Depression
Dx major depressive disorder
characterized by a presence 5 or more s/s lasting for a minimum of two weeks
What is the definition of Bipolar 1
at least one manic episode maybe accompanied by psychosis
oftenly alternate with depression
may require hospitilization
dx of schizo
6 months of symptoms, one month of active symptoms
fidelity
the act of doing no wrong
what is suicidal ideation
idea/ thought of self harm
low
what is rapid cycling
four mood episodes in 12 mo period
temporal lobe vs frontal lobe
temporal- positive s/s
frontal- negative s/s
reauthorization of restraints must be recieved every
24 hrs
religious considerations of suicide
may be illegal
serotonin syndrome
shivering, hyperreflexia, inc temp, vs, encephalopathy, restlessness, sweating
cyclothymic
hypomanic episodes and persistent depression for at least 2 years
positive s/s vs neg s/s
positive- losing touch of reality
negative- absence of normal characterisitics
duty to warn and protect third parties
red flags
sad-> peaceful
giving away treasured possesions
relief
MAOI contraindications
cheese (except cottage and cream), soy sauce, sauerkraut, soup, yeast extract, cured fish/meet
drugs: other antipsych, narcotics, anticongestants
medical concerns
psychomotor acceleration, dehydration, change in <3, possible weight loss due to inattention of dietary habits, exhaustion
maintenance therapy purpose and names
fluphenazine and haloperidol.
longer-lasting injection, better for someone who may not want to take meds everyday
Long-term of formal Commitment
refers to extended care and treatment, requires medical certification, judicial, or administrative action. Some states require judicial hearing or an opportunity for judicial review. 60-180 days
overt vs covert statements
Incredibly truthful vs covering up the real intent of a statement
MAOI AE
HTN crisis, Hyperpyrexia, convulsions, weight gain, constipation, insomnia
AE&doses lithium (all stages)
TR(0.5-1.2) Mnt(0.6-1.0)- fine hand tremors, polyuria, thirst
ES(1.3-1.5)- Inc NVD, slurred speech, music wknss
ADV(1.5-2)- incoordination, coarse hand tremors, mental confusion
Severe(2-2.5) ataxia, seizures, x-pulm, severe HOTN
X(>2.5) proteinuria &oliguria, death & circulatory collapse &dysrythmias
clozapine ae and monitoring
agranulocytosis. monitor WBCs first six months weekly
circumstances with use of restraints
written order of a physician (or verbal in an emergency but order must be put in within an hour)
confined to specific time- limited periods
considerations for survivors
post intervention 24-72 hrs after, normal to feel crazy, anger, PTSD, Shame, guilt, more at risk