100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 660: PSYCHOPHARM Exam Questions Complete Solutions Current Update (A+ Pass) $12.99   Add to cart

Exam (elaborations)

NURS 660: PSYCHOPHARM Exam Questions Complete Solutions Current Update (A+ Pass)

 9 views  0 purchase
  • Course
  • NURS 660
  • Institution
  • NURS 660

NURS 660: PSYCHOPHARM Exam Questions Complete Solutions Current Update (A+ Pass) Minimum ANC level to prescribe Clozapine, general population: - Answers -1,500 μL Severe Neutropenia - Answers -< 500μL Moderate Neutropenia - Answers -500-999μL Mild Neutropenia - Answers -μL BEN...

[Show more]

Preview 3 out of 23  pages

  • September 27, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 660
  • NURS 660
avatar-seller
Stuviaascorers
NURS 660: PSYCHOPHARM Exam
Questions Complete Solutions Current
Update (A+ Pass)
Minimum ANC level to prescribe Clozapine, general population: - Answers -1,500 μL

Severe Neutropenia - Answers -< 500μL

Moderate Neutropenia - Answers -500-999μL

Mild Neutropenia - Answers -1000-1499μL

BEN patients: Normal ANC range for Clozaril - Answers -≥1,000 μL

Clozaril BEN patient: severe neutropenia - Answers -<500 μL

BEN neutropenia - Answers -500-999 μL

Lower ANC threshold for starting clozapine: General population - Answers -≥1,500/μL

Lower ANC threshold for starting clozapine: Benign ethnic neutropenia (BEN) - Answers
-1,000/μL

Medical emergencies when prescribing anti-psychotics - Answers -- NMS
- Agranulocytosis
- Serotonin Syndrome

Clinical findings in agranulocytosis - Answers -

Clozaril: most likely side effect if pt develops fever within 6 weeks - Answers -
Myocarditis

Clozaril: if pt develops fever within 6 weeks order a ______, _________ and _______. -
Answers -EKG, CRP, Troponin, as this is likely due to myocarditis

Common complaints in patients with neutropenia:
F,P, U, P - Answers -- Fever (low grade)
- painful swallowing (odynophagia)
- URI (sinusitis, otitis, cough)
- Perirectal pain/irritation

Symptoms of neuroleptic malignant syndrome (NMS): - Answers -- High fever
- Tachycardia/irregular pulse
- Increased respiratory rate

,- Muscle Rigidity
- altered mental status

Off label TX for NMS - Answers -Amantadine (SYMMETREL)

Serotonin Syndrome onset: - Answers --24 hours of combining antidepressants

Serotonin Syndrome Cardinal features - Answers -- Myoclonic jerks
- Hyperreflexia
- Mental status changes
- Shivering
- Fever
- Tachycardia, HTN, hypotension (AUTONOMIC instability)
- Confused/ restless/ hyperactive/ unresponsive

Management of Serotonin syndrome - Answers -- Discontinue meds, stablize vitals

Potentially
helpful meds with Serotonin syndrome: - Answers -Benzodiazepines for agitation
Cyproheptadine (anti-serotonergic antihistamine)
Methysergide (anti-serotonergic migraine medication)

5-HT "TWITCHY FROG" Serotonin Syndrome - Answers --Agitated
-Sweating
-Fever
-Hyperreflexia
-Dilated pupils

Neuroleptic Malignant Syndrome - Answers -a potentially fatal hyperpyrexia with temp
of over 104, looks like EPS except for temp

Neuroleptic Malignant Syndrome- "can't bender(er)" - Answers -Life-threatening muscle
rigidity, fever, and rhabdomyolysis.
Mental status changes

Mechanism of NMS.
-What's blocked? Where (2)? - Answers -Dopamine blockade in the hypothalamus
(fever)
and nigrostriatal pathway (rigidity

Onset of NMS - Answers -30 days of starting or increasing antipsychotics or stoping a
domaminergic drug

NMS cardinal features - Answers -High fever 100% by definition
Rigidity 100% by definition
Mental status changes 99%

, Elevated or labile BP most

NMS motor activity - Answers -Bradykinesia

Brain regions affected by schizophrenia (aggression and impulse control) (2) - Answers
-Orbitofrontal cortex and amygdala

Pathways affected by schizophrenia (4):
MMTN - Answers --Mesolimbic
- Mesocortical
-Tuberoinfundibular
-Nigrostriatal

Mesolimbic DOPAMINE pathway:

Increased dopamine activity in the: ___, ____, and ____. - Answers -Nucleus
accumbuns, amygdala, hippocampus

Mesolimbic dopamine pathways are responsible for (adding something to the behavior):
- Answers -Positive symptoms - Delusions - bizarre behavior - hallucinations -
disorganized speech

Most antipsychotics treat ___________ symptoms. - Answers -positive

Mesocortical pathway: Responsible for a _______ in dopamine activity in ______
condition. - Answers -decreased dopamine activity in schizophrenia

mesocortical pathway are responsible for ____ symptoms, such as (3) - Answers -
Negative Symptoms
1. Flat affect 2. Poverty of Speech 3. Adhedonia Apathy

Tuberoinfundibular pathways: Antipsychotics Decrease _______ causing side effects
thru this pathway - Answers -dopamine

In the Tuberinfundibular pathway, dopamine inhibits ________. - Answers -Prolactin

Tuberoinfundibular pathway: Less dopamine means more ______, more _______
causes less ________
< D = >P = <G - Answers -Less dopamine = more prolactin = less Gonadotropins
(GnRH)

Tuberoinfundibular pathway: decreased _______ (a result of decreased dopamine and
increased prolactin causes these side effects: - Answers -GnRH =
- Decreased labido
- Sex dysfunction
- galactohrrea

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Stuviaascorers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83637 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.99
  • (0)
  Add to cart