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NURS 660: PSYCHOPHARM Exam Questions With 100% Verified Answers
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NURS 660: PSYCHOPHARM Exam Questions With 100% Verified Answers Minimum ANC level to prescribe Clozapine, general population: - answer1,500 μL Severe Neutropenia - answer< 500μL Moderate Neutropenia - answer500-999μL Mild Neutropenia - answerμL BEN patients: Normal ANC range for Clozar...

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  • October 2, 2024
  • 46
  • 2024/2025
  • Exam (elaborations)
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  • nurs 660 psychopharm exam questions with 100 ver

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NURS 660: PSYCHOPHARM Exam
Questions With 100% Verified Answers


Minimum ANC level to prescribe Clozapine, general population: - answer✔1,500 μL


Severe Neutropenia - answer✔< 500μL


Moderate Neutropenia - answer✔500-999μL


Mild Neutropenia - answer✔1000-1499μL


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


Clozaril BEN patient: severe neutropenia - answer✔<500 μL


BEN neutropenia - answer✔500-999 μL


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


Lower ANC threshold for starting clozapine: Benign ethnic neutropenia (BEN) -

answer✔1,000/μL


Medical emergencies when prescribing anti-psychotics - answer✔- NMS


- Agranulocytosis

- Serotonin Syndrome

, ©BRAINBARTER 2024/2025


Clinical findings in agranulocytosis - answer✔


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


Clozaril: if pt develops fever within 6 weeks order a ______, _________ and _______. -

answer✔EKG, CRP, Troponin, as this is likely due to myocarditis


Common complaints in patients with neutropenia:


F,P, U, P - answer✔- Fever (low grade)


- painful swallowing (odynophagia)

- URI (sinusitis, otitis, cough)

- Perirectal pain/irritation


Symptoms of neuroleptic malignant syndrome (NMS): - answer✔- High fever


- Tachycardia/irregular pulse

- Increased respiratory rate

- Muscle Rigidity

- altered mental status


Off label TX for NMS - answer✔Amantadine (SYMMETREL)


Serotonin Syndrome onset: - answer✔-24 hours of combining antidepressants


Serotonin Syndrome Cardinal features - answer✔- Myoclonic jerks

, ©BRAINBARTER 2024/2025


- Hyperreflexia

- Mental status changes

- Shivering

- Fever

- Tachycardia, HTN, hypotension (AUTONOMIC instability)

- Confused/ restless/ hyperactive/ unresponsive


Management of Serotonin syndrome - answer✔- Discontinue meds, stablize vitals


Potentially


helpful meds with Serotonin syndrome: - answer✔Benzodiazepines for agitation


Cyproheptadine (anti-serotonergic antihistamine)

Methysergide (anti-serotonergic migraine medication)


5-HT "TWITCHY FROG" Serotonin Syndrome - answer✔-Agitated


-Sweating

-Fever

-Hyperreflexia

-Dilated pupils

, ©BRAINBARTER 2024/2025


Neuroleptic Malignant Syndrome - answer✔a potentially fatal hyperpyrexia with temp of over

104, looks like EPS except for temp


Neuroleptic Malignant Syndrome- "can't bender(er)" - answer✔Life-threatening muscle rigidity,

fever, and rhabdomyolysis.

Mental status changes

Mechanism of NMS.


-What's blocked? Where (2)? - answer✔Dopamine blockade in the hypothalamus (fever)


and nigrostriatal pathway (rigidity


Onset of NMS - answer✔30 days of starting or increasing antipsychotics or stoping a

domaminergic drug


NMS cardinal features - answer✔High fever 100% by definition


Rigidity 100% by definition

Mental status changes 99%

Elevated or labile BP most


NMS motor activity - answer✔Bradykinesia


Brain regions affected by schizophrenia (aggression and impulse control) (2) -

answer✔Orbitofrontal cortex and amygdala


Pathways affected by schizophrenia (4):

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