Knowledge and Attitude Towards Pharmacological Management of Acute Agitation: A Survey of Psychiatrists, Psychiatry Residents, and Psychiatric Nurses

2016 ◽  
Vol 41 (3) ◽  
pp. 333-336 ◽  
Author(s):  
KeumbÔh Tangu ◽  
Adaora Ifeanyi ◽  
Mayurapriya Velusamy ◽  
Sara Dar ◽  
Nurun Shah ◽  
...  
Keyword(s):  
Psychiatric Nurses ◽  
Psychiatry Residents ◽  
Pharmacological Management ◽  
Acute Agitation ◽  
Knowledge And Attitude

scholarly journals Evidence-Based Guidelines for the Pharmacological Management of Acute Methamphetamine-Related Disorders and Toxicity

2017 ◽  
Vol 50 (03) ◽  
pp. 87-95 ◽  
Author(s):  
Norbert Wodarz ◽  
Anne Krampe-Scheidler ◽  
Michael Christ ◽  
Heribert Fleischmann ◽  
Winfried Looser ◽  
...  
Keyword(s):  
Pharmacological Treatment ◽  
Treatment Strategies ◽  
Nominal Group Technique ◽  
Therapeutic Interventions ◽  
Withdrawal Symptoms ◽  
Nominal Group ◽  
Evidence Based ◽  
Pharmacological Management ◽  
Acute Agitation ◽  
Evidence Based Guidelines

AbstractConsumption of methamphetamine (“crystal”) has spread dramatically over several European countries. The management of methamphetamine-induced acute disorders has become a growing challenge to the health system. Pharmacological treatment strategies for methamphetamine-induced intoxication syndromes, acute withdrawal symptoms, and methamphetamine-induced psychosis are particularly important.The development of interdisciplinary and evidence- and consensus-based (S3) German Guidelines was based on a systematic literature and guideline search on therapeutic interventions in methamphetamine-related disorders (April, June 2015). Consideration was given to 9 guidelines and 103 publications. Recommendations on pharmacological treatment strategies were drawn up using the nominal group technique.Overall, only limited evidence is available. Benzodiazepines are first-line medication for methamphetamine-induced intoxication syndromes, particularly when they present with acute agitation and aggressive behavior. There is no evidence-based medication for the treatment of methamphetamine-related withdrawal symptoms and cravings. When treating methamphetamine-induced psychosis, second-generation antipsychotics should be favored, given their more favorable side-effect profile. The indication for continuation of antipsychotic medication must be reviewed regularly. In most cases, the antipsychotic should be tapered off within 6 months.

scholarly journals The pharmacological management of agitated and aggressive behaviour: A systematic review and meta-analysis

2019 ◽  
Vol 57 ◽  
pp. 78-100 ◽  
Author(s):  
Maarten Bak ◽  
Irene Weltens ◽  
Chris Bervoets ◽  
Jürgen De Fruyt ◽  
Jerzy Samochowiec ◽  
...  
Keyword(s):  
Systematic Review ◽  
Adverse Effects ◽  
Incomplete Data ◽  
Meta Analysis ◽  
Pharmacological Intervention ◽  
Pharmacological Interventions ◽  
Pharmacological Management ◽  
Psychometric Scales ◽  
Rapid Tranquilisation ◽  
Acute Agitation

AbstractIntroduction:Non-pharmacological interventions preferably precede pharmacological interventions in acute agitation. Reviews of pharmacological interventions remain descriptive or compare only one compound with several other compounds. The goal of this study is to compute a systematic review and meta-analysis of the effect on restoring calmness after a pharmacological intervention, so a more precise recommendation is possible.Method:A search in Pubmed and Embase was done to isolate RCT’s considering pharmacological interventions in acute agitation. The outcome is reaching calmness within maximum of 2 h, assessed by the psychometric scales of PANSS-EC, CGI or ACES. Also the percentages of adverse effects was assessed.Results:Fifty-three papers were included for a systematic review and meta-analysis. Most frequent studied drug is olanzapine. Changes on PANNS-EC and ACES at 2 h showed the strongest changes for haloperidol plus promethazine, risperidon, olanzapine, droperidol and aripiprazole. However, incomplete data showed that the effect of risperidon is overestimated. Adverse effects are most prominent for haloperidol and haloperidol plus lorazepam.Conclusion:Olanzapine, haloperidol plus promethazine or droperidol are most effective and safe for use as rapid tranquilisation. Midazolam sedates most quickly. But due to increased saturation problems, midazolam is restricted to use within an emergency department of a general hospital.

Pharmacological Management of Acute Agitation

Drugs ◽  
2005 ◽  
Vol 65 (9) ◽  
pp. 1207-1222 ◽  
Author(s):  
John Battaglia
Keyword(s):  
Pharmacological Management ◽  
Acute Agitation

Emergencies

2012 ◽  
Author(s):  
Rob Forsyth ◽  
Richard Newton
Keyword(s):  
Status Epilepticus ◽  
Emergency Management ◽  
Visual Loss ◽  
Sudden Onset ◽  
Pharmacological Management ◽  
Status Dystonicus ◽  
Acute Agitation ◽  
Traumatic Coma

Acute agitation 534Emergency management of coma 536Traumatic coma 541Status epilepticus 544Status dystonicus 551Sudden onset visual loss 558The child who suddenly stops walking 559Acute ataxia 572In nearly all situations, environmental, rather than pharmacological, management of acute agitation or psychosis is to be preferred....

Problem behavior in autism spectrum disorders: A paradigmatic self-organized perspective of network structures

2019 ◽  
Vol 42 ◽  
Author(s):  
Lucio Tonello ◽  
Luca Giacobbi ◽  
Alberto Pettenon ◽  
Alessandro Scuotto ◽  
Massimo Cocchi ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Problem Behaviors ◽  
Autism Spectrum ◽  
The Self ◽  
Network Structures ◽  
Self Organized ◽  
Critical Equilibrium ◽  
Self Organized Criticality ◽  
Acute Agitation ◽  
Spectrum Disorders

AbstractAutism spectrum disorder (ASD) subjects can present temporary behaviors of acute agitation and aggressiveness, named problem behaviors. They have been shown to be consistent with the self-organized criticality (SOC), a model wherein occasionally occurring “catastrophic events” are necessary in order to maintain a self-organized “critical equilibrium.” The SOC can represent the psychopathology network structures and additionally suggests that they can be considered as self-organized systems.

Quintessenz

2016 ◽  
Vol 1 (2) ◽  
pp. 47-49
Author(s):  
Anja Maria Reichel
Keyword(s):  
Psychiatric Treatment ◽  
Quality Measure ◽  
Psychiatric Nurses ◽  
Patient Centered ◽  
Inpatient Psychiatric Treatment

Zusammenfassung. Delaney, K. R., Johnson, M. E. and Fogg, L. (2015): Development and Testing of the Combined Assessment of Psychiatric Environments: A Patient-Centered Quality Measure for Inpatient Psychiatric Treatment. Journal of the American Psychiatric Nurses Association, 21 (2), 134–147.

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