Dr. Zeeshan's NCLEX Quick Tips - Mental Health

MENTAL HEALTH

Dr. Zeeshan's NCLEX Quick Tips

Dr. Zeeshan Hoodbhoy | NCLEX High Yield

MENTAL HEALTH

To remember SSRI'S side effects Suicide risk increased Slow onset and slow taper Sweaty, hot, fever* Rigid muscles, restless, agitated* Increased HR tachycardia* *= Symptoms of Serotonin Syndrome

MENTAL HEALTH

To Remember MAOIs Massive headache Avoid tyramine Otc Drugs Will Cause hypertensive Crisis Other antidepressants cannot be mixed with this!

Increased risk of suicide

MENTAL HEALTH

"SAD PERSONS" ARE AT RISK FOR COMPLETING SUICIDE

Sex - Males kill themslves more often than women, women attempt more Age - Young adults and elderly Depression Prior attempt ETOH / Substance Abuse Rational thought loss (psychosis) Sickness (terminal illness) Organized Plan No spouse/family Stated future intent

MENTAL HEALTH

Extrapyramidal Symptoms A movement disorder Causes: Anti-psychotics and Anti-emetics Remember "ADAPT" Acute Dystonia - muscle spasm, stiffness Akathisia - restlessness Parkinsonism - shuffling gait, pill-rolling, facial grimacing Tardive Dyskinesia- slow writhing movements

MENTAL HEALTH

DR. ZEESHAN'S WAY TO Remember with Malignant Hyperthermia and Neruoleptic Malignant Syndrome, patients get cooked like a HAM: High temperatures (104 - 105) Altered Mental Status Muscle Rigidity

MENTAL HEALTH

Antidotes - Substance Abuse Benzodiazepines Overdose Flumazenil OpiOid Overdose - NalOxOne / Naltrexone Methanol / Ethylene Glycol (antifreeze) - Fomepizole

MENTAL HEALTH

To remember side effects 4/for SSRI (4 S's) SSSSRI Suicide risk can increase - high energy + persistent depression Slow onset and slow taper - 46 wks St. John's Wort is contradicted Serotonin Syndrome Reduced Libido Increased Appetite

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