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Psych
Fluoxetine (Prozac)
Mechanism of Action
Inhibits Reuptake of Serotonin
Indications
Depression
Side Effects
Sexual Dysfunction
CNS Stimulation
Weight Changes
Serotonin Syndrome
Contraindications
No MAO-Is
No Anticoagulants / Antiplatelets
Considerations
Suicide Risk
Delayed Onset of Action
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
Lithium
Mechanism of Action
Mood Stabilizer
Unknown Mechanism
Indications
Bipolar Disorder
Side Effects
Nephrogenic Diabetes Insipidus
Hypothyroidism
Tremor
Heart Block
Contraindication
Pregnancy
Considerations
Monitor Plasma Levels
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
Anorexia Nervosa and Bulimia Nervosa Interventions
Interventions
Build Trust
Plan Caloric Intake
Supervise Meals
Supervise Elimination
Encourage Liquids
Daily Weights
Use Matter-of-Fact Statements
Give Feelings of Control
Considerations
Tube Feedings If Further Weight Loss
2 mins
Anorexia Nervosa Assessment
Adolescent Girls
Fear of Gaining Weight
Assessment
Excessive Dieting
Distorted Body Image
Decreased Bone Density
Stress Fractures
Lanugo
Amenorrhea
Anemia
Diagnostic Criteria
BMI < 18.5
3 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
Bipolar Disorder Assessment
Mechanism
Neurotransmitter Dysregulation and Genetic Factors
Mania Signs and Symptoms
Euphoric Mood
Nonstop Physical Activity
Flight of Ideas
Rapid Speech
Depression Signs and Symptoms
Mood Changes
Sad Affect
Psychomotor Retardation
Suicidal Thoughts
2 mins
Bipolar Disorder Interventions
Drug Therapy
Lithium
Valproic Acid (Valproate)
Lamotrigine
Manic Episode
Hospitalization
Nutrition
Hygiene
Depressive Episode
Monitor for Vegetative Signs
Suicide Precautions
2 mins
Bulimia Nervosa Assessment
Assessment
Normal Body Weight
Binge and Purge
Electrolyte Disturbances
Alkalosis
Hypokalemia
Parotitis
Enamel Erosion
Russell's Sign
Diagnosis
Once Weekly For 3 Months
2 mins
Delirium
Mechanism
Rapid Onset
Reversible
Assessment
Hallucinations
Decline in Cognition
Short Attention Span
Rapid Speech
Change in Activity Level
Mood Swings
2 mins
Depression Assessment
Physical Changes
Anergia
Self Neglect
Decreased Libido
Vegetative Signs
Mood
Sad Affect
Worthlessness
Guilt
Anger and Irritability
Cognitive
Ineffective Problem Solving
Slowed Thinking
1 min
Hallucinations, Illusions, Delusions
Hallucination
No External Stimulus
Auditory
Visual
Olfactory
Gustatory
Tactile
Illusion
Misinterpretation of Stimulus
Delusion
Fixed, False Belief
2 mins
Posttraumatic Stress Disorder (PTSD)
Assessment
Re-experience Traumatic Event
Flashbacks
Nightmares
Avoidance
Self-destructive Behaviors
Considerations
Assess Suicide Risk
Actively Listen to Stories
Anxiety Medications
2 mins
Schizophrenia Assessment
Positive Symptoms
Hallucinations
Delusions
Associative Looseness
Negative Symptoms
Flat Affect
Poverty of Thought
Absence of Something that Should be Present
Cognitive Symptoms
Illogical Thinking
Impaired Judgment and Memory
Affective Symptoms
Dysphoria
2 mins
Schizophrenia Interventions
Drug Therapy
Antipsychotics
Interventions
Build Trust
Assistance with Self-care
Reality Testing
Monitor for Neuroleptic Malignant Syndrome
Monitor for Tardive Dyskinesia
Family Therapy
2 mins
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
Tardive Dyskinesia
Signs and Symptoms
Bizarre Facial Movements
Bizarre Tongue Movement
Increased Extremity Movements
Stiff Neck
Dysphagia
Interventions
Stop Medication
AIMS
2 mins
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
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