Hospital Medicine

Psychiatry

Questions discussed in this category

When do you consider using stimulants in patients with cognitive impairments secondary to traumatic brain injury?

1 Answer available

What recommendations do you have regarding the use of dronabinol to prevent cannabis withdrawal in an inpatient medical or psychiatric setting?

2 Answers available

How do you manage MAT for opioid use disorder in lung transplant patients during the peri/postoperative period?

1 Answer available

Do you ever use amantadine or modafinil to aid in the rehabilitation of patients with ischemic strokes?

In patients who have decreased arousal after ischemic stroke, do you use amantadine or modafinil to aid with wakefulness and interaction with therapy ...

3 Answers available

What precautions should be taken when discharging a patient from the medical setting on new medication assisted therapy for alcohol use disorder?

This is based on the recent publication by Bernstein et al., PMID 38551564 which investigated the increased rate of initiation of MAUD in the hospital...

5 Answers available

What is your approach to using ketamine for agitation in the ED setting?

1 Answer available

What do you consider when selecting an antipsychotic medication for acute agitation?

Many institutions have been using droperidol in place of haloperidol due to drug shortages.

1 Answer available

What medications are preferred and contraindicated for insomnia in patients with a recent stroke or traumatic brain injury?

1 Answer available

How do you approach managing clozapine in patients who are critically ill?

1 Answer available

What do you do for patients who have received accidental extra dosages of long-acting injectable antipsychotics?

3 Answers available

What steps do you take in managing catatonia with limited response to lorazepam?

1 Answer available

Would you avoid the use of keppra in patients with TBI due to concerns for worsening agitation?

2 Answers available

Are there certain sedatives or anti-epileptic meds to avoid in patients with IDD?

What are your thoughts on the ethics of inpatient use of sedatives in these patients to help with agitation to “protect themselves from harm and...

4 Answers available

Papers discussed in this category

The New England journal of medicine, 2012-03-01

Placebo-controlled trial of amantadine for severe traumatic brain injury.

Neurocritical care, 2020 Aug

Amantadine and Modafinil as Neurostimulants During Post-stroke Care: A Systematic Review.

Neurocritical care, 2021 Feb

Amantadine and Modafinil as Neurostimulants Following Acute Stroke: A Retrospective Study of Intensive Care Unit Patients.

Stroke, 2017 Apr 12

MIDAS (Modafinil in Debilitating Fatigue After Stroke): A Randomized, Double-Blind, Placebo-Controlled, Cross-Over Trial.

Nature reviews. Disease primers, 2024 Jul 18

The American journal of emergency medicine, 2017-07

Ketamine as a first-line treatment for severely agitated emergency department patients.

The Journal of emergency medicine, 2019 Nov 15

Evaluation of Ketamine for Excited Delirium Syndrome in the Adult Emergency Department.

Am J Emerg Med, 2020 Jul

Effectiveness and safety of droperidol in a United States emergency department.

The western journal of emergency medicine, 2012 Feb

The psychopharmacology of agitation: consensus statement of the american association for emergency psychiatry project Beta psychopharmacology workgroup.

Focus (American Psychiatric Publishing), 2023 Jan 16

Updates in the Assessment and Management of Agitation.

The western journal of emergency medicine, 2020 Jul 02

The Incidence of QT Prolongation and Torsades des Pointes in Patients Receiving Droperidol in an Urban Emergency Department.

Scientific reports, 2023 Nov 28

Semaglutide and Tirzepatide reduce alcohol consumption in individuals with obesity.

JCI insight, 2023 Jun 22

The glucagon-like peptide-1 (GLP-1) analogue semaglutide reduces alcohol drinking and modulates central GABA neurotransmission.

General hospital psychiatry, 2018

Patterns and predictors of pain following lung transplantation.

The clinical respiratory journal, 2018 Sep

Chronic opioid use and clinical outcomes in lung transplant recipients: A single-center cohort study.

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2021 Feb 17

Survival implications of prescription opioid and benzodiazepine use in lung transplant recipients: Analysis of linked transplant registry and pharmacy fill records.

Transplantation, 2020 Aug

Pretransplant Opioid Use and Survival After Lung Transplantation.

Related Topics in Hospital Medicine