mental health CJE

what is a compitent patient

-over 18

-not imapaired

-emancipated 18 yearss old

-if wanted mental health services and under 18

beneficnce

promote good

non maleficence

avoid harm

fidelity

keep promises

veracity

tell the truth

Benzos

LAM and PAM

midazolam

short acting quick on and off

intermediate acting benzos

-alprazolam

-clonazepam

-lorazepam

long acting benzoe

diazepam

nursing considerations for lorazepam

-no alcohol

-monitor RR

-antidote- flumazenil

antidepresants

-SSRIs

-TCA

-MAOI

SSRIs

-fluoxetine

-sertraline

-escitalopram

TCAs

-amitriptoline

-nortrityline

-protriptyline

MAOi

-isocarbxazid

-phenelzine

prevent reuptakes or seritonin

SSRIs

monitor in SSRIs

-serotinin syndrome

-suicide risk in first 2-3 weeks

TCA side effects

-Tachycardia

-Cardiac effects (prolonged QT)

-Anticholigeric

-sedation /sexual function

what do TCA block reptake of

-norpi

-serotonin

anticolingeric side effects

-cant see

-cant pee

-cant spit

-cant shit

increase all 3 levels of dopamine, epi, serotinin

MOI

Nursing considerations for MOIs

avoid tyramine foods (aged foods)

side effects of MOIs

hypertesnive crisis

mood stabilizers

lithium

what treats bipolar

lithium

promotes GABA

lithium

nursing considerations with lithium (think lithium is a salt)

-no NSAIDS

-0.6-12 therapeutic levels

-no dehydration

-encouage fluids

side effects of lithium

think neuro stuff

what to di in S?S of lithium toxicity

draw trough levels

first gen antipsychotics

haloperidole

indications fo haloperidol

-schizophrenia

-mania

-aggressive behacior

-agitation

inhibits effects of dopamine

haloperidol

nursing considerations for haloperidol

-extrapyramidal effects

-tardive dyskinesia (repetative ticks)

-neuroleptic malignant

-prolonged QT

-not used in pregnanct

repetative ticks

tardive dyskinea

biggest thingk is neurlyptic syndrome

High fever

what happens with QT

torsdates de point

antihistamines to stop allergies

diphenhydramine

things to monitor in diphenhydramine

drowsy and antcholingeric effects

indices seizure

ECT

what is needed in ECT before its done

-consent

-NPO

repression

unconciously depressing thoughts

ignoring or refusing reality

denial

attributing ones own feeling onto others

projection

redirecting feeling to a safe substitute like a kid taking anger out by slamming door

displacement

reverting to old bad behavaiors

regression

have bad feeling and impulse in to drinking

sublimation

Dx of depression has to last how long

2 weeks

nursing priority in depression

-nutrition

-sleep

-safe environment

-therapy

mood alternating between depression and mania

bipolar

therapeutic needs to mania in bipolar

-high calorie finger foods

-dont argue

-protect privacy

-mood stabalizer

breakdown of reality with faulty perception

schizophrenia

schizo DX

-CT

-big ventricles

-brain tissue smaller

negative symptoms of schiophrenia

-emotional range (flat effect)

-interest/drive in life

-intertia and intiative

postiive signs of schizo

-hallucination

-delusions

-disoranized speech

-bizzaare behavior

false believe firmly held to be true

delusion

a sensory experience of something that does not exist outside the mind only happens in the person's mind

hallucination

anorexia

obsesion in calories and distorted reality of body

bulemia

throwing up after eating

assesemt of anorexia

everything is low

physiological needs in anorexia

-body temp

-HR

-electrolytes

russels signs

calluses on knucles

-tooth decay

-esophagel variies