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Home » Topics » Hospital Psychiatry » Files

Hospital Psychiatry

Inpatient Fact Sheet Prolactinemia

November 3, 2023

Elevated prolactin levels (>29 ng/mL in nonpregnant, nonlactating women, >18 ng/mL in men) that can cause the following symptoms: ● Women: Menstrual irregularity or amenorrhea, infertility, lowered libido, galactorrhea, decreased bone density, increase or thickening of hair in unexpected areas such as face. ● Men: Breast enlargement (gynecomastia), erectile dysfunction, low libido, infertility, galactorrhea.

Inpatient Fact Sheet Sialorrhea

November 3, 2023

Excessive drooling, usually more severe at night

Inpatient Fact Sheet Parkinsonism

November 3, 2023

Also known as pseudoparkinsonism, these drug-induced symptoms mimic those of Parkinson’s disease:

Autism Spectrum Disorder Management in the Adult Inpatient Unit

November 2, 2023

Patients with autistic spectrum disorder (ASD) may be admitted to inpatient units for a variety of reasons. Either way, ASD patients can be challenging, and this fact sheet will remind you of the basic features of ASD as well as some helpful treatment measures to implement.

Bipolar Depression Medication Treatment

October 26, 2023

This sheet guides you in how to use medications to rapidly treat patients with severe mania. Many of these patients have bipolar disorder; others may have schizoaffective disorder, bipolar type, while others may have arrived on your unit with a murky psychiatric history but with agitation, racing thoughts and other hallmarks of mania.

Inpatient Fact Sheet: CBT for Anxiety Disorders

October 26, 2023

Cognitive behavioral therapy (CBT) is a highly effective approach for patients with anxiety disorders—but only if they demonstrate motivation and a commitment to complete therapeutic exercises and apply learned coping mechanisms.

EKG in Inpatient Psychiatry

October 26, 2023

This fact sheet aims to provide an evidence-based guide on when and why to order an EKG, medications that may necessitate an EKG, and basic EKG interpretation tips.

Deliberate Foreign-Body Ingestion

October 26, 2023

Patients who deliberately swallow objects are among the most challenging you’ll work with. Deliberate foreign body ingestion (DFBI) is costly and resource intensive, in part because of these patients’ extremely high rate of repeated swallowing attempts: Over 80% of DFBI presentations occur in patients with prior ingestions. Pens, toothbrushes, and batteries are among the most commonly ingested items.

Gambling Addiction Diagnosis and Treatment Fact Sheet

October 26, 2023

1. Gambling becomes disordered when it causes harmful consequences in a person's life. 2. An individual with a gambling disorder will continue to gamble despite negative outcomes and will experience intense urges and cravings. 3. The DSM-5 classifies gambling disorder as an addiction, under the substance-related and addictive disorders section.

Bipolar Disorder Diagnostic Interview

October 26, 2023

The most challenging aspect of diagnosing bipolar disorder is establishing a history of a manic or hypomanic episode. Patients with bipolar disorder spend much more time in depressed episodes and may not clearly recall having had a manic episode. Furthermore, the symptoms of mania overlap with other syndromes, such as borderline personality disorder, psychosis, anxiety, and ADHD.

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