治疗精神疾病的药物的术前管理
Claudia R Fernandez Robles1, Carlos G Fernandez-Robles1, Adriana D Oprea2
1Department of Anesthesiology, Yale University, New Haven, CT, USA.
Panminerva medica
|May 17, 2024
概括
对于接受手术的精神疾病患者,一般建议继续服用精神病药物. 麻醉科医生应在术后药物管理期间保持对潜在副作用和药物相互作用的高度认识.
科学领域:
- 麻醉学 麻醉学
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 在外科手术期间的药物管理给医生带来了重大挑战.
- 关于继续或停止药物治疗的决定在术后环境中很常见.
研究的目的:
- 为患有精神疾病的患者在外科手术前期管理药物提供指导.
- 强调在外科手术过程中持续精神治疗的重要性.
主要方法:
- 审查当前的文献和临床指导方针关于外科手术期间药物管理.
- 对手术患者的精神病药物推的分析.
主要成果:
- 主要建议是继续为患有精神疾病的患者提供精神治疗.
- 麻醉师需要对潜在的不良影响和药物相互作用提高警.
结论:
- 持续服用精神药物对于在手术期间的患者福祉至关重要.
- 精神病医生和麻醉师之间的合作对于安全的术后护理至关重要.
相关概念视频
01:28Drug Therapy
42
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
42
01:26Psychosis: Goals of Pharmacotherapy
123
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.
123
01:28Psychosis and Antipsychotic Drugs: Overview
242
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...
242
01:24Mania and Antimanic Drugs: Overview
174
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
174
01:26Anxiolytic Drugs: Overview
279
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
279
01:23Antidepressant Drugs: MAOIs and Other Agents
226
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
226