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    Jean Gray Therapeutic Choices 6th Edition PDF

    Uploaded by

    Alaa Darwish

    Copyright:

    © All Rights Reserved
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    of 850
    @ therapeutics* WHAT YOUR. PRACTIG§ DESERVES 9 out of 10 users recommend e-Therapeutics' a JEAN GRAY, BSC, MD, FRCPC, EDITOR Therapeutic Choices Manse, Graphic Communications: artim Bafa ‘ayo bolita ay ny ay memes mean ‘ern athe Conpenaan otrmarnicas oe Spector? ‘naw lomouve conc! ar slediorncat ca ibaa ie anda ed etna ow Table of Contents Reviewers cee va Procitioner Review Board >i Glossary of Abbreviated Terms o ‘Sceeary of Mroorganism Abbrevons ot Hom To Use Thompeutic Choise. Dee Deseipton and Uantatone of lfrmsion cow ychlare Disorders 2 Ansty Sone, RP Sima nee " 5 Atertin Deft Hyperacty Dentro a 4 Damen Kona Rochood end Tey hho “a '5Dapeson Sino H Kennedy, Sag. Park on Baa Ese, eee 00 {5 Bate Deore Sagar. Pak is 17 Pajcoate, Heanor ation a7 9 Ong Wire Serene, ome Kanne, 135 40. Siang Casaton Pater Say 1. 11 Eng Deore, Lot Brminghon 158 Neurologic Disorders 14 Acta Pi, Bono Bay 198 15. Nawropatic Pai, C Pater N Whtson 208 18 SatsPaey, tim Pre Prtps citi zs 17 Cente Spesty, Ven Dovonshio 28 18 muscle Crags, gna ovonstire 235 49) RestessLageSycome,Aae-Louise Lorena 239 20 Parson's Dear, OA. Games ar 21 Serres ane Eplopsy,R Mark Sater 258 Eye Disorders 22 Calarct Super Postoperatve Cae, Stan P. Geo 23 23 laos, Mark R Leth and Pao Rate. 288 q t ‘able of Contos Agevehtod Macs Dogeton, Mcrae Ptr Endocrine and Metabolic Disorders cardiovaseu Disorders Prrer Preversan of Vascular eae, Tan Mysok Sypeterson Hom RE: Campa see Conary Syrenes, Mena Gators ‘ate cee Sote, Sle Pip nd Grd Guz Suprveira acy, Dad Brie ‘orca Tacyarmyomas, Pol Ooo. ‘YerausTomboentatem, Asani 6.6. Tie irrmiert later lard Ope Respiratory Disorders ra Rinne Poy Lyne ‘stain aris ad Chon, Mare Monigory (nip, Dvi Jobson. Gastrointestinal Disorders ial Hepat, Kavi M Patan and orn Hic ‘ontoseghagea! Rel Danae, Eon A Shaler Interna Bowe Olea, Bua G. Fegan 483 sy sot ore, 02 148 781 ‘Table of Contents Genitourinary Disorders 58 Lower Uiary Tact Sygtame an Bean Prete 59. Uinry cennancen Adin, Gomera 651 Conracepton, Gian Graves {52 yenerornea, lean Ga! 63 Endorse ion, {5 Ferma Sonal Dytinaon, Rotor Boson 08 tae Sout Oytnton, Rosemary Basan. Musculoskeletal Disorders r Frenyoa, Hove Si (6 CronieFatgue Sytem, Este Monn = 8 Pobmyaiga Rhaurates and GantCal Anat, hn Fea 70 Gout an Hyannis, Sune Kapur and Gunnar Kaas 71 Oster, Pau Danis and Anges by 72 Rheumat Atie, Van P Byte 73 Ostepoeas, Onvs A Haney 76. Sporsinites, saraeKesck : ‘Skin Disorders 79. Sunbury Gorter. 11 Prenie cers Sitar Tan 1 Ape Dermat, Mian Weitein : Pret, aura A Fon. 15 Saber and Peicon, Sande Kroes and No Blood Disorders 157 Conmon Anemia, SRatedge Hang on 60 75 Lavo o19 928 955, sr ‘004 1029 1097 1058 1069 077 Vi Table of Content | Table of Contonts vil Fuld and Eloctrolyte Disorders | eve comin Adu, Poares Wor. 1590 {8 Datycston in Cen, Gary ovo, tat | 9 Persistent esate dome Wht 1508 59 Hypo, Pater MeLeod 3 | 20 Pa ce, on Eup we | 80 Edens, Tn Keough yan 147 ee 81 Hypucsooma, WaterWatal= oss vs 1860 1 Dosage Ausimen in Ran! ensimen, Jes 82 Potssim Detapences, on Ener. | ss WIZ carmect ace Catan Pe la... 1552 2 Aen ete ein Crisbood Joseph. Vayatimia!... 1188 | M_Phpmacoewnamie Consors Jefiey, Jason 1888 | 34. Srepococea Sar Trost, Dail Spee 95 | | 5S Sosan Fors ant Ean nds) 1208 96 Ace Sorts, Czy Marsal and Ware Puna wz | 90 Tunes, Vitoria J Conk ond Mark FexGorlé. + $264 {0 Baca Meine Ala Rocenthl and Undy Sensor. | $280 101 Ao Ostomyets, Sinan Dobson 1295 Srp nd Spe Soc Siren Cyl andiny 105 Herpes ecto Fred ol! : 1370 “io 88 Montane nn nn 1380 107 Opporuneo nscune'n HV postive Paes, Edad. cs 403 ta cons te Gace Pat, Colman Ret 1424 Cancer Chemotherapy Toxcty 111 chamoerapyndunedNaiean and Vor, ni ‘2 thers Pure ss ene myers Symptom Contro!, M3 Nauanain eis, MacLean. = rl 14 Gorspton, Hig Chean S12 0 115 Dares, turd Fs a Anne