Eating Disorders
Intense fear of weight gain
Distorted body image
Restricted calories with significantly low BMI
Anxiety related
Anorexia
Bradycardia (slow pulse)
Hypotension (low blood pressure)
Hypothermia (low body temperature)
Sedation
Miosis (pinpoint pupils)
Opioid intoxication
Normal Lithium Level
0.5-1.5
TCA's
Which substances can have life threatening withdrawal?
Alcohol and Benzodiazepines
Episodes induce guilt, depression, embarrassment, or disgust
Binge eating
What Medication is given for Wernicke Korsakoff Syndrome
Thiamine
Medications for Bipolar Disorder
Lithium, Mood Stabilizers, Antipsychotics
Cochlear implants, brain stimulators, or medication pumps are examples of metals that could interfere with the procedures.
Contraindications for TMS
What treatment modality is recommended for patients with anorexia.
Interpersonal and group therapy
Condition causes:
Abnormal laboratory values (electrolyte imbalance, hypokalemia, hyponatremia)
Cardiovascular abnormalities
Cardiac failure (cardiomyopathy)
Bulimia Nervosa
Is a medical emergency that can result in the death in 20% of untreated patients, usually as a result of medical problems such as pneumonia, renal disease, hepatic insufficiency, or heart failure.
Delirium Tremens
Name three side effects of Lithium
Nausea, vomiting, diarrhea, thirst, fine hand tremors
Name some interventions for serotonin syndrome
• Remove offending agent(s)
• Initiate symptomatic treatment
• Serotonin-receptor blockade with cyproheptadine, methysergide, propranolol
• Cooling blankets, chlorpromazine for hyperthermia
• Dantrolene, diazepam for muscle rigidity or rigors
• Anticonvulsants
• Artificial ventilation
• Induction of paralysis
Who is often affected by seasonal effective disorder?
This disorder is more common in women and typically begins between the ages of 18 to 30.
Fluoxetine (Prozac), an SSRI antidepressant, is the only FDA-approved medication for the treatment
Bulimia
Name three medications utilized for opioid withdrawal
Methadone, Clonidine, Buprenorphine
A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day.
Mania
What foods should be avoided with MAOI's
Herbal remedy thought to increase serotonin, norepinephrine, and dopamine in the brain
St. Johns Wort
Symptoms of Binge Eating Disorder
1. Eating much more rapidly than normal
2. Eating until feeling uncomfortably full
3. Eating large amounts of food when not feeling physically hungry
Medication used in Alcohol Withdrawal
Benzodiazepines (lorazepam [Ativan], chlordiazepoxide [Librium], diazepam [Valium])
Name at least three things that should be included in patient and family teaching
Coping strategies
Sleep hygiene
What preparations are utilized for ECT?
Patients are given a general anesthetic to induce sleep and a muscle-paralyzing agent to prevent muscle distress and fractures.
FDA approval for depressive symptoms associated with major depressive disorder or bipolar disorder in patients aged 13 years and older.
Electroconvulsive Therapy