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Georgettes LMR study set | 271 questions & Complete Solutions| Verified Answers

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Georgettes LMR study set | 271 questions &
Complete Solutions| Verified Answers

Sx of SS - ✔✔HYPERREFLEXIA
myoclonic jerks

treatment for SS - ✔✔ciproheptadine

how to best PREVENT SS - ✔✔follow proper transition protocols
SSRI to MAOI=14 days
Prozac to MAOI=5-6 weeks
Triptans can also cause SS due to serotonin increase with use

Why are SSRIs considered the safest for use in depression - ✔✔safest for OD

depressed patient presents with fatigue and low energy, consider: - ✔✔NDRI wellbutrin

sexual s/e with ssri? try... - ✔✔wellbutrin due to lower risk of sexual s/e

What medication must be avoided if client has seizure history or eating disorder? why? -
✔✔wellbutrin due to decreasing the seizure threshold

if client has depression and neuropathic pain - ✔✔SNRI or TCA for treatment of BOTH

What med class treats neuropathic pain well - ✔✔alpha 2 delta ligands
Gabapentin

,Lyrica

What medication class is good for depression with comorbid CA - ✔✔SSRI
least chance of drug drug interactions
Celexa and lexapro are good choices

Black box warning on SSRI - ✔✔inc SI in kids, esp

Required education for rx ssri - ✔✔long time for effect
side effects esp n/v/d
NO ABRUPT stopping d/t Serotonin discontinuation syndrome

Sx's of serotonin discontinuation syndrome - ✔✔fever, shivering, muscle aches and nausea
diarrhea, agitation, cog impairment... (think flu like sx's)
disequilibrium

What are some scenarios that place patients at risk of a hypertensive crisis? - ✔✔MAOI and
tyramine
MAOI and TCA
MAOI and Atypical AP
MAOI and decongestant
MAOI and stimulants
MAOI and asthma meds

Sx of Hypertensive crisis - ✔✔HA
Diaphoresis
fever

,facial flushing
pupillary dilation
palpitation

Treatment for HTN Crisis - ✔✔DC Agent
Give Phenolamine

age of onset for male / female schizophrenia - ✔✔male 18-25
female 25-35

schizophrenia has high rate of suicide - ✔✔always be assessing for SI

what is the cause of schizophrenia - ✔✔inadequate synapse formation
excessive pruning of synapses
intrauterine insult (drugs/toxin/viral agent/malnutrition/substance use, mental illness, o2
deprivation)

on MRI /PET schizonphrenia - ✔✔ventrical enlargement

positive sx of schizophrenia caused by... - ✔✔excess DA in mesolimbic pathway

positive sx of schizophrenia on a stimulant? - ✔✔will potentiate DA release (worsening
schizophrenias positive symtpoms) bc stimulants tap into the reward and addiction pathway inc
dopamine

What is ACT - ✔✔Assertive community treatment
Post hospital DC
not in the hospital

, delusions, you respond how? - ✔✔do not try to disprove
If HARMFUL delusions, notify authority
Also notify potential victim

how to assess mental abstraction - ✔✔interpret a proverb

assess thought process why? and potential findings - ✔✔to assess organization of patients
thoughts
tangential: no rip to a ?
circumstantial: gets around to anss after going in circles with unnecessary details

MMSE thought content include - ✔✔SI HI
plan
Hallucinations
delusions

MMSE/ Folstein Test assesses? - ✔✔tool used to assess cognitive status in adults

concentration/attention/calculation assessed how? - ✔✔spell a word backward or serial 7's

Registration/ability to learn new material assessed how? - ✔✔remember 3 words

orientation is assessed by - ✔✔Person place time

fund of knowledge assessed how? - ✔✔Who is the president? Governor?

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