M. Boome: 902 116 Fevr Chien, dotoe Lang. 15, ‘17 Themorapuary Osetia Ada, Mao Sion. | 1520 Reviewers ato hesty own Elesae Heath Jeter Blk, Mo, FRESE cna ote Fe resi Hoga ote Con, MD, FRCPC, FACE Pau Donic, Mae, Freee Mario de Lemes, BSe(Pharm), ‘Sein Pre Phar, oe {once Vircower 867 ‘are EvaneBSP MSc, FOSHP oye Urea Heol ‘Seecerlaah asen ‘rt Gin Phar, avd Getoam, Dee, FRCPC ony dnd, MO, £570, ‘irers Hosp f Eastern 2 ode, MD, MP, PRD ‘ha Shaws Evan Ba tga 2 Seren (riers ot abet Etat Pramacstgy & eu Scares Corte tee tet eno os seat tin weak Sarees Conse Aaa atta, BSP Fra ea tory ‘Sir era os onsen Entaon et persis Donon coi rtsy Hal Corb ar Moms, 05 recy feo ‘na Masicte, Pharm, MSc Sropmrmaion Cre ‘he Otowe Hoos twa, Ow any esnneand Scot murray, mo, FRCPC Sistem of Comotiay Batol very Unto of atten see Mo se, Fre, erty of Abra x Reviewers | amore xt say sine, B8cPom, ‘Alc tan Cora Wo, i} Authors Slee Duncan” Setanta roa —— aie Geert ap esi Girestyetimn caumea Putra Lo al fred ont erm 6, Camel Eee caer ei a tt tivo Caner eiowin AS Wome, Cpa A orm hesg 8 Host Hg Chan ; | Siete Pace ' |) cceatysatgsec Tory Cloke ! ease 8o Scovom conee sows ON ‘Sato Conte cores monsetan rest ofan Cau marion AB tore J Cook Unters of Saskatonowan Menrest Cones Hows! ‘Seataton, Sk He ney Sry ara ‘Ania Calinare Eamonn A ‘SO oanpn Heatare | Bahai voy aul Davis _ mo jf Meer Seehh aw i ety of name Antony W.Chow fm: Jean err DesGroses 2s Eaaecncayenoa Pt Dovoreaue fat ny Pett rato lrmatin Dovid Dupers eon Elbe 1 Heat Besta §Eletld ean Eer {Spoon eats Senos Urea fae croan Cee Jonathan AE. Fleming iy hee Pre Fort Gd er Rago cana cher ON sone See ‘stan P sorge arte amoral Host ‘Wits ea, Be ‘Setanta Heath Bord Ststaoon, Sk rites Hosp Wee Cree Sr ota eH Goa te Topkal ontario Sree Sone uny ‘Svea of entob Wines, Me alin ‘Genter Oeraloy Rear Davis A. Hantey| re tae, alga. AB ohn @ Hany Scecnreny Seraynn Hirsch Span Beet a sty Jota Hote ‘Ror Cas Hosp ian inne Meat ary Joubert ‘don Hoan Sooo Cane Angee aby reat ‘prone ot Gheostye Otome aired hee Sidney Keonegy ‘ity a avers oct Serer a Sa xiv Authors atadur Spor Mesiine & ‘ro noe or Sick Chien Sha Ce spat ver) Joanne Wt Langley ‘eae ners tween Conve Masonneave Rosemont Hosp Timo Py ‘Gocen Elsah I Host tie NS ico care or roca Danse Notes Gera Hoop Sai aay ome 1 Andrew Motor MedtotrUnersty Peters MeLeod enol ena Hospital asec ion Stenyprook Women Cotege ‘Sens Hoop Sager ee =" “ye Makes BE cice ney Lindsay €. Neate Wane Dance Unvery Richard 1, Ove ‘ee wt erty Heth Netw Dehaale nvr eri ay Cvestyo in Coke strapon om PeysePnp Slane Ser Dehowle mrerety Depersont ot ptthsiaogy and Veen! Seleces| Dine ey {nto eal ey an sin Sate very Ghisane 0. Ronderer xvi Authors fer Yor: Gores! Moet! (tendonon) Chon Nee. Oare Hosp a Rua Hao Lin someon Chere Hosp of Eso Uniweraty Cary tas ey Scr Wome’ Caen Caney Gone Hosa agen 08 ptt vat aw Somat Beno notte Guaers& womens eam (Gnomses) Sere rey of rth tc om Se Usa Caary Se ioceps Hosts step Tan Sans vat Senn ot Inteeoate, IN USA 1 Grant rompson Unset tone ‘Alorander 0.6. Ture fie ent se ata (Octet oc ash Cums Burma 8 Rl at wan Sse tee ‘erons 88 owpa eSek haen Aurore vil cre apo Sree ie of i Hn ete mes gh ‘cay te cats xvii Practiioner Review Board Practitioner Review Board ‘ormmanty Prorat ami Pracivoner ‘ ew banyan 8 ‘Antony Gagnon, Phar, CDE, CAE, FASCP i mtr Fay Hai ean ron nt, is, PE | ean mens ia Mra, ‘Sosy ‘Shannan Neubaver, 852, Prarad Margret Anne Woodside, BSc, MO fran ate Fay ne Glossary of Abbreviated Tamme XIX Glossary of Abbreviated Terms Sr Sidonerpanme AAP ‘American Academy of Pearse. Soil od aes feectamicimeing eye Nbneimere de ‘Stention det hypervisor ‘overs eter Sep ne ita bi nicer ‘Agony fr Hess Care oly an Research AIDS" gure mmmenodetcensy sire ‘Aims ‘Alton trointary Movant Sele AN” See mera eps ALP alse pose AMD Spelled cua degeneration ietetPO tn! prose ‘APACHE ‘RestePhysiolony and Chronic Heal Elation APSAC. Syl pstingen septic cmple SrrT Seated ta rbot ine XX Glossary of Abbreviated Terms ARDS ORY Ssor ast pg as jt receptor Hoke Seren doves Sens ery