Antipsychotics, anti-alcohol therapy

# 21

*! Patient K., 19 years old. Delivered to the emergency room by a special ambulance brigade from a night club. The patient is excited, inadequate, complains of headaches. A bag of pills in the form of "stars" without an identification mark was found in the patient’s personal belongings. When conducting rapid diagnostics for the use of surfactants, a positive reaction to the content of amphetamines. On examination: the pupils are dilated, the skin is hyperemic. HELL 200/110 mm Hg, pulse 110 beats. in minutes To stop psychomotor agitation in this patient, which drug is MOST indicated?

Aminazine is more likely

Or anxiolytics

# 22

*! A girl of 21 years old whose mother suspects her of using an unknown psychoactive substance has been delivered to the narcological dispensary. Objectively: pink cheeks on a pale face, scarlet lips, tremor of fingers of extended arms, increased muscle tone, involuntary movements and convulsive muscle twitches, restlessness. When questioning the patient, it was possible to find out that after taking the pills, initially there is heaviness in the arms, legs, throughout the body, a feeling of warmth, the mood increases with the desire for communication, with the desire to move, have fun, dance and sing. Then, there is a feeling of weightlessness of your body, "a sense of flight, soaring." Perception intensifies, colors and shapes of objects around the world change, people's faces and objects are painted in yellow and green. The desire to move disappears.
Based on the described condition, select the proposed treatment:
Diagnosis-cyclodol toxicomania (100%), therefore treatment - anticholinesterase drugs - galantamine, proserin, physostigmine

# 23

*! Patient K., 28 years old, was delivered to the hospital. The day before hospitalization, he returned from a long business trip - he works on a rotational basis at an oil drilling rig. Upon arrival, I decided to celebrate the arrival with friends. Half an hour after the start of the feast, the patient suddenly became tense, anxious, “turned off the conversation”, did not answer questions. Then he unexpectedly declared that he would be killed now and ran out into the street, onto the carriageway. At the same time, he didn’t notice the cars moving toward him, "he ran to wherever he looked," aimlessly, not taking the road apart. In this state, he was caught by a specialized psychiatric team.
Give pretreatment:
Pathological intoxication

# 24

*! Patient N., 34 years old, was taken to a drug treatment clinic by police from a restaurant. According to friends drinking with him, the patient after drinking 500 ml. vodka suddenly became agitated, aggressive, spiteful. He attacked with fists an old friend with whom he always maintained good relations. I didn’t react to the calls, 3 men could not keep the patient. The administration of the restaurant called the police.
Evaluate the treatment of this condition:
Diagnosis - atypical explosive intoxication (100%), therefore treatment - detoxification therapy, vitamins, tranquilizers?

For relief of binges, it is sometimes used (sleep deprivation, pyro-

therapy, ECT, insulinocomatous therapy, hemodialysis).

When stopping alcoholic AAS most often use (pheno

thiazine antipsychotics, tricyclic antidepressants,

IMAO, benzodiazepge tranquilizers, lithium salts).

# 25

*! A 15-year-old teenager lying unconscious was found in the entrance of the house. On examination: breathing is depressed, the pupils are "point", does not respond to pain stimuli, bradycardia. In the area of ​​the elbow folds along the veins, numerous seals and minor hemorrhages in the places.
Give treatment for this condition:
Naloxone

The method of choice for opiate poisoning is considered intravenous

administration (diazepam, prednisolone, bromocriptine, naloxone, dro-

peridol).

# 26

*! The doctor of the ambulance team fixes the patient 23 years old: tremor, dilated pupils, runny nose, frequent sneezing, coughing and profuse lacrimation. The patient is anxious, anxious, trying to massage the muscles of the limbs, complains of drawing pains in the joints of the limbs, upset stool, insomnia. When viewed in the area of ​​the elbow bends along the veins, numerous seals.
Select your preferred treatment:
Naloxone

The method of choice for opiate poisoning is considered intravenous

administration (diazepam, prednisolone, bromocriptine, naloxone, dro-

peridol).

# 27

*! Patient T., 28 years old. For six months, he systematically consumes cocaine. At the time of the examination, the doctor complains about the influx of terrifying visions - snakes, insects with a sense of horror, fear of them. Partial criticism of the experienced. The described disorders developed within 18 hours after a series of repeated injections of the drug within one day.
Treatment of this condition:
Diagnosis - cocaine delirium (100%), treatment of 1-stage general strengthening therapy, safe antidepressants, tranquilizers, carbamazepine - to relieve anxiety and normalize sleep,

Stage 2 - psychotherapy, antipsychotics (haloperidol?) With nootropics

# 28

*! During the examination, the patient after using the drug notes the appearance of sensations of heat waves in the body, dry mouth, itching of the skin on the background of general peace, peace, an influx of dreams, vivid pictures that end in sleep for 3-4 hours.

Identify Suggested Treatment

The diagnosis is hash psychosis (100%), nootropics, vitamins, detoxification (insulin + glucose), tranquilizers, antipsychotics, apomorphine

To suppress a pathological drug craving in patients,

Cannabinoid addicts are most commonly used (antipsychotics,

tricyclic antidepressants, MAOI, antidepressants from

SSRI groups, benzodiazepine tranquilizers, lithium salts).

# 29

*! A patient, a first-year student at a technical university, describes his condition after taking drugs: there is a feeling of a soft warm blow in the head, hair “becomes on end, move”, it feels a heartbeat, the mood improves with a feeling of kindness, love for people, which can do everything for people, mental and physical comfort, while starting to deal with the shifting of books.
Determine the tactics of treatment:
Diagnosis - intoxication with ephedron (100%)

In the treatment of addiction to cocaine and stimulants pathogenetically

justified is the appointment (diazepam, prednisone,

bromocriptine, naloxone, droperidol).

#thirty

*! A patient, a first-year student at a technical university, describes his condition after taking drugs: there is a feeling of a soft warm blow in the head, hair “becomes on end, move”, it feels a heartbeat, the mood improves with a feeling of kindness, love for people, which can do everything for people, mental and physical comfort, while starting to deal with the shifting of books.
Define treatment tactics:
Previous task

# 31

*! Hallucinations are