CL案例会议:妊娠期药物使用和躁动的管理。

IF 2.5 4区 心理学 Q2 PSYCHIATRY
J. Reid Black M.D. , Elizabeth Hovis M.D. , Meredith L. Spada M.D., M.Ed. , Li Li M.D., Ph.D.
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引用次数: 0

摘要

我们报告一例29岁G1P0女性,孕21周,兴奋剂使用障碍,物质诱导精神病和躁动,谁住进妇产科。在她住院期间,会诊联络精神病学在管理她的精神治疗方案和确定适当的安全预防措施方面发挥着重要作用。专题专家审查怀孕期间精神科护理的关键方面,并与产科服务部门联络,包括单位安置协议、自杀风险评估,以及非自愿承诺、医疗决策能力和强制报告等医疗法律考虑。对作为产科急诊的躁动的管理给予了特别关注,并提供了关于非药物和药物治疗策略的详细指导。我们还讨论了妊娠期兴奋剂使用障碍,包括流行病学、危险因素、潜在治疗方案和接受护理的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CL Case Conference: Managing Substance Use and Agitation in Pregnancy
We present the case of a 29-year-old G1P0 female at 21 weeks of gestational age with stimulant use disorder, substance-induced psychosis, and agitation who is admitted to obstetrics and gynecology. During her hospitalization, consultation-liaison psychiatry plays an important role in managing her psychotropic regimen and determining appropriate safety precautions. Subject matter experts examine critical aspects of psychiatric care in pregnancy and liaising with obstetric services, including protocols for unit placement, suicide risk assessment, and medicolegal considerations such as involuntary commitment, medical decision-making capacity, and mandated reporting. Special attention is given to the management of agitation as an obstetric emergency, with detailed guidance on both nonpharmacologic and pharmacologic treatment strategies. We also discuss stimulant use disorder in pregnancy, including epidemiology, risk factors, potential treatment options, and barriers to receiving care.
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来源期刊
CiteScore
5.80
自引率
13.00%
发文量
378
审稿时长
50 days
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