id Sioniepbine ee ‘Riera Urologist Asecinton ‘render the concentration cue ronctntvealae age ‘res Ah Sete than Came utio ‘eodiarnine Babyy Hosp Initiative two tines er semper deasty Sy mas ace ‘ont mete re hod presse bret cpoponte eng prostate es er mie Sty mre re ie sipgo-sophoreomy smu seek loo wes nos ies est roa) rey pps ‘Sinnneny nd aerate medicine ‘Set Semone monaposphte ‘Stnunanit acquire poems ‘Cogntne Hebi Analg System of Peychohegy ‘comple led cunt ‘gun below heapy ‘Sieh cmt Hoke ‘Coad Cove fo Eis ia Sport ‘Go's deane ‘Chonan Dnbeies Aiton: Con center for Diese Control (US) on iors Cann Food Guide to Helhy Fae ‘Sie in ine Glossary of ABbrevatd Terms >aXh ‘jcc prnosine monopbospats ‘Stren er cnene ‘Sop bea re ‘Sonaidcsion ‘Shenotherpy induced nase ‘rntne ne ‘Stine eleance ‘feet ‘Chote Noto tite forthe Bint ‘Sova eownelr membrane Steold orb hypesteaion enc obsmctive peony dase ‘Seoonyeemee? baer ‘Chinn Pamir Sy ‘Sacro F480 206 Diabetes Cea at Compson Ta eerie tetytaanide Aitroyactne: acomberacroe ait {tye eisreepanirnerne Aligaeeststerne ‘adeno Sr inert ‘trite eesti compton Srapinced nase everetio: dbes mets {deememodiningsntteumatie ag ‘eorytenele acd xxl Glossary of Abbreviated Tens re Dsaeav be pvr Bie EXC 5 ber Eerv eco. ree ect eD) TAE TAQ Fas FDA FATS Bo, Fan igi rsa exainatin Dingrotic and Stra! Moral of Men Disorders, ‘ch don im weer seen es ‘Sep venoms ‘Sal coe soy avarptiomery orone huarsioe ‘Seat cat ‘Shergenyconmeeption ‘Sacra ‘mela ld volume ‘Seeasiopam rere ie ‘ergy cinta pill ‘Retrcoeelne egy rete dain ‘sh estat ‘emer ‘Sexipepmtrtndenoscony ‘xem hemostatic hey eyae liked nmanosrbet 5y tect mt foal nestetice ‘rome aa teat See ‘ctopsanct yempins ‘Sulovopc top cholsngayocrentopraphy Spare enon me ‘Exropyma Sypiome Rating Seale ‘Shatnnagen ackeicha cll ‘Srronment oct sake force ios sical tose finctonl tsnmet questionnaire {eal yee Food Chel Cou {sia ombined peti oodand Dap Admmistaton (USA) fared expt volume {Ered expntry vue noe sera fara ypeeeiero ffecton of asped yee {meatal annus Fern Francs) fine neal pinion Des HMA aw He. (Gossary of ADbrevated Terms — xxl {ole tinasagtorone {reviioetyrece fee thyoune [ral ast ‘dco phoupat dey drogenne Frecld way tse Sate ‘Sramalceyt oon aimulatng itor festosepogel rua dsc fs tan pe Fanlocremacroniagecloy-sinlaig ats ‘ronlottpivesctig beemcse Eoonotpneesing hormone algae weer antagonist yaniv antec! ery Npattode cereal ea DNpalindepolmonry elena sepa hmm caronte gomeoropa hepa Cue Np ens pope oeterot TepntsD (det vias eeonous familial ypercelesterlemis tents ‘patnine purine ower ware eparinsndead thrombocytopenia Iman eckooye angen aah potency aewoleic xxv. Glocsary of Abbreviated Terns nro, He Hoo. ns spp Hse HS0, HN wert tirctc imo yptlanic pinta oran oman ppm eee quit of He Ihomone replace ey npn corvette Imes fi ‘noynime preea ‘rca pessire Ine contests ‘coma Sosy Hpopocins intetre f chee bert dae ‘eatin ‘eral acer onguaton ‘nena nos nad [iran Normalized Rast ocular rows ‘Bc tyme sty ies ere) iene i ula nua contacepive device ‘mine device Inte ste vig ezaton—emteyo taser arvensis fneveoos potas joule Glossary of Abbroviated Terms eraonconincvi seca Iegracting by aoa tearm ene fs tow ak al ures deta i decree lowest pricks laver esophageal shins Nips peters ene ry Icing oene (crower (emotectnnweth heen ‘bor pete lowe aco Inet spay tat infetin sedis tye ine abrasion {eeetene reper magi Isprsepicutromcal eve sbiton ‘eRe {ef vet ection ion cinta open tmconraocine rwbo e ‘tana oxide inhibi nem crs yolane mrad ni Ress ane ate endocrine neoplasia ‘eae eae {alg peemia ‘toca eon eins ‘Bnet es xm xvi Glossary of Abbreviated Terms Bisa Ms Ne Mist wn. PANY age sommes eae ‘een rent Sores tons ig sees ‘momoraiom gases ‘moral rate mano ae ‘naopttange (ea) Nitcots Ancrous ‘Neeiprecoiame Navn sesocton of Phsrmay Rely Autos ondnndrepyeie ‘ison Sed Advisory Comite engin ovr copa ease Fino tts of ea onmulende eve ames ioe tural pei tumescence ‘iste rpiacmet ey onteredal ieflemesiony dg {mT spent vation mesial ton eral ae det tiosteei ence dpe ‘Now Soo eat