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anxiety, insomnia, perceptual disturbances, tachycardia, seizures, psychosis - withdrawal from what?
benzos
agitation, tremors, tachycardia, HTN, possible progression to seizure and DT - withdrawal from what? give what three things?
alcohol withdrawal benzos, anticonvulsants, thiamine
Diagnosis of ADHD requires what:
presence of symptoms before age of TWELVE and SIX or more inattentive or hyperactive symptoms.
Dx of adjustment disorder with depressed mood.
Within 3 months of identifiable stressor with significant functional impairment and marked distress (v. normal sadness)
Time frame for GAD.
6 or more months
unstable and intense relationships, anger, self-destructive behavior - what personality disorder?
borderline PD
hypomania ad major depression
bipolar 2
dx/criteria od MDD
5+ sx for 2+ weeks: SIG E CAPS - depressed mood, sleep disorder, interst deficient (anhedonia), guilt, eergy-less,
hypotension, tachycardia, dry skin, menstrual irregularities, hypokalemia, elevated pancreatic enzymes
Bulemia Nervosa
tx for AN and BN
CBT, fluoxetine (SSRI), nutritional rehab
prominent mood symptoms and mania
Bipolar 1
treatment of treatment-resistant schizophrenia
clozapine
MOA of PCP
NMDA receptor antagonist, leading to excess release of excitatory neurotransmitters. (hallucinogen)
delusions or halllucinations for more than 2 weeks in absence of major depressive or manic episodes. Mood sx preset for majority of illness.
schizoaffective disorder schizophrenia has absence of mood sx for most of illness
difference bw schiphrenia and schizoaffective
schizophrenia has NO mood symptoms at any point (no mania or depression)
psychosis and mood together v. delusions and hallucinations WITHOUT mood
bipolar and MAD (w/ mood sx) v. schizoaffective disorder (w/o mood sx for at least 2 weeks - only schizo hallucinations during this time, NO MOOD)
tx of GAD
SSRI (NOT benzos)
define schizophrenia criteria for dx
2 or more sx for 1 or more months (w/o tx) and more than one sx (delusions, hallucinations, disorganized speech) continual disturbance for 6+ mo
two drugs to slow demenita
donepezil (AChE inhibitor) and memantine (NMDA inhibitor)
Never give elderly what type of drug?
Avoid anticholinergic medications which can impair cognitive function, ESPECIALLY in ELDERLY, (i.e. Benadryl , hydroxyzine***)
Black box warning for what antipsychotics (for dementia + psychosis)
olanzapine (Zyprexa), aripiprazole (Abilify), risperidone (Risperdal), or quetiapine - double risk of death!
Medication examples for tx of med addiction in elderly.
• Naltrexone –opiate antagonist to reduce cravings - Buprenorphine, Benzodiazepines (i.e. valium/Diazepam taper)
Hill’s DoC for geriatric depression
nortryptaline
CHASE
dysthymia (progressive depressive disorder) Concentration Hopelessness Appetite SELF ESTEEM Energy more than 2 years with no more than 2 mo WITHOUT symptoms