Glossary of Mental Health Lecture 01-26-06 (MDH)
Other Decks By This User
- "The world would be better off if I was dead."
This is an example of what type of statement?
- Covert statement
- If a person has formed a suicide plan, what does this indicate?
- The person is more likely to actually kill himself/herself
- If a patient's lethality is found to be low, how often should the nurse check on him or her?
- Every 10 minutes
- If a patient's lethality is high, what kind of supervision is required?
- One on one supervision: someone must stay with the patient at all times
- List the DSM-IV-TR criteria for substance abuse patients:
- 1. Recurrent use of substance resulting in failure to fulfill major roles (work, school, home, etc.)
2. Use in situations that are physically hazardous (driving, etc.)
3. Substance-related legal problems
4. Continued use despite social or interpersonal problems caused by the effects of the substance
- What are the 4 phases of alcohol abuse?
- 1. Pre-alcoholic
2. Early alcoholic
3. Crucial phase
4. Chronic phase
- Describe the pre-alcoholic phase of alcohol abuse:
- Alcohol is consumed to relieve every-day stress
- Describe the early alcoholic phase of alcohol abuse:
- Alcohol becomes a requirement for day-to-day functioning (alcoholics usually begin to experience blackouts in this phase)
- Describe the crucial phase of alcohol abuse:
- Complete physical dependence
- Describe the chronic phase of alcohol abuse:
- Emotional and physical degeneration; person is intoxicated most of the time
- What is alcoholic myopathy?
- Weakening of the muscles due to alcohol abuse
- What is Wernicke's Encephalopathy?
- A dangerously low level of vitamin B1 (thiamin)
- What is the most serious effect of alcohol abuse?
- Wernicke's Encephalopathy
- What symptoms would indicate Karsakoff's Psychosis?
- Confusion and loss of recent memory
- What are the chief concerns for a patient who is experiencing withdrawal from alcohol?
- * Safety
* Monitor vital signs
- What types of medications are given to alcoholic patients during withdrawal/detoxification?
- * Benzodiazepines
- List the 4 groups of antidepressant agents:
- 1. Tricyclic/cyclic antidepressants
2. Selective Seratonin Reuptake Inhibitors (SSRI's)
3. Monoamine Oxidase Inhibitors (MAOI's)
- How do SSRI's work?
- Block the re-uptake of seratonin
- How do cyclic antidepressants work?
- Block the re-uptake of norepinephrine (and seratonin to some degree)
- How do MAOI's work?
- Interfere with enzyme metabolism
- What are the common side effects of SSRI's?
- * Anxiety
* Sexual dysfunction
* Weight gain
- What is Akathisia?
- List some SSRI's:
- What are the common side effects of MAOI's?
- * Daytime sedation
* Weight gain
* Dry mouth
* Ortho. hypertension
* Sexual dysfunction
* Hypertensive crisis
- What causes hypertensive crisis?
- Occurs when tryamine-containing foods are consumed with MAOI's or other contra-indicated substances
- List some common tryamine-containing foods:
- * aged cheeses
* aged meats
* Italian beers & microbrewery beers
* saurkraut, soy products, or marmite (concentrated yeast)
- List some MAOI's:
- What are the common side effects of cyclic antidepressants?
- * Dry mouth
* Urinary hesitancy/retention
* Dry nasal passages
* Blurred vision
* Intestinal obstruction (ileus)
- List some cyclic antidepressants:
You must Login or Register to add cards