Josh Shared "Mental Health - TEST 1" - 29 Picmonics
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Mental Health - TEST 1
Use of Restraints
- Use Guidelines
- During Emergency
- Protecting From Harm
- For Limited Time
- Considerations
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie
2 mins
Antipsychotics Overview
- Generations
- Typical
- Atypical
- Mechanism
- Blocks D2 Receptor
- 2nd Generation Blocks the 5-HT 2 Receptor
- Indications
- Psychosis
- Delirium
- Bipolar Disorder
- Tourette’s Syndrome
- Side Effects
- Hyperprolactinemia
- Extrapyramidal Symptoms
- Tardive Dyskinesia
- Neuroleptic Malignant Syndrome
4 mins
Chlorpromazine (Thorazine)
- Mechanism
- Low Potency Antipsychotic
- Indications
- Schizophrenia
- Hiccups
- Side Effects
- Sedation
- Weight Gain
- Orthostatic Hypotension
- Anticholinergic Effects
- QT Prolongation
- Neuroendocrine Effects
- Caution in Seizure Patients
- Corneal Deposits
2 mins
Haloperidol (Haldol)
- Mechanism
- High Potency Antipsychotic
- Indications
- Migraine
- Schizophrenia
- Side Effects
- Extrapyramidal Symptoms
- Weight Gain
- QT Prolongation
- Restlessness
- Considerations
- Caution in Seizure Patients
- Neuroleptic Malignant Syndrome
2 mins
Atypical Antipsychotics
- Indications
- Schizophrenia
- Mechanism of Action
- Unknown Mechanism
- Side Effects
- Seizures
- Prolonged QT Interval
- Agranulocytosis
- Weight Gain
- Fewer Extrapyramidal Side Effects
- Fewer Anticholinergic Side Effects
2 mins
Risperidone (Risperdal)
- Mechanism
- Atypical Antipsychotic
- Indications
- Schizophrenia
- Bipolar Mania
- Autism-Associated Irritability
- Side Effects
- Extrapyramidal Symptoms
- Hyperprolactinemia
- Gynecomastia
- Galactorrhea
- Amenorrhea
- Prolonged QT
- Considerations
- Intramuscular Long Acting (Depot) Form
2 mins
Clozapine (Clozaril)
- Mechanism
- Atypical Antipsychotic
- Indications
- Schizophrenia
- Levodopa-Induced Psychosis
- Side Effects
- Weight Gain
- Hypersalivation (Sialorrhea)
- Myocarditis
- Agranulocytosis
- Sedation
- Orthostatic Hypotension
- Constipation (Risk of Bowel Ileus)
- Considerations
- Weekly Lab Tests
2 mins
Tricyclic Antidepressants (TCAs) Overview
- Mechanism of Action
- Blocks Serotonin and NE Reuptake
- Lipid-soluble
- Side Effects
- Adverse CNS Effects
- Anticholinergic
- Antihistamine
- Tri-C: Convulsion, Coma, Cardiotoxicity
- Blocks Alpha1 Receptors
2 mins
Tricyclic Antidepressants (TCAs)
- Mechanism of Action
- Inhibits Reuptake of Norepinephrine and Serotonin
- Indications
- Depression
- Bipolar Disorder
- Fibromyalgia
- Side Effects
- Sedation
- Orthostatic Hypotension
- Anticholinergic Effects
- Cardiac Toxicity
- Considerations
- Delayed Effect
- Do Not Stop Abruptly
2 mins
Tricyclic Antidepressant (TCA) Antidote
- Antidote
- Sodium Bicarbonate (NaHCO3)
27 secs
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
- Indications
- Depression
- Anxiety
- Mechanism of Action
- Selective Serotonin Reuptake Inhibitors
- Drugs
- Paroxetine
- Sertraline
- Escitalopram
- Fluoxetine
- Side Effects
- Sexual Dysfunction
- Serotonin Syndrome
- Treat with Cyproheptadine
2 mins
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
- Indications
- Depression
- Diabetic Peripheral Neuropathy
- Duloxetine
- Panic and Anxiety
- Venlafaxine
- Mechanism of Action
- Inhibits Reuptake of Serotonin and NE
- Side Effects
- Hypertension
- Insomnia
- Nausea and Vomiting
- Decreased Libido
1 min
Lithium
- Indications
- Bipolar Disorder
- Mechanism of Action
- Mood Stabilizer
- Unknown Mechanism
- Side Effects
- Nephrogenic Diabetes Insipidus
- Hypothyroidism
- Movement (Tremor)
- Heart Block
- Contraindication
- Pregnancy (Ebstein's Anomaly)
1 min
Valproic Acid (Depakote)
- Mechanism
- Blocks Na+ Channels
- Increases GABA Concentration
- Indications
- Tonic-clonic Seizures
- Bipolar Disorder
- Migraine Prophylaxis
- Side Effects
- Hepatotoxicity
- Blood Dyscrasias
- GI Distress
- Tremor
- Pancreatitis
1 min
Carbamazepine (Tegretol)
- Mechanism
- Inactivates Na+ Channels
- Indications
- Seizures
- Bipolar Disorder
- Trigeminal Neuralgia
- Side Effects
- Nystagmus
- Ataxia
- Hepatotoxicity
- Blood Dyscrasias
- Water Retention
- Stevens-Johnson Syndrome
- Considerations
- Avoid Grapefruit Juice
2 mins
Diazepam (Valium)
- Indications
- Anxiety
- Seizures and Status Epilepticus
- Muscle Spasms
- Alcohol Withdrawal
- Side Effect/Assessment
- Dizziness/Vision Changes
- Confusion/Amnesia
- Urinary Incontinence
- Behavioral Changes
- Respiratory Depression
- Antidote
- Flumazenil (Romazicon)
- Nursing Considerations
- Fall Precaution
- Do Not Stop Abruptly
2 mins
Buspirone (Buspar)
- Mechanism
- Increases Serotonin
- Indications
- Anxiety
- Side Effects
- Dizziness
- Insomnia
- Considerations
- Delayed Effect
- Safer with Alcohol than Other Anxiolytics
- Low Side Effect Profile
- Low Abuse Potential
1 min
Suicide Assessment
- SAD PERSONS Scale
- Verbal Cues
- Direct (Overt) Statements
- Indirect (Covert) Statements
- Behavioral Cues
- Giving Away Prized Possessions
- Sudden Improvement in Mood
- Putting Personal Affairs in Order
- Lethality of Plan
- Detail of Plan
- Availability of Means
- Proposed Method
- Suicide Precautions
- Safe Environment
- One-on-One Monitoring
- No Suicide Contract
2 mins
Suicide Risk Factors
- Depression
- Previous Attempt
- No Support System
- Access to Firearms or Medications
- Substance Abuse
- Physical or Sexual Abuse
- Chronic Illness or Pain
- Extremes of Age
2 mins
Anxiety Assessment
- Mild
- Increased Alertness
- Heightened Perception
- Moderate
- Perception Narrowed
- Short Attention Span
- Shaking
- Severe
- Ineffective Problem Solving
- Automatic Behavior
- Hyperventilation
- Panic
- Hallucinations
- Inability to Function or Communicate
2 mins