Association ‘Scart ‘hw. tmcied nausea and vomiting Sa cenaceptve ‘eanveompulive rer Sr soneneape pl ‘Sppontonl elt order npr ‘Hise wath efston (al retyeton slo: eulrespintory syne Sil eter ea Seven phere iene Propmecy-terncined asa tnd vomiting este ents mas Glossary of Adbreviated Terms xxvii cctamon comma irc Psthenthrpy nasa and Voting Pesce slo nie ection Panos fect ot Po mosasanin inition prstgln syrhcts iios Pr” PrwtlecinB FEN Posty mal ft ote ia Plo Fuels deve Bip Facmacuas roel pena Feu Femina Pap remem esphodonde PMMA Pelymctiyimcthayie PMN” fotymorbonelenye PMS Brower fndte 70. Smo FONY pena nates nd voting POTS Pastoral onbonatc lnc sme TD: Red pc dete tk rey PRCA real ai PRP piney Rayne phenomenon ln replacement id Tes penliesern Spel FSA) proc pecibe gen SC may ring ccngs tr rr FTCA cra rare coronary anglp Fin. frsayrod foment seni PTSD porrmmat ss inde Xvi. Gtossary of Abbreviated Terms Pry proytiouact 7D Peels dics PUVA Foie bit Fics jen velar conmactons Pvp) Feber! vr dae PvE Bus vi ood Fx Past. Gaty anaes if ear Shs Sek tetime me ‘evn ARS Ter meron Feri Soi clasiteton Aly Iminate linc pe RAST Inlivalogaaren eng ‘meuren ous ulcers ‘Soto ‘Seommetded iy allowance sere movenen {ere an varia iar ewe for ‘er competion, elevation ‘Sri mio of menue oxides A ‘ig lower ude ‘ace st {commends int ike Ryan peomenon punto socal vie ‘Sembin ame pasingsn star (ales) abt ope ond ‘ett bt amie ‘ston allege soja Senna aleve dst ‘shamed henoreape Skee mate Simpson Anges Sale ‘Sonacrar cera pesos etm beri er ‘ene itn ovation; single dove see dtunction eling ea ach, reese us (ees infin) ‘Sactome of hapropne ntti orore een detn yao ‘Stevens Jobaseesyasoe Tinie (Glossary of Abrevated Terms XxIX. temic pa tomato Sg leprae Seam au sulfite {rtm and norepneine eupnkenhibiar ‘Socity of Obata and Gymecoopts of Cas se potion ctor ‘ony Rar phesomenon felniveserotoni uptake eiior ‘apes ied en noe Sua ani nfecton ST sepmeat clevaion ecard intron Spruit chara ‘encase, pine, comine mite teal toy suri ae ‘eal choles trjche stepresant tarde dykes ‘crane ria srv sin tise fc yshwy sbi tegen trl chemi atc, ‘cron bin \enretial microwave rote {rrr nese sition pret (Gururetbal roseon of fe ose ‘Sralneiones stable agi ‘ror et XXX. Gostary of Abbreviated Terms ve bea bet sieeve coi UUsedeoryebte aid ‘iene pei ‘Sper wetosestial stine ‘emi preci Unie Ses Pharmscoocin ony ction Sirol demos horace gery ‘tere! Diere Revere Labonte ecm con dees ‘aurea Belson eneow eal die To oe deny pein Yast maa obigae Vitae Over of Nes telat sur compounis ‘oval sea imation ests ‘etesiar tyra Sus trombocnation Sheree ‘ke blond et Wome en tative ‘Word Heth Organ eke ‘oon, stony and continence mse seu Abrvation cr ee eae caer ee ise iss tee i ‘Sen ae ie ae een, wher 1M cork ‘M pmconoe 1 gowortboee 1 gonorrwar sb eee N meningitis omer Pacer Pails Perma P mire 5S opi Glossary of Miccoganam Aébrevtons Glossary of Microorganism Abbreviations ult ame. Bacteridesfrhas ‘Rectomids gis Comprintetrieont (Clary peimiae ‘Choma acon Encroncen cals ‘tohrch ca Factors ncrphoram Freon an Gone rier osmophis ieee “Heteobacte pros ‘lesela permorie ectotacthes adopt {tc a Legon pnephla ‘teres manecrogenet Melts rr Mora rl ‘Meraetotacaote vcobacterum abot Nbeoptaoma pcumoniae esr gomrhone [ese gonorhonar wbypecis Neer foen oxi xox Glossar of Mcoargnis Abbreviations er a ee feommrpkheyeet Spesmte Srepoece Ponenes Sean Semen a = ao a eae —— Peete a een fs == = ea — eae! pingee Eko ‘Plimpton fcc eee rent — aa oo fps ar Cpa Corea por — a im, = ees icc, | Eee, ioe mas fee ie tot, | Reals, coal ees ay aoe iy oun i eaered i Es Pa iris ce oe fe eee a sca a ae 4 eee Foreword xl Foreword Wola the th eto of Therapete Choe, Mh as appet ‘ine te fourth eon wa pulsed in 2003, Pheapee Chae tw aval lecronaya at of an smbitoae COMA progr of ‘carte pblshing ied e-Merpeutes. The elon fet erat Frequent cisions ate tformtiontecmes aval ards es {downlad ubles af pamascologie coil ht penorl ig ‘Saat Toe avaaly of iso aove! nferson i CPS tnd ‘tee CPLA pbtetons, cote frees, goverment We ee ns commer avaible