J Emerg Nurs. 2021 May;47(3):459-468. doi: 10.1016/j.jen.2021.01.004. Epub 2021 Mar 11.
Mental health disorders are common in the United States and may cause significant disturbances in all aspects of a person's life. Individuals with mental health disorders often present to emergency departments for health care. Recognizing and managing common psychiatric emergencies may be challenging for non-mental health providers. The Diagnostic Statistical Manual-5 diagnostic criteria will be discussed and reviewed for panic attack and panic disorder. Both pharmacologic and nonpharmacologic treatment strategies will also be addressed. Adverse drug reactions associated with antipsychotics and selective serotonin reuptake inhibitors are another common psychiatric emergency that will be examined, offering potential management strategies. The objective of this clinical manuscript is to educate emergency health care providers about specific psychiatric emergencies, including panic attack, panic disorder, and adverse drug reactions associated with mental health treatment medications.
精神健康障碍在美国很常见，可能会导致人的生活各个方面的显著紊乱。有精神健康障碍的个体经常因医疗护理到急诊部门就诊。识别和管理常见的精神科急症可能对非精神卫生提供者具有挑战性。将讨论和审查《精神障碍诊断与统计手册-5》的诊断标准，用于惊恐发作和惊恐障碍。还将讨论和审查两者的药物和非药物治疗策略。抗精神病药和选择性 5-羟色胺再摄取抑制剂相关的药物不良反应是另一种常见的精神科急症，将检查并提供潜在的管理策略。本临床手稿的目的是教育急诊医疗保健提供者有关特定的精神科急症，包括惊恐发作、惊恐障碍以及与精神健康治疗药物相关的药物不良反应。
