We started to notice some problems….

فهرست عناوین اصلی در این پاورپوینت

فهرست عناوین اصلی در این پاورپوینت

● Disclosures
● Psychopharmacology for Common Illnesses and Working with Psychiatric Providers
● Pre Test Questions
● Overview Module 4
● Classes of Psychotropic Medications
● First Generation Antipsychotics (FGAs)
Yes, we still use them….Potent D2 receptor blockade
● FGA Side Effects – think Parkinson’s
● Decade of the Brain
● We started to notice some problems….
● SGA Side Effects “an epidemic within an epidemic”
● ADA/APA Screening Guidelines for SGAs
● Newer SGAs
● Long-acting Injectable SGAs
● Clozapine (Clozaril)
● CATIE
● So why did we continue to use SGAs with CATIE trial results?
● Why Not Just Switch?
● Mood Stabilizers
● Treatment of Depression
● Antidepressant Categories
● STAR*D
● Side Effects: Antidepressants
● Approaches to Anxiety
● Rational Approach to Benzodiazepines
● Sleep
● Obstructive Sleep Apnea (OSA)
● Chronic Pain
● Polypharmacy
● Day in the life of a psychiatric provider
● Non Pharmacologic Approaches: Evidence Based Therapies
● Smoking
● Smoking and Drug Metabolism
● Smoking Cessation – Use your Team
● Alcohol Treatment
● Remember Motivational Interviewing!
● Working with Psychiatric Providers
● Psychiatric Providers’ Responsibilities
● Engage Psychiatric Providers
● Working with Psychiatric Providers (Cont’d)
● Examples: Working with Psychiatric Providers
● Examples: continued
● Examples: continued pt. 2
● Examples: continued pt. 3
● Successful PCP/Psychiatric provided partnerships
● Reflections and Discussion
● Post Test Questions
● Post Test Answers
● Resources
● End of Module 4

نوع زبان: انگلیسی حجم: 4.46 مگا بایت
نوع فایل: اسلاید پاورپوینت تعداد اسلایدها: 52 صفحه
سطح مطلب: نامشخص پسوند فایل: pptx
گروه موضوعی: زمان استخراج مطلب: 2019/05/17 11:43:48

لینک دانلود رایگان لینک دانلود کمکی

اسلایدهای پاورپوینت مرتبط در پایین صفحه

عبارات مهم استفاده شده در این مطلب

عبارات مهم استفاده شده در این مطلب

–, ., weight, medication, antipsychotic, provider, sga, psychiatric, side, change, gain, effect,

توجه: این مطلب در تاریخ 2019/05/17 11:43:48 به صورت خودکار از فضای وب آشکار توسط موتور جستجوی پاورپوینت جمع آوری شده است و در صورت اعلام عدم رضایت تهیه کننده ی آن، طبق قوانین سایت از روی وب گاه حذف خواهد شد. این مطلب از وب سایت زیر استخراج شده است و مسئولیت انتشار آن با منبع اصلی است.

https://www.integration.samhsa.gov/workforce/Module_4_FINAL.pptx

در صورتی که محتوای فایل ارائه شده با عنوان مطلب سازگار نبود یا مطلب مذکور خلاف قوانین کشور بود لطفا در بخش دیدگاه (در پایین صفحه) به ما اطلاع دهید تا بعد از بررسی در کوتاه ترین زمان نسبت به حدف با اصلاح آن اقدام نماییم. جهت جستجوی پاورپوینت های بیشتر بر روی اینجا کلیک کنید.