og aeracaone pera eobance intration sve te we. Tis ovation wes made pole by 3 ‘oeous otibtn Rom the Primary Heath Cae Tanto Fd of ‘ean Canes (CPA sls taken aden oppo the eral pects of ‘herpetic Choc. The Edi Bet hasbeen pled y gs ‘enor of ever os bth mesial ponmay Aes Be ‘ce very accommodating in ering tha he contest pt ae ‘in ncrpornog revhons recomended by he eviews As wih revoar etn fue rn ae of nestor th eon od ver ew tops, tpt of ur Patton’ Review Bost ns {eon sian eprint Thro Cotes lean ‘homity teed neta’ f bch medic ad party ‘Carl Repay CPA’ iri chie sh sspperte bya roo ‘rep cute lina titre Alka Bly, Karn Forts Bl oy ‘itr onan and sini ctor Sonal Ashen. In tin te entities of Kite Alsop snore een Sy ra fora mnogers have been moa opeccatd MY pers le sovall ‘We comin inst on evidence ted aproach io mela An hope tat the edition of Therapie Cotes saves You wll. Pease tu kaw of movies changes you wou ef {cin Therap Chtos te tie ee prea orig beth ‘cents pint versoa ofthe content na foram a we hope mete aly oxxiv How To Use Thorapeute Choices How To Use Therapeutic Choices “The th edion of Therapeutic Choices ints 10 chars a3 Tenney ac cana rset eset herpetic ormaio, meetin cy eae sea bls The tae) of rs Jerse a ie ont ot exch te, Chapter ae erence ‘esac ie err tow the Sappesed Readings Seton Das thery is scans sing generic drug aes, Brand ame ROR choptr toned a eogrenen of tt ad ‘Sin any Cannan re sumer ae ated the abe cae, re eat nce and ar ine sn any oder ef reference, “Tne we cost ao speiferapyivaves a mae of elements ‘Riad he wana’, i markup andthe dispensing ‘Een Teng of dug hry an css elated co rg dann. SSSR ermine mt ot thorny nts Book me te angio Eine inOvewa abe ue of wrane The dr cote ables do 98 Fel a pening feo kup. Coss wn ae lative ante nated by he symbol at ot SeSown cesta. Formos coaitoseeultons were made Spi elorie lover posed patton dose fr neh Tout wee peed siete for mat bron eonons 30 Te cnr, mesma pod vay nd tegen ccs abi sui be cone estes of heap Chace retin ore ied neation on ede they shold coma opened txts pen esc dang arent in paints wth compro’ ‘Menon tales» mall con () appears afer the dg name ‘Tange abuser told be onset “te ne of rugs ding pregatey snd lettin she abject of ope Selden lade pamactcomni cnietons. Te pea ished ent long ech of hese ches Cover ispen ‘Foimemeontenne ar nce Append Description and Limitatons of Information 20K Description and Limitations of Information ‘hrapetc Ooices caste best valde viene oo {Saher over tl oan cannes Terpeott Cher thal be teu ate ety contin Inde fig review pn shold jor aco wilb Cone wmeoly ora tmaaans tl ett on Suplumag Alero oa cose het st on CHAPTER 1 a fel oy. Acute Agitation te : Kurt Stakun, MD, FRCPC and "yn. Jey PRs, MD, MS, FRCPC) 28) cate agation isa dangers contin, Sih valence of 10-20% ‘Seslted seu pens es cna tte wel-beag and ‘Mecvely asf. To ecacre le wnetyng cus gation tno be deeined sd ated were posse. ‘eco Agaenion, dcfosd wt “btaviou iting 0 seal seings. de caper wil oes one eereec To, ‘nkcton,seuvlope cnn eg. exima, sere rake or), Inuton dug dave (oe Chapter 9) adverse dg sects (Ge tue alley tats), codon does Blood gt ‘rglriescxdovacalepobcm and selec darn ‘Aplaite te ejay soit wit one, Psychic ‘Sts hat can char apaton nln yeh man depresion, ‘Seve snd penalty Sores Goals of Therapy Keep the work envionment af fr sta lnvestigations Obra history rom te patient and despot pati’ ‘chive lm ff ander cola eres In + Review motions and consonant media condone 1 Detrmine wether he agitation x sconpanig hy othe sant bch oufnns, ced concours cogtve pales gal sympeoms mh a fee Hopoe o pie 2 Psychic Disorers «Mesa stats etait,» splat pyre examination and {vant abr nvesttions re esta te dng “Therapeutic Cholces (Figure 1) ‘Nonpharmacotogie Cnoices Seemann ranean a aot facu ne pesos Siivmanreteiereeteeeomiance SESE niekceresmestiecl ity le Renata hint eae te manatee memerrowiant cate Spent tee ict rts See masa vn tao elo ta Saas Pharmacologic Choices Deum lim i conden n which an cue on mpm it Dele al conten asocted vita mdr ne. ‘Toe