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Emergency Care 13th Chapter 23 Flashcards

Behavioral in psychiatric emergencies in suicide

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6872056551Behavioris defined as the manner in which a person acts or performs it involves activities of a person including physical and mental attributes0
6872056552Behavioral emergencyWent to patient's behavior is not typical for the situation when the patient's behavior is unacceptable are intolerable to the patient , when patient may harm himself or others, his family or community, within a given situation1
6872056553Excited deliriumBizarre or aggressive behavior shouting, paranoia, panic, violence towards others, insensitivity to pain, Unexpected physical strength, and hyperthermia, usually associated with cocaine or amphetaamine use, also called (agitated delirium)2
6872056554Positional asphyxiaIn adequate breathing or respiratory arrest calls by bodies position that restricts breathing3
6872056555Physical causes of altered mental statusLow blood sugar, lack of oxygen, stroke, or inadequate blood to the brain, head trauma, mind altering substance, environmental temperature extremes4
6872056556Situational stress reactions, typical stress reactions by an accident or a serious illness or death could be display emotions such asFear, grief, anger5
6872056557Acute psychosisHas a card when the patient develops one or more of the following symptoms hallucination(are inappropriate sensory observations such as visions our voices) delusions( are falsely held beliefs such as paranoia the believe that one is being persecuted when that is not the case) catatonic( is characterized by either an almost complete noninteraction with the environment or wild and completely inappropriate movements and interactions), or a thought disorder(impacting patient's ability to process information into communicate and can calls and usual speech patterns are strange writings)6
6872056558Things to remember in emergency care for behavioral and psychiatric emergenciesIdentify yourself a your role. Speak slowly and clearly. Use a calm and research reassuring tone. Make eye contact with the patient. Listen to the patient. You can show you are listening by repeating part of what the patient says back to him. Do not be judgemental. Show compassion, not Pity. Use positive body language. Avoid crossing your arms are looking uninterested. Acknowledge the patients feelings. Do not enter the patient's personal space. Stay at least 3 feet away from the patient. Making the patient feel closed in can cause an emotional outburst. Be alert for changes in the patient's emotional status. Watch for increasingly aggressive behavior, and take appropriate safety precautions Use restraints to prevent harm if necessary.7
6872056559What are common presentations are signs and symptoms of patients experience psychiatric emergenciesPanic are anxiety, unusual appearance, disordered clothing, poor hygiene, aggravated or unusual activity, such as repetitive motions, threatening, are withdrawn stance, unusual speech patterns, such as to rapid or pressured sounding speech (as if being forced out) , Or an inability to carry on a coherent conversation, breeze Bizzarre behavior or thought patterns, suicidal or self-destructive behavior, violent or aggressive behavior with threats or intent to harm others.8
6872056560What is reasonable force in restraint used for and whyIt's necessary to keep a patient from injuring himself or others it is determined by looking in all circumstances involved including patient strength and size type of abnormal behavior mental status and available methods of restraints9
6872056561What's the purpose of a neurotransmitterTo help the electrical impulses travel from one neutron across the synapse to the next nerve cell10
6872056562Medications like Prozac Paxil and Zoloft or a class of medications called seratonin selective reuptake inhibitor's, what are they used for and whyUsed to treat depression and other mental disorders by elevating the patient's mood,,,,, this is done by preventing the reuptake of the neurotransmitter seratonin11
6872056563What are risk factors of suicideDepression, high current or recent stress levels, recent emotional trauma, AGE 15 to 25 and over 40, (alcohol and drug abuse), threats of suicide, suicide plans, previous attempts of suicide threats, history of self-destructive behavior, sudden improvement from depression.12

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