Emergency treatment of acute psychosis.
The author reviews the evolution of emergency psychiatric practice over the past 20 years--from the concept of high-dose antipsychotic medication to the more rational treatment approach for acute psychosis made possible by modern pharmacodynamic insight and the availability of new pharmacotherapeutic agents. A decision tree for current practice in the rapid tranquilization of agitated, apparently psychotic patients is described.
Hillard
J R
JR
Department of Psychiatry, University of Cincinnati, OH 45267-0559, USA.
D000208:Acute Disease; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000266:history / Q000627:therapeutic use*; D001569:Benzodiazepines; D003024:Clozapine / Q000008:administration & dosage / Q000627:therapeutic use; D003663:Decision Trees; D004334:Drug Administration Schedule; D004637:Emergency Services, Psychiatric / Q000266:history; D004638:Emergency Treatment / Q000266:history; D006220:Haloperidol / Q000627:therapeutic use; D049673:History, 20th Century; D006801:Humans; D008140:Lorazepam / Q000627:therapeutic use; D000077152:Olanzapine; D010890:Pirenzepine / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000627:therapeutic use; D011618:Psychotic Disorders / Q000188:drug therapy* / Q000266:history / Q000523:psychology; D018967:Risperidone / Q000008:administration & dosage / Q000627:therapeutic use
D014150:Antipsychotic Agents; D001569:Benzodiazepines; D010890:Pirenzepine; D003024:Clozapine; D006220:Haloperidol; D018967:Risperidone; D000077152:Olanzapine; D008140:Lorazepam