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Acute psychotic conditions (acute psychoses)
Acute psychotic conditions include conditions characterized by a fast pace of deployment, the variety and variability of psychopathological symptoms, confusion, brightness and saturation of affective disorders. With a pronounced severity of the condition - sudden changes and fluctuations in symptoms, chaotic, unfocused, impulsive actions or the behavior of the nature of "flight from pursuers", a quick change in the direction of dangerous actions (danger to others - danger to oneself).
The same states include various delusional (paranoid and other) states during the period of exacerbation, when an increase in delusional activity is observed, sometimes with attempts to implement a complex, carefully planned massacre (patients arm themselves, ambush, etc.). Danger for people around the patient can arise when exacerbated by a systematic delirium of persecution, jealousy or other content, when delusional remarks begin to be accompanied by threats against these people or often actions that increase in degree of aggressiveness.
This also includes conditions that have arisen sharply or gradually and have reached a psychotic level (increasing manic arousal, acute paraphrenia and other delusional states), the content of experiences in which does not cause an immediate physical threat to the patient or others, but there is a pronounced tendency to complicate and aggravate in the case of failure to provide timely psychiatric care is harmful to the patient’s health.
· If there is a pronounced danger to the patient’s behavior, they seek help from the police during an examination and hospitalization.
· Stopping psychomotor agitation:
- chlorpromazine (chlorpromazine *) or levomepromazine (tizercin *) up to 75-100 mg (up to 3-4 ml of a 2.5% solution) intramuscularly or haloperidol up to 10-15 mg (up to 2-3 ml of a 0.5% solution) intramuscularly with corrector (biperiden 2.5 mg intramuscularly).
* Involuntary hospitalization with dangerous behavior, the lack of the ability to carry out proper supervision and treatment in community settings. If necessary, measures of physical restraint (immobilization).
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Acute psychotic conditions (acute psychoses)
- Acute psychotic conditions, psychomotor agitation and aggressiveness
Psychomotor agitation is expressed in motor anxiety of varying severity (from fussiness to destructive actions), often accompanied by speech disorders and aggressiveness. Psychomotor agitation and aggressiveness are syndromic manifestations of the underlying mental illness, and therefore do not have their own separate code in ICD-10. The patient is able
- ACUTE ALLERGIC CONDITIONS
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ACUTE CONDITIONS AT
- MENTAL PSYCHOTIC CONDITIONS
These conditions occur, as a rule, against the background of pronounced manifestations of the underlying disease or intoxication. Delirium disorders in patients are usually short-term, not of a developed nature. Children become poorly contacted, feel fear, deceptions of perception arise, more often in the form of visual illusions (in young children). In children older than 9-10 years, visual hallucinations occur
- Acute pneumonia.
Acute pneumonia is a group concept used to refer to acute polyetiological infectious inflammatory lung diseases. Acute pneumonia refers to polyetiological diseases that have particular pathogenesis and a common clinical and morphological manifestations. The main morphological manifestation of acute pneumonia is the development of acute inflammation in the broncho-pulmonary system with
- Psychotic conditions associated with trauma or severe physical illness
EMERGENCY ASSISTANCE Therapy is carried out taking into account the mental state and somatic pathology. · Correction of concomitant disorders (relief of convulsive seizures, phenomena of cerebral edema, hemodynamic disorders, etc.). · With psychomotor agitation, tranquilizers (diazepam up to 20–40 mg intramuscularly), antipsychotics: chlorpromazine (chlorpromazine *) or levomepromazine (tizercin *) 25–75 mg
- Acute mental disorders
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- Acute poisoning
Acute poisoning is a disease of chemical etiology, the clinical picture of which develops with a single exposure to chemicals in the human body in a toxic dose, which can cause disturbances in vital functions and create a danger to life. By reason and place of occurrence, the following types of poisoning are distinguished. 1. Accidental poisoning (accidents) at work
- ACUTE POISONING
Poisoning (intoxication, acute overdose) - pathological conditions caused by the action of toxic substances of exogenous origin in any way they enter the body. The severity of the condition in case of poisoning is due to the dose of the poison, by its receipt, exposure time, premorbid background of the patient with complications (hypoxia, bleeding, convulsive syndrome, acute
- ACUTE PNEUMONIA
Acute pneumonia is understood to mean acute exudative inflammatory processes of various etiologies and pathogenesis, localized in the parenchyma and intermediate lung tissue, often involving the vascular system. Pneumonia as a nosological form is said when the causative agent of the disease is a nonspecific pathogenic or conditionally pathogenic flora, and the main
- ACUTE POISONING
Poisoning, or intoxication, is a pathological condition that develops as a result of the interaction of a living organism and poison. In the role of poison can be almost any chemical compound that can cause disturbances in vital functions and create a danger to life. Poisoning is usually called only those intoxications that are caused by poisons that enter the body from the outside. Sharp
- Acute pneumonia
Acute pneumonia is one of the most common childhood diseases. It is believed that the incidence of acute pneumonia is 10-30 per 1000 children. The high incidence of acute pneumonia in childhood is caused, firstly, by the anatomical and physiological characteristics of the respiratory system in children, and secondly, by the characteristics of their immune system. Factors predisposing to
- Acute bronchitis
Respiratory diseases are widespread among children. It is believed that more than 30% of children in the hospital, and about 50% of children who take outpatient treatment, refer to patients with various forms of respiratory diseases. The most common form of respiratory failure in children is bronchitis. The epidemiology of bronchitis is not well understood, but, according to summary
- Acute digestive upset
Acute digestive disorders in infants is a fairly common pathology, which rightfully takes second place after acute respiratory diseases. The high prevalence of acute digestive disorders in children of the first year of life is due to the anatomical and physiological characteristics of the digestive canal. At the VIII All-Union Congress of Pediatric Doctors in 1962 was