Ken Shared "Pharm CNS 2.2" - 25 Picmonics
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Pharm CNS 2.2
Schizophrenia Assessment
- Positive Symptoms
- Hallucinations
- Delusions
- Associative Looseness
- Negative Symptoms
- Flat Affect
- Poverty of Thought
- Absence of Something that Should be Present
- Cognitive Symptoms
- Illogical Thinking
- Impaired Judgment and Memory
- Affective Symptoms
- Dysphoria
2 mins
Bipolar Disorder Assessment
- Mechanism
- Neurotransmitter Dysregulation and Genetic Factors
- Mania Signs and Symptoms
- Euphoric Mood
- Nonstop Physical Activity
- Flight of Ideas
- Rapid Speech
- Depression Signs and Symptoms
- Mood Changes
- Sad Affect
- Psychomotor Retardation
- Suicidal Thoughts
2 mins
Tardive Dyskinesia
- Signs and Symptoms
- Bizarre Facial Movements
- Bizarre Tongue Movement
- Increased Extremity Movements
- Stiff Neck
- Dysphagia
- Interventions
- Stop Medication
- AIMS
2 mins
Neuroleptic Malignant Syndrome
- FEVER Acronym
- Fever
- Encephalopathy
- Vital Signs Unstable
- Elevated Enzymes
- Rigidity of muscles
- Reversal Agent
- D2 Agonists
- Bromocriptine
- Dantrolene
2 mins
Alcohol withdrawal syndrome
- Mild 6-24
- Mild 6-24
- tremors,
- diaphoresis,
- Insomnia
- Palpitations
- Anxiety
- 12-48
- 12-48
- intact orientation
- Tonic-Clonic Seizures
- Benzodiazepines
- Hallucination
- 48-96
- 48-96
- Delirium tremens
- Confusion,
- agitation,
- Fever
- Tachycardia
- hypertension,
- Hallucinations
- lorazepam
2 mins
Alcohol withdrawal time line
- Alcoholic of 5-15 years quits drinking
- 12-24 hours- Alcoholic hallucinosis
- Delerium Tremens usually begin within 48-96 hours and can last 1-5 days
- Delerium Tremens presentation
- DT- once again visual and tactile hallucinations
- Tachycardia
- hypertension
- Fever
- agitation or lethargy
- Dilated eyes
- Diaphoresis
- Acute Treatment
- Benzodiazepines "Pam-Lam's" used to treat Delerium Tremens.
Delirium Tremens
- TIMING
- 2-4 Days After Last Drink
- Cause
- Alcohol Withdrawal
- Clinical Manifestations
- Altered Mental Status (Change In LOC)
- Anxiety
- Hallucinations
- Autonomic Instability
- Seizures
- Insomnia
- Nausea/Vomiting
- Treatment
- Benzodiazepines
- Supportive Care
3 mins
Alcohol and benzodiazepines withdrawl
- examination
- Seizures
- Tachycardia
- Palpitations
- symptoms
- benzodiazepines
- Tremors
- Anxiety
- Perceptual Distortion
- Psychosis
- Insomnia
- alcohol
- Delirium
Delirium Tremens
- Life-threatening alcohol withdrawal syndrome that peaks 2–4 days after last drink
- Classically occurs in hospital setting (eg, 2–4 days postsurgery) in alcoholics not able to drink as inpatients
- Characterized by autonomic hyperactivity (eg, tachycardia, tremors, anxiety, seizures)
- Alcoholic hallucinosis
- Treatment
- Use Chlordiazepoxide if patient shows no sign of liver disease
- If patients shows sign of liver disease use: Oxazepam, Temazepam and Lorazepam
Hypnotic Benzodiazapines
- azopam or azolam ending
- Hypnotics
- Estazolam (Prosom)
- Prosom
- Flurazepam (Dalmane)
- Dalmane
- Quazepam (Doral)
- Doral
- Triazolam (Halcion)
- Halcion
- Temazepam (Restoril)
- Restoril
Short-acting Benzodiazepines
- Characteristics
- Short Acting
- High Addiction Potential
- Drug Names
- Alprazolam
- Triazolam
- Oxazepam
- Midazolam
- Mnemonic
- ATOM
Buspirone
- Indications
- Generalized Anxiety
- Mechanism of Action
- Releases Dopamine and NE
- Stimulates 5-HT1A receptors
- Side Effects
- Low Side Effect Profile
- Safer with Alcohol than Other Anxiolytics
1 min
Bipolar Disorder Interventions
- Drug Therapy
- Lithium
- Valproic Acid (Valproate)
- Lamotrigine
- Manic Episode
- Hospitalization
- Nutrition
- Hygiene
- Depressive Episode
- Monitor for Vegetative Signs
- Suicide Precautions
2 mins
Barbiturates (Specific)
- Methohexital
- Anesthesia Induction
- Phenobarbital
- Secobarbital
- Sedation and Insomnia
- Pentobarbital
- Seizure
- Coma
- Short to Long Acting
Carbamazepine
- Indications
- First-line Seizure Medication
- First Line for Trigeminal Neuralgia
- Mechanism of Action
- Stabilizes Inactive State of Na+ Channels
- Side Effects
- Stevens-Johnson Syndrome
- Induce Cytochrome P450
- Teratogen
- Hepatotoxicity
- Blood Dyscrasias
2 mins
Wernicke-Korsakoff Syndrome
- Thiamine deficiency
- Confusion
- Ophthalmoplegia
- Ataxia
- Korsakoff
- Confabulation
- Personality Changes
- Memory loss
- Alcoholics
- Damage to medial dorsal nucleus
- Damage to mammillary bodies
2 mins
Cocaine Intoxication Assessment
- Euphoria
- Delusions
- Mydriasis
- Hallucinations
- Agitation
- Hypertension
- Arrhythmias
- Hyperthermia
- Seizures
- Nasal Septum Perforation
2 mins
Amphetamines Intoxication Assessment
- Euphoria
- Insomnia
- Mydriasis
- Diaphoresis
- Hypertension
- Tachycardia
- Paranoia
- Anxiety
- Anorexia
- Seizures
2 mins
Suvorexant
- Orexin/Hypocretin Receptor Antagonist
- Indications: Insomnia
- SFx: URT Infection, Abnml. Dreams, HA, Dizziness
- Contraindications: Narcolepsy, CYP3A4 Inhibitors
Triptans
- Bioavailability
- Delivery Options
- Drugs
- Sumatriptan
- Almotriptan
- Naratriptan
- Rizatriptan (Maxalt)
- Eletriptan (Relpax)
- Zolmitriptan
- Frovatriptan
- Contraindications
- No MAO-Is
- Increased Risk Serotonin Syndrome
- Angina Contraindication
- HTN contraindication
- Mnemonic
- Story (Part 1)
- Story (Part 2)
