Review Notes

St. John's Wort and Serotonin Syndrome

• St. John's Wort can increase serotonin levels.
• Concurrent use with SSRIs heightens the risk of serotonin syndrome.

Maslow's Hierarchy of Needs

• Lower-level needs in Maslow's hierarchy must be met before addressing higher needs.

Clozapine and Agranulocytosis

• Clozapine is an antipsychotic medication.
• Agranulocytosis is a serious side effect of clozapine.
• Requires regular white blood cell count (WBC) monitoring to check for risk of infection.

Lithium Toxicity

• Action: Withhold lithium treatment when signs of toxicity are present.

Fluoxetine and MAO Inhibitors

• Avoid concurrent use of MAO inhibitors and fluoxetine.
• Can lead to severe interactions, including serotonin syndrome.

Maslow's Hierarchy: Love and Belonging

• Love and belonging needs focus on social connections, relationships, and sense of belonging.

Dystonia

• Dystonia: Involuntary muscle contraction.
• Characterized by sustained involuntary muscle contractions that result in repetitive or twisting movements.

Zolpidem (Ambien) Side Effects

• Zolpidem is a sleeping pill.
• Potential side effect: Sleepwalking.
• Associated with complex sleep-related behaviors.

Lithium Toxicity: Early Signs

• Early signs of lithium toxicity: Nausea and vomiting.
• Indicates that lithium levels in the blood may be too high.
• Late signs of lithium toxicity: Seizures.

Anticholinergic Side Effects of Antipsychotics

• Common anticholinergic side effect: Dry mouth.
• Due to the inhibition of the parasympathetic nervous system, which reduces saliva production.

Fluoxetine

• Fluoxetine is a selective serotonin reuptake inhibitor (SSRI).
• Used primarily to treat depression and other mood disorders.

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