Disorders
Physical assessments include a small and depressed nasal bridge, small and sometimes low-set ears, protruding tongue; high arched palate, short and broad neck
What is Down Syndrome?
Grandiose, demanding, entitled ways, needs his/ her own way
What is Narcissistic Personality Disorder
Psych assessment for cognitive function where a score <23 indicates impairment.
What is a Mini-mental State Examination
Alprazolam, lorazepam, clonazepam, diazepam: may cause sedation
What are Benzodiazepines
A potentially fatal complication of antipsychotics; characterized by fever, muscle rigidity, agitation, confusion, delirium, respiratory and acute renal failure
What is Neuroleptic Malignant Syndrome (NMS)?
hyperactivity, impulsiveness, and inattention
What is ADHD
Passive and submissive, wants to please others
What is Dependent Personality Disorder
An important intervention to implement during the first 48 hours after the admission of a very depressed client to the unit.
What is to maintain safety in the clients milieu?
Anxiolytic used to manage anxiety disorder, has low abuse potential, relief onset of 2-4 wks
What is Buspirone (Buspar)?
Antidepressants that are contraindicated in clients with epilepsy, glaucoma, and cardiovascular disease
What is TCA (Tricyclic Antidepressants)?
recurrent episodes of binge eating and purging, bruises or calluses on knuckles, abnormal eating pattern
What is Bulimia nervosa?
Suspicious and mistrustful, secretive, jealous, takes offense quickly
What is Paranoid Personality Disorder
Therapy used for severely depressed clients who do not respond to medication, have delusions/hallucinations, and are high risk for suicide/starvation
What is ECT (Electroconvulsive Therapy)?
[Can have 2-3 treatments/ wk up to 6-12]
Pt teaching includes avoiding fermented, aged, or smoked foods
What is monoamine oxidase inhibitor (MAOI)
Interferes with alcohol causing nausea, throbbing headache, tachypnea, tachycardia, blurred vision, flushing, hypotension.
Disulfram
A client is unable to adapt after psychological event and may withdraw, become isolated, experience, insomnia, nightmares, depression, and anxiety
What is Post traumatic stress disorder
Preoccupied with rules, lists, organizations, rigid and inflexible, needs control of internal/external experiences
What is Obsessive-Compulsive Personality Disorder (OCPD)
S&S of anorexia, irritability, nausea, tremulousness, insomnia, nightmares, irritability, hyperalertness, tachycardia, increased blood pressure, and diaphoresis appear after abrupt cease of intake.
What is alcohol withdrawal syndrome
This herbal preparation can be used as an alt. depression therapy but may interfere with medications used to treat HIV infection
Should not be taken with SSRI
St. John's Wort
this drug toxicity causes diarrhea, confusion, ataxia, slurred speech, lethargy, hypotension, seizures, oliguria, coma, and death.
What is lithium toxicity?
Assessment finding of: anhedonia, hallucinations, bizarre behavior, disorganized speech, difficulty concentrating
What is schizophrenia?
Cold and aloof, flat affect, indifferent to praise, little to no desire for social involvement, seclusive, emotionally detached
What is Schizoid Personality
Progressive irreversible disease where proper interventions are to redirect the client to a safer place and familiar activities is most helpful.
What is Alzheimer's disease?
(when taken long-term) Pt is at risk for tardive dyskinesia, which is characterized by protrusion of the tongue, puffing of cheeks, and chewing or puckering of the mouth.
What is Haloperidol
interaction of SSRI and MAOIs when administered together (or within 14 days); pt may have: agitation, diaphoresis, tachycardia, clonus, hypertension
What is Serotonin Syndrome?
SSRI (escitalopram)
MAOI (phenelzine)