nura pay Roce over he ome fe a. “eit eps to deine deme the medial ae of die {Pata 's ove ct ed sl ston Pt enecuny teat fe pate parmaclogey, Anipyetot a Siatine nse tn hese tne (Tle 1). Hatopt iol th tec teeedandtecve monte fo Scranton nos Fret esl and er names arctan ‘ec. Sia eplty mld doses ae pce ve ab ‘SSS vue pone ae generation peyote fsapine Thottongenertion appcn) aipssebotes sek wlaneapne. ‘perdonc and quetiapine tn ao been ed to Wet diam ‘WEST seer necks to mon epics tae orn see esha ntenent sofas ang deh incr ais ‘Sordi, cr ae inte ey fr managing st onsen ‘Ssh Sn ov aggeson shoul be dove only when he eves ‘iosy cate tes ‘Berutiarepnes sold be served frases where mons ae ‘nd aatcobot with ose Chops) Dementie cts wit vaius forms of mena equ exibition, ‘ics bdo can be diewpve to he ce evionment ond chapter 1 Acute Agtation otal dangerous. Fie, dune the asaece, een od ure of te behold nan cogs nce 1 ‘melcabom ae nce they shld be prsried fllowing he a Tow. a0 sow” pene mee ccna of thir more urbe eft pis, typ topes re bin nrg ned ovr Bat erate ‘Stpeystotce« Risperidone hr fen shown seve sis 2 ave ‘irre eet on he aptaton en ter beara yes (wat tava, earession an payers soca i Alzbeers rose: Rupee st dove of 61 sd my pe day font th ‘Sher dongs may off an tescy advantage bt dso ate ak of need see sncldng fl" Olammpln Sto 1 er Sy Fedncesagresiveces anya eaporie' Thre ite ven ca ‘het of quetapine the corr of aaton sm geen pens ‘wi deme, A een andomied ee ban, cme il ‘ttyl stpecheac i Ashemers dace pes showed ha tte chanc of tenet fs tenet gel othe cance bene ‘nsec ty he tae eters Ceding the poet nese ks ‘tetany sok, den) enh ned ley ard beet ‘ny piles fhe dection owe a anipnychse th cree 0 Into west f apeton or sepreson in patents wih exo nea be mae on an ida aes Hass nh career pee alopeidl sc ven adi again ptt wih denen Regt mo an sch Nat ‘te msteston tv alo been ud, cctadngéezodone, ‘holineserte nhs and bemdancpnes iis tao re ‘ited at tay’ bel ect fade cece ta Side ela ofl A eee sy sugeststhat chnneterne hire (Ge, donee may rece boar Sherbanee cated ih ‘Siticmers eae" Benodimopne an be eal and ete for ‘rating st nya spate Cae mst eke ase ths clr of ues beau fa earl ik oa ‘Sepaedcogiion. Lorsuspam sd easepam sre the enanazeines, ‘fice inthis sexing bec hey have maven ee tnenotsm minimally afete by apne Brain injury Many maications fom feet clases have Ben ed nth tng, ‘hough consve evidence acing. te roy to mnamns he tlie fc hes choosing sweatin hese patent A ‘Sree he an apa era ae ‘i Segue ban nan renrge anno Inesappored bythe bs eee. sas where proprensal fas tren nando eels nedig he dene ope, eh iss have bee ed Aseptic rags ch ar earbamaepin sh 3 4 Peyehinre Diaoréors irene en Thr ome mtn bien Srescetodineynes rel in traegra paens.Antpnetes TES RRE SSSI tatcagareme ett epi of teeter “Tarte ben sl otter oer medication ining cael Setpresansn ssetve serotonin reuptake Inhbor, ‘talons baspcon,nnaants so Bon ses aman eke cedex song capaho renee eit een ape ‘Mental tiness-aszocioted Agitation ‘Wath aeuey payers nv sortactng rena frmeltios Wiapteacs cer sone rn combat wi pases Fema here fecmmee treme alanaprs sald ACESS coupes tue oth ac ii a Sito comsintone apa dolor ui formulations of be Fearne eelcons wid me beens sa eee nim medians" Rlgperane SINR as pay doling mb prearaons, Olanzapine SSTIERMe es ly dasfing ae fom Several e-reraon ‘Sejushves hc ase sre oad formations, Fe a td uncon eager aise Intl atypical antipsychotics (speridone, olamcapine ot sane eaten cating cnt of ged Yana TE Fer esc almitsera ret anton Tice see, ater rae sac Saree tS aut aa mczken nh ote ns oF eee Chater ‘Staton! or CharcterotogtcAgiaton Aggression ‘esonion ai agaesion no tibet any Ft previous ‘SESE ALES ecurees i merge) ro ‘Rens resne a wets crv eating The fa imevenion are seni Th mos cosa SENSE CE ve rcemeratonanipyeonics ng 2 isfoataceine tie ay fa sami vinous etn "ei cece marsh tp mye Therapeutic Tips 7 rental le use lowe doses faye elder ptt 1 WoyiSven meanest over dei an any atenant gon ‘pects (pa to emang eed ch CChoptar 