psychiatry
Acute Psychosis Management
Assessment and pharmacological management of first-episode and relapse psychosis
Source: NICE CG178 2014
Step 1 of ~9
info
Acute Psychosis
Assess: positive symptoms (hallucinations, delusions, disorganised speech), negative symptoms, duration, precipitants (substances, stress), risk to self/others, insight.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Prednisolone (Systemic) · Systemic Corticosteroid — Acute Dermatoses
Pathways
- Acute Behavioural Disturbance / Rapid Tranquillisation · RCEM 2022; RCPsych 2022; NICE NG10
- Self-Harm Presentation · NICE NG225 (2022)
- Capacity Assessment (Mental Capacity Act) · MCA 2005; Code of Practice
- Depression Management · NICE CG90 2022
- Lithium Therapy Monitoring · NICE CG185 / BNF
- Alcohol Withdrawal Management · NICE CG115 2010 / BNF
Decision support only. Always apply local guidelines and clinical judgement.