Medications
Patient on Zoloft and Buspar has the common cold and takes the cough suppressant Robitussin (dextromethorphan). She starts to experience new sudden onset of fever, confusion, tremor, sweating, diarrhea. What is the most likely diagnosis?
Serotonin syndrome
Three main neurotransmitters targeted by psychiatric medications
Serotonin
Norepinephrine
Dopamine
In the landmark case Rennie v. Klein (1978), the court recognized the right of psychiatric patients to refuse treatment but concluded that this right could be overridden in what circumtances?
The patient is a danger to self or others. Also, court ordered treatment.
A 29-year-old woman came to the ED with altered mental status. The patient c/o diminished short-term memory, confusion, disorientation, hypersomnia, and blurred vision for 2 to 3 weeks. She had arrived at work that day appearing intoxicated (evidenced by slurred speech, ataxia, and difficulty with con centration and memory). Her medical history was significant for OCD and bipolar disorder. She denied any recent use of alcohol. Current medications included VPA 1,500 mg/day, fluvoxamine 400 mg twice a day, and clonazepam 2 mg every night. The patient had been taking VPA for 5 months before this admission and had tolerated it well, except for some complaints of mild sedation. Seventeen days before this admission, the patient had increased her VPA from 1,000 to 1,500 mg/day. What is the most likely diagnosis?
Valproic acid-induced hyperammonemic encephalopathy
This cortex is involved in higher executive functions such as planning, organizing, impulse control, and emotional regulation.
Prefrontal cortex
True or False: A psychological autopsy is performed on all deaths by suicide within 30 days
True
Which antipsychotic is indicated in Treatment-resistant schizophrenia and prevention of suicide in schizophrenia and has a low EPS/TD risk?
clozapine
4 dopamine pathways in the brain
mesolimbic - reward pathway
mesocortical
nigrostriatal
tuberoinfundibular
Patient should be place on suicide precautions after being sentenced to ___ years
20+ years