Dr. Zeeshan provides tips for remembering key information about mental health topics for the NCLEX exam. The tips cover side effects of SSRIs including increased suicide risk, slow onset and taper, and symptoms of serotonin syndrome. MAOI risks include headaches, avoiding tyramine and OTC drugs causing hypertensive crisis. Those at highest risk for suicide on the SAD PERSONS scale are male, young or elderly, depressed, with prior attempts, substance abuse, psychosis, terminal illness, with an organized plan and no family support. Extrapyramidal symptoms include acute dystonia, akathisia, parkinsonism, and tardive dyskinesia. Malignant hyperthermia causes high temperature

1. Dr. Zeeshan's
NCLEX Quick
Tips
Dr. Zeeshan Hoodbhoy | NCLEX
High Yield
MENTAL HEALTH

2. MENTAL HEALTH
To remember SSRI'S side
effects
Suicide risk increased
Slow onset and slow taper
Sweaty, hot, fever*
Rigid muscles, restless, agitated*
Increased HR tachycardia*
*= Symptoms of Serotonin
Syndrome

3. To Remember MAOIs
Massive headache
Avoid tyramine
Otc Drugs Will Cause
hypertensive Crisis
Other antidepressants cannot be
mixed with this!
Increased risk of suicide
MENTAL HEALTH

4. "SAD PERSONS" ARE AT RISK
FOR COMPLETING SUICIDE
MENTAL HEALTH
Sex - Males kill themslves more often than women,
women attempt more
Age - Young adults and elderly
Depression
Prior attempt
ETOH / Substance Abuse
Rational thought loss (psychosis)
Sickness (terminal illness)
Organized Plan
No spouse/family
Stated future intent

5. Extrapyramidal Symptoms
A movement disorder
Causes: Anti-psychotics and Anti-emetics
Remember "ADAPT"
MENTAL HEALTH
Acute Dystonia - muscle spasm, stiffness
Akathisia - restlessness
Parkinsonism - shuffling gait, pill-rolling,
facial grimacing
Tardive Dyskinesia- slow writhing
movements

6. DR. ZEESHAN'S WAY TO
Remember with Malignant
Hyperthermia and Neruoleptic
Malignant Syndrome, patients
get cooked like a HAM:
MENTAL HEALTH
High temperatures (104 - 105)
Altered Mental Status
Muscle Rigidity

7. Antidotes - Substance Abuse
OpiOid Overdose - NalOxOne
/ Naltrexone
MENTAL HEALTH
Benzodiazepines Overdose -
Flumazenil
Methanol / Ethylene Glycol
(antifreeze) - Fomepizole

8. To remember side effects
4/for SSRI (4 S's)
Suicide risk can increase - high
energy + persistent depression
Slow onset and slow taper - 4-
6 wks
St. John's Wort is contradicted
Serotonin Syndrome
Reduced Libido
Increased Appetite
MENTAL HEALTH
SSSSRI

9. THANKS!
ZeeshanHoodbhoy.com
NCLEXHighYield.com
Youtube: @nclexhighyield