Axis II mostly associated with suicide is
Bordeline perosnlaty disorders
I- Gen mental cond- mood, subs abuse II- personality, MR III -Gen medical condition IV envi and psychosocial V - Global assessment Functioning
highest risk group of suicide by age
> 65 y/o
3 x more than the young population
profile- white, male, widowed 75 and older
firearms
depression and alcoholism
Diff in gender sucide info \
attempts
completion
attempts - female 3x > males
completion - males 3x> females
person who classifeied 3 types of suicide
Emile Durkheim
Egoistic - not integrated into a social group
altruistic - excessively integrated
Anomic - integrated but disturbed, major change and cannot cope up
pale, pinpoint puiuls , bluish and absent reflexes
opiod toxicity
- IV naloxone
anxiety, ataxia, confusion later on seizures/ psychotic
Barbs wijrgawal
nystagmus, muscle rigidity, disorientation, Inc BP, ;psyhcotic, comatose
PCP/ angel dust - gastirc lavage - benz/ gastric lavage acidificatio urine ( ammonium cl/ furo) HTN proplanolol
contraindicated with angel is - thia
Phenothiazine- seizures
HTN crises
MAOI bawal : SSRI Bupropion TCA meperidine / demerol
txt:
d/c
chlorpromazine/ phentolamine
Renal / liver failure
fever, pancytopenia hypogly coma
Acetaminophen
emesis
gastric lavage