Irregular HR
Breathing difficulties
Seizures
What is the restraints limitation for children under the age of 9?
1 hour
What are the nursing interventions for a manic episode?
Firm, Calm, Short sentences
Maintain a low level of stimuli
Structured Solitary activities
Frequent rest periods
Redirect aggressive behaviors
Monitor I and O's and vitals
Frequent high calorie drinks
What are the distinguishing features of OCPD?
Disordered behavior motivated by a pattern of excessive, perfectionism and control
Repetitive behavior's are not performed in response to obsession's
Disorder thoughts and behaviors are viewed positivley
Lack insight and don't believe behabiors are irrational or unhealthy
Seek treatment in the face of threaten loss
What are the hallmark signs of Schizotypal Personality Disorder
Magical thinking
Odd Beliefs
Strange Speech Patterns
Inappropriate affect
Signs of severe alcohol withdrawal?
Psychosis
unconscious
Seizures
Delirium
What are examples of positive symptoms?
Hallucinations
Delusions
Disorganized speech
Bizarre behavior
Common Side effects of Benzo?
Hypotension
Light headed
Dry mouth
Drowsiness
Sedation
Ataxia
Decreased LOC
What are the distinguishing features of OCD?
Disordered behavior is motivated by desire to stop the discomfort
Compulsions are performed in response to obsessions
Obsessions and compulsions are unwanted
Pt knows its irrational
What are the characteristics of Histrionic Personality disorder?
Excitable, dramatic, often high functioning
Bold behaviors, flamboyant
Limited ability to develops meaningful relationships
Attention seeking, self center, low frustration level
Excessive emotions, may be provocative
No insight to disorder
What are the least restrictive interventions? ( Children)
Verbal
Medication
Time out
What are examples of negative symptoms?
Blunted affect
Poverty of thought (Alogia)
Loss of motivation (Avolition)
Inability to experience pleasure (Anhedonia)
What are the techniques for managing disruptive behaviors?
Behavioral Contract
Counseling
Modeling
Role playing
Planned ignoring
Physical distance/touch control
Redirection
Positive feedback
Clarification
Restructing
Limit setting
Simple restitution
Physical restraints
What are the characteristics of Paranoid Personality disorder?
May be apparent in childhood
Social anxiety in childhood
Jealous, Controlling as adults
Unwillingness to forgive, projection of feelings
What are the Characteristics of Narcissistic Personality Disorder?
Feelings of entitlement, Exaggerated, self importance
Lack of empathy, exploits others
Weak self-esteem, hypersensitivity to criticism
Constant need for admiration
Less function impairment that other PD
What is the most restrictive/last resort interventions?
Seclusion
Restraints
What are the interventions for Schizophrenia?
Antipsychotic medications
Family therapy
Cognitive remediation
Group Therapy
Psychoeducation
Stress management
Grounding Techniques
Journaling
CBT
Medication
Hypervigilant
Anticipate Hostility
Provoke hostile responses by initiating a counter attack
What are the characteristics of antisocial personality Disorder?
Deceitful and manipulative for personal gain
High risk taking
Disregard for responsibility
Impulsivity
Criminal misconduct and substance muse
Absence of remorse, guilt, empathy