Category Archives: Psychiatry

Psychiatry Final Week

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Tasks performed:
In-service to Psychiatrists, nurses and pharmacists on Memantine + antipsychotics

Memantine Presentation Final

Case presentation: Pisa syndrome

Psych case presentation Final

Counselled two patients on their medications

Clinical Pearls:
Take a lithium level on any patient on Li on admission (2) aim for lower levels in elderly population
Terms I get confused about:
Dystonia: neurological movement disorder in which sustained muscle contractions cause twitching and repetitive movements or abnormal postures. Two forms: acute and delayed

Patient is defined as having metabolic syndrome if the patient has central obesity plus 2 of the following 4 risk factors; elevated triglycerides, reduced HDL, elevated BP, elevated blood glucose

Cardiometabolic monitoring form used by BC Mental Health and Addiction Services monitors for following:
Waist circumference, weight, BMI, blood pressure, fasting blood glucose, Hgb A1c, LDL cholesterol, Total cholesterol, HDL cholesterol, triglycerides, Cholesterol/HDL ratio, ECG abnormalities, QTc

Goals for next rotation:

See more patients: Aim for 1 new patient every day
Follow-up with patients everyday

Psychiatry rotation so far

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I am currently placed at Riverview Hospital in Coquitlam which only houses Psychiatry patients. The hospital is closing this year and patients are being moved to other locations e.g. UBC, Burnaby Hospital etc. The atmosphere is that of change and getting ready for a new pharmacy.

The patient population I have encountered and will encounter in the future in this setting, does not have much insight into their illness. This makes it difficult for them to understand why they are on certain medications and if it has been helpful for them. Side effects are a big issue in this population and almost every patient is experiencing some sort of side effects, for example EPS, tardive dyskinesia etc.

Tasks performed so far:

Reviewed tapes on movement assessments
Observed pharmacist perform Abnormal Involuntary Movement Scale (AIMS) assessments on three patients
Interviewed two patients in regards to AIMS assessment, Drug Attitude Inventory (DAI) and UKU Side Effect Rating Scale.
Attended Ward rounds
Attended Patient Safety Meeting
Journal Club Presentation
Psych_journal_club2
Answered Drug Information Questions
Drug Information Shellfish Allergy
Lorazepam Drug Information
Topics discussed with preceptors: Antipsychotics, Antidepressants, Mood Stabilizers

My goals for the next two weeks:
To see at least two new patients
Analyze and interpret a clozapine level
Educate at least two patients about their medications