ACUTE STRESS DISORDER (ASD) and POST-TRAUMATIC STRESS DISORDER (PTSD)
Pharmacological management of Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD) symptoms can be the most helpful intervention in acutely burned children. Symptoms commonly described by children and parents include nightmares, flashbacks (re-experiencing the trauma while awake), difficulty falling asleep, difficulty staying asleep, hyper-vigilance, startle response, and dissociative feelings.
1) Please contact the Psychologist-on-call. ASD/PTSD assessment will be conducted prior to beginning therapy and will access possible consent to participate in study, "Evaluating Effectiveness of Imipramine and Fluoxetine in Treating Pediatric Burn Patients with Symptoms of Acute Stress Disorder".
2) Dosage and Monitoring of Imipramine, a Tricyclic Anti-depressant (TCA)
a. Imipramine dose: 1 mg/kg/dose -
administer at bedtime (20:30 hours)
b. Advance dose
based on levels or PR interval (<0.2).
3) Dosage of Fluoxetine, a Selective
Serotonin Reuptake Inhibitor (SSRI)
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