On Call Psychiatry

by Bernstein, Carol A., M.D.; Levin, Ze'ev, M.D.; Poag, Molly, M.D.; Rubinstein, Mort, M.D.

• ISBN13: 9781416025740
• ISBN10: 141602574X
• Edition: 3rd
• Format: Paperback
• Copyright: 2006-01-06
• Publisher: W B Saunders Co

Summary

Be on call with confidence! Successfully managing on-call situations requires a masterful combination of speed, skill, and knowledge. The pocket-sized titles in the On Call series provide you with immediate access to the vital, step-by-step information you need to rise to the occasion! When youre on call...alone...in the middle of the night...they're your answer books for what to do and how to do it quicklyfrom diagnosing a difficult or life-threatening situation to prescribing the right medication. Provides easy-to-reference, specialty-specific guidance on how to manage problems that arise while on call without direct supervision. Catalogs the calls you are most likely to receive and provides you with the questions you should ask to assess the urgency of each situation. Details the ideal approach to diagnose and manage patients, communicate with colleagues and families, and avoid common mistakes for every call. Reviews the temporary orders appropriate for each call, as well as the general protocol, and the major threats to life you must consider before arriving at bedside. Indexes problems by disease as well as by symptoms to expedite your access to the answers you need. Includes a comprehensive collection of differential diagnoses and a detailed formulary of commonly used medicationsa quick, alphabetically arranged reference for indications, drug dosages, routes of administration, side effects, contraindications, and modes of action.

Table of Contents

Introduction
The Approach to Emergency Psychiatric Diagnosis	3	(5)
Lara Rymarquis Fuchs
Natalie Gluck
The Role of the Psychiatric Consultant	8	(7)
Lauren Kotcher
Jennifer Finkel
Psychodynamic Issues	15	(7)
J. Rebecca Weis
Telephone Consultations	22	(4)
Yujuan Choy
Seclusion and Restraint	26	(9)
Charles Luther
Scott Soloway
Assessment of Capacity and Other Legal Issues	35	(10)
Elizabeth Ford
Jeremy H. Colley
The Difficult Patient	45	(7)
Lara Rymarquis Fuchs
Michele Rosenberg
The Emergency Evaluation of Children and Adolescents	52	(11)
Seeba Anam
Margaret Goni
PATIENT-RELATED PROBLEMS: THE COMMON CALLS
The Agitated Patient	63	(10)
Eli Greenberg
The Anxious Patient	73	(11)
Yujuan Choy
The Violent Patient	84	(8)
Scott Soloway
The Suicidal Patient	92	(8)
Natalie Gluck
David Schwam
The Psychotic Patient	100	(8)
Andrya M. Crossman
John J. Benjamin Davidman
The Confused Patient: Delirium and Dementia	108	(12)
Benjamin B. Cheney
Joshua Kuluva
Movement Disorders	120	(12)
Hamada Hamid
Barriers to Communication: Mutism and Other Problems with Speech and Communication	132	(13)
Jennifer Blum
Lauren Kotcher
Physical and Sexual Trauma	145	(9)
Brady G. Case
Sudeepta Varma
The Pregnant Patient	154	(10)
Michele Rosenberg
Jennifer Marie Mattucci
Intoxication	164	(11)
Aditi Shrikhande
Suma Gona
Larissa Mooney
Substance Withdrawal	175	(13)
Aditi Shrikhande
Suma Gona
Larissa Mooney
Insomnia	188	(9)
Andrya M. Crossman
Headache	197	(8)
Jeremy H. Colley
Chest Pain	205	(7)
Joshua Kuluva
Nausea and Vomiting	212	(6)
Neelima Pania
Brady G. Case
Fever	218	(8)
Sudeepta Varma
Neelima Pania
Seizures	226	(10)
Hamada Hamid
Falls	236	(6)
Benjamin B. Cheney
Meredith Nash
Blood Pressure Changes	242	(50)
Sudeepta Varma
Appendices
Mini Mental State Examination	251	(2)
Sudeepta Varma
Mental Status Examination	253	(4)
Seeba Anam
Andrya M. Crossman
Medical Conditions Manifesting as Psychiatric Disorders	257	(8)
Jennifer Blum
Jennifer Finkel
The Neurologic Examination	265	(6)
Jonathan Howard
Joshua Kuluva
Normal Laboratory Values	271	(2)
Jennifer Marie Mattucci
Urine Toxicology	273	(2)
Jennifer Blum
Medication Levels	275	(1)
Jennifer Marie Mattucci
Clonidine Detoxification Protocol for Opioid Dependence	276	(1)
Larissa Mooney
Aditi Shrikhande
Suma Gona
Detoxification Protocol for Alcohol Dependence	277	(1)
Larissa Mooney
Aditi Shrikhande
Suma Gona
Admission Orders	278	(3)
Lara Rymarquis Fuchs
Meredith Nash
Child Abuse and Neglect	281	(5)
Sudeepta Varma
Neelima Pania
Elder Abuse and Neglect	286	(4)
Benjamin B. Cheney
Important Telephone Numbers	290	(2)
Andrya M. Crossman
On-Call Formulary	292	(33)
Lydia Fazzio
Natalie Gluck
Scott Soloway
Index	325