1: Acute Atation locks and calendars, ety mabilizato allowing sarey prevention ‘tate dation sfepbaesxting at opm foesonte Sndcommiiatin 8 5 moose iat smal gee hocimctey SRMARO “Waa SRE enti eres suse seen jo Sata wena ay eerie “aaa St ners mo | come ' mom enemy into sel = — sean OI sierra "nT etarese wnt eaten ts ‘ene aay buoSeoe wa oP sg | | = = SS SE ee eee le a BS me EEE cee we sreearas sna oot as ee i =a at = = 40 Psychiat Disorders Suggested Readings Ne cumen therapies. Clin Pacary 2006:6Supp OF 13-2. NoTIL/BT Ric ain Stl Tecan ad mangement of be nc sds pen Sad 208,907,978 Necro Amenan pene Asoc. dvd Pry Hoobs Sup 20 CHAPTER 2 Anxiety Disorders RP Swlnson, MD, FRCPsych, FRCPC FPA Goals of Therapy {limite or ete aeaetytasd ety 1 treateomortdcondons Investigations 1+ Thorough soy with ateton ‘nate of smpton an set, _resence of omer mee or psychi conditions 1 Intense qution stein ctaiing nacre igo Table Cte) + Phase camisole dn orcad ant 6 ~ ERG, ver fection tt gummy raspetiase {Soreid inden serene TSH, EC aT dre ofr metre matings ication of Anaety Disorders! 12 Payeniane Otsorders ‘Table 2: interview Questions to Establish Specific Anxiety ‘ape hl (a1 rooney se iegitrinnereneerrees, Eee cmesaaeeeee seen Saunas Nonpharmacologle Choices 1 Cee or oer sn esos be ede ae ono {leo ie huh! beminimal akon not ewe onl mses. 1 Resch an eedad ae of shooting benzodiazepines a mach ‘posi ely such ne thou a be continued forge to four ye ‘Stes roti, nluing relation taaog and tine management, ines bei enews * PyStSnC cml rcomancde rey at who doc not [ove i i oft separate aioe Chapter 2 Amity sors 13 Pharmacologic Choices (Table 3) Pyccetrmere ree cr race ieee Seyi iyi ) etalopra, {Scitiopram,Avoxctine, dvoxamine,peexctine ut sertraline [Sealer in edcing pot mais. Ventas, © ‘Sotonin secpneine opal (SARI asses emer ‘itary inrepated double ln, puedo conidia SSRIs a Sit hive tecome fat oe ages in seating pan dts with ribet gorapinia There ely dly in epee fe ‘Seetstmny b accompanied by ina! piston, Conbning the SSRI {rSNRE wh ti out flow doe tenosinepin psetsion ‘heap (yao lnge tn gt wens) can arene acres Ineleron sd prods more a reps wih apes ‘The trys nmidepressns(TCAS) imipramine, desipramice snd ‘prams nen ree ey ty nd SS itera ate wed pide Weaen chee. Mitaranine {nk (WAOs) phenle and tranpeyprming sso sts ‘emore iste “The dove equements sd eng of weiner ae he se or ir and vnlafarine® a fit-lne Gptons,Oteranspennts sexier fees cae rotaminemirazapine meclobemide™ a phemrang ‘Adin be apc aipseotesruperdane ant oinmrapine* ‘ve bon shown fe fest opment of anceps n FISD. Monateapy wit beep i a rsoomneded deo hie ‘fects os thiten a a bight of ustedes thaw esd by PIS. Th ee tt ropraml ch i. Bs eget ts hve ote conte Bese at Bangs Generatzed Anxiety Disorder Cain ley ari rset y ssn nd ‘contol wry elated to veya concer, achsfty ‘tty member onc do oc a heat ats th stale une) dourder equ esi epesed mo and ober lay symp. Ci the mun effete paychonei trates be ‘en taker Wor mor seas tbe eceve™ ‘Sits and SNRs have hesome estab frsttne dig sient for {eneraled one dapat Thee of exctalapeam.'® paroaring® Servatie se veniateine x apport nay ct ‘cane aside fits nd salty cone n teste, Imipramine ‘efetve apt in pnelze nty sorely trad fa ‘when nine cca nent fete, Bapropin a fr ce Lows betaodazepines (eg alprerlam,romazepe, dlazepam, lorazepam) carte wed far sev weeks ie ers ee, batatenton ms te pido ero penne nd neti mpm asprone, a ezine; bs low sane poli ands es tng than berasdanpe. ike adver iil ow thas lence ignog erm apne yo sos {ebimponan roto decom he Basalasepae sry, bea eve ign ros-olerance beeen bememepc ad atone, ‘enzdiepine wihdrwal spins cod te ecpated ‘Therapeutic Tips + Shor nerves fi, pectoris, elation tecniges, beac) maybe etc + Hoe ateremant eno efertve mage dosage ad er sage i sch ane se Mika + Tete second antidepres not etetve fn deste doug and tert adeqae prod of ine, meh oon ot ater i + Rest bezotaepnes to vey Soren ube (sn tig week) © ‘Sehwid SSRISMR ie ian inert ht og © rae Pema isi Ara 1. Management of Ansioty