عبارات پرتکرار و مهم در این اسلاید عبارتند از: –, ., weight, medication, antipsychotic, provider, sga, psychiatric, side, change, gain, effect,

مشاهده محتوای متنیِ این اسلاید ppt

مشاهده محتوای متنیِ این اسلاید ppt

primary care providers working in mental health settings improving health status in persons with mental illness lori raney md with katie friedebach md todd wahrenburger md jeff levine md and susan girois md disclosures dr. raney consultant national council dr. wahrenberger nothing to disclose dr. girois pbhci grantee dr. levine pbhci grantee dr. friedebach nothing to disclose module ۴ psychopharmacology for common illnesses and working with psychiatric providers learning objectives understand the most commonly used psychotropic medications and their potential side effects discuss the problems associated with psychotropic prescribing and the role of the primary care psychiatric provider liaison in minimizing risk appreciate the need to work with psychiatric provider colleagues on ownership of prescribing and rules of engagement pre test questions which second generation antipsychotics sgas lead to the most weight gain olanzapine zyprexa and quetiapine seroquel risperidone risperdal aripiprazol abilify and ziprasidone geodon haloperidol haldol and fluphenazine prolixin which tests are recommended by the american diabetes association american psychiatric association guidelines for sgas lipid panel fasting blood sugar bmi all the above what percentage of people with schizophrenia smoke ~۳ ۴ ~۴ ۵ ~۷ ۸ ~۹ what roles do the psychiatric providers play in the medical treatment of their patients minimize risk by selection of medications screen for medical complications of medications counsel on lifestyle modification all of the above overview module ۴ medication classes anxiety sleep smoking substance use pain working with psychiatric providers classes of psychotropic medications antipsychotics ۱st and ۲nd generation antidepressants tricyclic antidepressant tca selective serotonin reuptake inhibitor ssri serotonin–norepinephrine reuptake inhibitor snri selective dopamine reuptake inhibitor sdri mood stabilizers anxiolytics four major classes of psychotropic medications ۶ first generation antipsychotics fgas yes we still use them….potent d۲ receptor blockade high potency – decanoate helpful for homeless few social supports frequent relapse fluphenazine prolixin also has decanoate formulation haloperidol haldol also decanoate low potency – dopamine histamine acetylcholine muscarinic thioridizine mellaril loxapine loxatane chlorpromazine thorazine thiothixene navine perphenazine trilafon older medications prior to introduction of second generation antipsychotics ۷ fga side effects – think parkinson’s dyskinesia – movement disorder nigrostriatal dopamine pathway tongue lips eye limbs fingers tardive dyskinesia – can be permanent dystonia – muscle tension neck torticollis arms legs – any body part painful – benztropine diphenhydramine to treat – im available akisthesia – extreme restlessness hard to sit still pacing shakiness – can be exhausting reduce dose hyperprolactinemia – d۲ blockade tubuloinfundibular dopamine pathway amenorrhea galactorrhea – lower the dose switch work with gyn decade of the brain ۱۹۹ – ۱۹۹۹ now therefore i george bush president of the united states of america do hereby proclaim the decade beginning january ۱ ۱۹۹ as the decade of the brain. july ۱۷ ۱۹۹ many new medications introduced with novel mechanisms of action during this decade the ۱۹۹ ’s were a time of rapid drug development and many new medications were introduced during that time. ۹ decade of the brain antidepressants ۱۹۸۷ –prozac fluoxetine ۱۹۸۹ – celexa citalopram ۱۹۸۹ – wellbutrin bupropion ۱۹۹۲ – zoloft sertaline ۱۹۹۲ – paxil paroxetine ۱۹۹۳ – luvox fluvoxamine ۱۹۹۳ – effexor venlafaxine sgas atypical ۱۹۹۱ – clozaril clozapine ۱۹۹۴ – risperdal risperidone ۱۹۹۴ – zyprexa olanzapine ۱۹۹۵ – seroquel quetiapine ۲ ۱ – geodon zisprazidone ۲ ۲ – abilify aripiprizole x these are the new medications that were introduced in this time frame ۱ we started to notice some problems…. estimated weight change at ۱ weeks on standard dose placebo ziprasidone fluphenazine aripiprazole haloperidol risperidone quetiapine chlorpromazine thioridazine olanzapine clozapine weight change kg ۳ ۲ ۱ ۱ ۲ ۳ ۴ ۵ ۶ weight change lb ۶.