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EPPP 2024 Physio

Subdomains: Psychopharm

QuestionAnswer
What are the symptoms of anticholinergic effects? Cue: Can't pee, see, spit, shit ↪ Dry mouth, blurred vision, tachycardia, constipation, urinary retention, confusion, ↓ attention & concentration
How many adults in the United States have filled a prescription for a psychiatric drug in 2013? 1 in 6
What is antidepressant poop out? ➺ Aka Tachyphylaxis ➺ Occurs when an antidepressant loses treatment effects despite same dose/medication
What are the signs of tachyphylaxis? ➺ Fatigue, apathy, sleep disruption, sexual dysfunction, dulled cognitive function
What are the symptoms of Neuroleptic Malignant Syndrome? ● Muscle rigidity, tachycardia, hyperthermia (too hot), mutism, joint pain, altered consciousness, fever ● Can be life threatening ● Males under 30 y/o = greater risk
What are the symptoms of agranulocytosis? ● Drop in white blood cells, which can result in increased risk for infection ● Can be life threatening
What are the symptoms of Metabolic syndrome? ● Weight gain, ↑ blood pressure, heart rate, diabetes
What are the signs of Extrapyramidal Symptoms? ● Acute Dystonia (painful spasms of neck, face & back) ● Akathisia (extreme restlessness, inability to be still, fidgety) ● Pseudo-Parkinsonism (mask-like face, shuffling gait, drooling, resting tremor) ● Tardive dyskinesia (invol. mvmts of tongue)
What are the symptoms of serotonin syndrome? ● Cognitive changes (agitation, confusion, euphoria) ● Autonomic changes (sweating, fever, tachycardia, hyperthermia, hyperglycemia) ● Neuromuscular changes (seizures, tremor, difficulty coordinating movement)
What is Serotonin Discontinuation Syndrome? ● Occurs when SSRI & SNRI are discontinued ● Recall FINISH for symptoms ↪ Flu-like symptoms ↪ Insomnia ↪ Nausea ↪ Imbalance (lightheaded, dizzy) ↪ Sensory disturbance (tingling, numb) ↪ Hyperarousal (energy, anxiety)
A young man taking a conventional antipsychotic as a treatment for schizophrenia develops tardive dyskinesia. What would be the best course of action in this situation? Replace the conventional antipsychotic with an atypical antipsychotic
Created by: JSalisbury
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