Showing posts with label australia medical mcq website study. Show all posts
Showing posts with label australia medical mcq website study. Show all posts

Thursday 6 April 2023

DEVELOPMENT OF ANXIETY IN BIPOLAR DISORDER

there is an accurate
research findings regarding the comorbidity of anxiety disorders in individuals with bipolar disorder (BD). Studies have shown that approximately half of individuals with BD will develop an anxiety disorder at some point in their lives, and about a third will have an anxiety disorder at any given time. The presence of an anxiety disorder comorbidity in individuals with BD can have a negative impact on various aspects of their presentation and course of illness, including treatment response and outcome. Unfortunately, there is limited research available on the underlying causes and optimal management of this comorbidity. However, it is important for clinicians to be aware of this potential comorbidity and to screen individuals with BD for anxiety disorders. Providing comprehensive and ongoing treatment for both conditions can help prevent the negative consequences of anxiety disorder comorbidity in individuals with BD. This may include a combination of medication and psychotherapy, tailored to the specific needs of the individual.

Thursday 24 September 2009

EPILEPSY MANAGEMENT-AUSTRALIA

Treatment of status epilepticus in hospital.


1.Immediate measures Secure airway

Give oxygen
Assess cardiac and respiratory function
Secure iv access
Give lorazepam 4 mg iv or diazepam
10 mg iv
Repeat after 10 mins if no response

2.In hospital


Take blood for electrolytes, LFT, calcium,
glucose, clotting, AED levels and storage
for later analysis
Measure blood gases
Establish aetiology
Give thiamine or 50% glucose solution if
indicated
Within 30 minutes In patients with established epilepsy:
give usual AED orally, NG or iv

3.In patients with new-onset epilepsy or if
seizures continue:


fosphenytoin (18 mg/kg phenytoin
equivalent), up to 150 mg/min with ECG
monitoring or phenytoin 18mg/kg,
50 mg/min with ECG or phenobarbital
15 mg/kg iv, 100 mg/min
Longer than ITU may be necessary
minutes Anaesthetise with EEG monitoring
Midazolam, phenobarbital, propofol, or
thiopentone most commonly used
Non-convulsive status Augment or reinstate usual AEDs
Consider lorazepam or diazepam iv

Doctor life Australia

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