完善医疗许可协议,用于急诊室中患有初级精神疾病的患者
Christopher Austin Casey1, Jaime Guzman1, Mckailey Salard1
1Louisiana State University Health Shreveport, Shreveport, LA, United States.
Frontiers in psychiatry
|July 26, 2023
概括
对精神病患者的医疗许可实验室进行辩论. 这项研究发现,肌酸激酶 (CK) 和综合代谢面板 (CMP) 测试是有价值的,特别是对于激动或中毒的患者.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 临床病理学 临床病理学
背景情况:
- 在急诊室的精神病患者的医疗许可是有争议的.
- 紧急医生经常质疑常规实验室检测的必要性.
- 精神病医生仍然可能要求或订购这些测试用于患者评估.
研究的目的:
- 评估精神病患者实验室测试的持续需求.
- 确定在医疗许可之前需要干预的高风险患者群体.
- 为医疗许可协议提供基于证据的指导方针.
主要方法:
- 从精神病危机病房 (PCU) 的163名患者的回顾性图表审查.
- 收集的数据包括患者病史,体检,生命体征和常规实验室.
- 分析的具体实验室:CBC,CMP,UDS,EtOH,UA,CK,UPT,以及COVID-19的情况.
主要成果:
- 82名患者 (50.3%) 在医疗清除之前接受了干预.
- 静脉注射 (IV) 液体是最常见的干预措施 (59%),通常是由于肌酸激酶 (CK) 的升高.
- 升高的CK和急性损伤 (AKI) 是医疗入院的主要原因.
结论:
- 结果支持AAEP在临床评估和实验室测试方面的指导方针.
- 肌酸激酶 (CK) 和综合代谢面板 (CMP) 测试显示高效.
- 建议CK和CMP对于激动,中毒的患者或具有兴奋剂使用史的患者.
相关概念视频
Psychosis: Goals of Pharmacotherapy
168
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
168
Psychosurgery
80
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
80
Acute Coronary Syndrome IV: Interprofessional Care
12
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
12
Diagnostic and Statistical Manual of Mental Disorders (DSM)
95
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
95
Drug Therapy
71
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
71
Psychosis and Antipsychotic Drugs: Overview
335
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
335