Disorders exes) eis) Ec | ci —_ a] crap 2 Ansty Disorders 19 18 Peyciane Disorders one i a ew Be Sao sa ns ‘emsomsms unseen tance ad's owners 4 cwvcowmn SAE aa SS us = ES GSES SRO meee MS ot Sot Se eee eee eat Et TRS mene val alte “UR Spas ae a cenit “ieee eee TRE aS eS asens ewe PT CHL jan 2 Sn = a i : = =e Ei ORES aE nay toe i a = Bes nem = i manos sine mines ase ee oe SEE EEE es om = | == Soot a ce me Ssainy adhe erence or feet ets ever cee Se eae EE A Sanaa “ i aioe oust SE we owen ames EEE eee EE AES ean om é opie eke one on pry SEL Chapter 2 Anesty Osordars 23 in il i it J 8 iil iijglll| gl ib {ah i Hl pile all | ta | | taal nl ii HE ie | file t En lt WHE i ne “hit i Chopier 2 Aity Disorders 25 eet a ere ‘indo Bh Zar Holand & eral, Word Feemtion of Scie of ‘Bolo Peis (WPSID) pets othe pharmaco | trotment of was emeosivecompulie aptamer 1 ‘Svar Mvld/ Bit Peay 2002;40).17 99 Barow Dice dwt and in doorders the nanré and remen of "tc nl pan Sec New York GUY) Gator rey 203 omadion PoehiieAsocaton” Cail prasice giles Wansgement of snc diorers Con J Pcie) 2008S1(8 Sap Bests Seager ntode as ay We mar le ne CHAPTER 3 al Attention-Deficit Hyperactivity Disorder Adil Virani, BSe(Pharm), Phare, ECSHP Aseno-dihyperacivy dd (ADHD), he a coramon byes fatima eaten hyper vty an symptores preset before the age of seven stl may pers! thouphout Se ie 8 The ae tee sbyper oF ADHD pedoan ‘Shee (10-20%) peony typeset Ms) ond ‘Stine instene an yperacve C0 80%) 6 Goats of Therapy + Improve behaioual aa adem eomanee Investigations. ‘The dngnosiof ADHD iss o ‘vier jpn nel Tae | paseo (wire apace ca cue a raion of ADHD spe ~ lyuct of sypemson nctoing om ‘ponies det dre ont ddr macy + arousing sae abe edo collect th above infra and ass popes se hr adcnclng lis gid i fin tne ox spp cn eh 28 Peyhiate Disorders nitro ce ing. vn, tis + RR Sateen Sy faye Spray nna se gc eh and ced rere, gt nd wei psy if * Stan we the woe ed) Table 1:_DSMLV-TR Criteria for Diagnosing ADHD ° mst Ohepter 3: Atenion-Defct Hyperactiy Dsorter 29 ‘Therapeutic Choices (Figure 1) Evidence sige ts combi ‘sorhamacolge tras (eg. htevicr most 8 of phamsesogc and ois te Bet eae stiegy freien DNB SE ‘Ringe medications and aomeacne nc he on one emea {ere pom a ADHD Se Boa he ‘portant le improving sc cache ‘common bleu arn ADHD SSO Whe cnpaed estat ese ‘srophaacolog eons me ee fine ane ‘Stplons of ABD 1 Beheionst herpes desi Sed prema pst oes hd eng compan besowt cry a combined teswioura panne, ae xa tap lee wa if 30 Peyenstic Oisorsers sy ir in ih en nen re meant + Hoc ieeaa miata ey siti terbeseett St ate ees Pharmacologic Cholees Prychostimulants _ na ree culabecnar neta toni dn cscs lt tae piemeensnne smamrnytanmeee Ee ee ionakanieaecaees Though neigh ssrnedlee bese Ri SR) an TecRtapheninesstine ese panes (Deven haven teogc aon of co op ho) am meine else ‘eeSicip cease ey en ue mre ha once sin. ‘Long stn! fraine tet a Concer, Biphentin rd ‘alot Xk we Tae) wea stents onpopiy he ‘Nove acng slants Tez omns hve raion of con (Sto a Adept mgr pices ice le ‘rath most st hot dtr ep nd ‘Screed at afrebownd pero Given searing ude, ‘rica Caan gains eee! ADHD reer Uneactng ager far tetine ween of ADMD. tettpenpogeer en eter at crescent Sao Sintec seeders ae ce SEAN. Th isome cence om dling as chen [Chaplr3: Alenton-Defck Hypersctity scree 34 sda ta ossfini(170-$28 maa) spain pce in ‘resin cre ympoa of ADHD. Atomoxetine ‘emu, oping mt eal Cae eee et hentia Sree ac erie, sSopeistarwmraanss Reger ne ier eps pre clon ei ee at aa ane ea teen ‘So hr sane “Antidepressants Inger meres oil ied ne ‘the magetent of ADIID i calle hence tye corse con thine ons er adjunctive iy Amon nny tenet pais vith comorbid Carns sh ay Semen vey, ea ore odes Bupropion, norepinphie sn dopamine opine iit, as eso found te socal eee for teanea of ADHD estas tlre and el 08 Sone vane agers oat ‘cto an norpinepvige rape nib) te hel ie ‘management of ADHD 0 Todt, atin tees fom ovoid nd wale recommen fs ae ear Mary conoid was have casos the fee of TCA ach a

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