۶ ۴.۴ ۲.۲ ۲.۲ ۴.۴ ۶.۶ ۸.۸ ۱۱. ۱۳.۲ ۴–۶ week pooled data marder sr et al. schizophr res. ۲ ۳ ۱ ۶۱ ۱۲۳ ۳۶ †۶ week data adapted from allison db mentore jl heo m et al. am j psychiatry. ۱۹۹۹ ۱۵۶ ۱۶۸۶ ۱۶۹۶ jones am et al. acnp ۱۹۹۹. ۱۱ mean change in weight with antipsychotics antipsychotic therapy is associated with differential risk of weight gain depending on the individual agent. a meta analysis of standardized ۱ week exposure to different antipsychotic agents compared mean weight change in kilograms and pounds. some of the older high potency antipsychotics as well as some of the newer agents are associated with relatively minimal weight gain. haloperidol fluphenazine ziprasidone and aripiprazole induced a minimal weight change under ۱ kg over this short term exposure. agents such as risperidone and quetiapine showed intermediate increases in weight ۲ kg to ۳ kg while some of the older antipsychotics including low potency phenothiazines such as chlorpromazine and some of the newer agents such as olanzapine and clozapine were associated with larger increases in weight up to and exceeding ۴ kg or approximately ۹ pounds over short term time periods. references allison db mentore jl heo m et al. antipsychotic induced weight gain a comprehensive research synthesis. am j psychiatry. ۱۹۹۹ ۱۵۶ ۱۶۸۶ ۱۶۹۶. sga side effects an epidemic within an epidemic medication diabetes eps prolactin qt interval weight aripiprazole asenapine clozapine illoperidone lurasidone olanzapine paliperidone quetiapine risperidone ziprasidone compares the sgas eps is extrapyramidal side effects parkinson like ۱۲ ada apa screening guidelines for sgas american association of clinical endocrinologists north american association for the study of obesity consensus development conference on antipsychotic drugs and obesity and diabetes. diabetes care ۲ ۴ ۲۷ ۵۹۶–۶ ۱ these are the recommended screening guidelines for all providers to use whenever a patient is prescribed a sga. psychiatric providers should be doing this already at your sites ۱۳ newer sgas drug dose range side effects lurasidone latuda ۴ – ۱۲ mg drowsiness akisthesia no weight gain metabolic asenapine saphris ۲ – ۸ mg drowsiness no weight gain metabolic iloperidone fanapt ۶ – ۱۲ mg dizziness dry mouth fatigue although reporting fewer side effects still are not sure how these will fit into the regimen ۱۴ long acting injectable sgas risperdal consta every ۲ weeks invega sustenna monthly abilfy maintena monthly zyprexa relprevv monthly post injection delirium sedation syndrome pdss risk ۳ hour watch these injectables are being used for patients with compliance concerns. once a month injections are a major focus. problems with relprevv and deaths – a …

کلمات کلیدی پرکاربرد در این اسلاید پاورپوینت: –, ., weight, medication, antipsychotic, provider, sga, psychiatric, side, change, gain, effect,

این فایل پاورپوینت شامل 52 اسلاید و به زبان انگلیسی و حجم آن 4.46 مگا بایت است. نوع قالب فایل pptx بوده که با این لینک قابل دانلود است. این مطلب برگرفته از سایت زیر است و مسئولیت انتشار آن با منبع اصلی می باشد که در تاریخ 2019/05/17 11:43:48 استخراج شده است.

https://www.integration.samhsa.gov/workforce/Module_4_FINAL.pptx

  • جهت آموزش های پاورپوینت بر روی اینجا کلیک کنید.
  • جهت دانلود رایگان قالب های حرفه ای پاورپوینت بر روی اینجا کلیک کنید.

رفتن به مشاهده اسلاید در بالای صفحه


پاسخی بگذارید

نشانی ایمیل شما منتشر نخواهد شد. بخش‌های موردنیاز علامت‌گذاری شده‌اند *