Georgettes LMR study set Questions with Correct Solutions Rated A+

When questions ask for a priority action...think about... ABC, airway breathing, circulation Maslows hierarchy If undecided on an answer due to high similarities, choose: the umbrella answer What is the most common side effect of olanzapine/zyprexa metabolic syndrome what is the difference between typical and atypical antipsychotics Atypical 5HT2A specific 1st psychotic break... two actions to take UDS and r/o sub Consider IM Geodon or Invega Three AP with least weight gain Latuda, Abilify, Geodon Always encourage interprofessional collaboration between therapists/pcps/SW/RN, the ENTIRE team TSH High, then....t3/t4 T3, T4 low TSH low, then...t3/t4 T3, T4 high cold/hot sensitivity with t3/t4 relationship T3/T4 low, hypothyroid, cold, slow T3/T4 high, hyperthyroid, hot, flushed, tachy What birth defect can be caused by depakote? Spina bifida What organ does depakote cause toxicity? and what sx would you expect to see? labs to run? Hepatotoxicity: RUQ pain, reddish brown urine- Do LFTs kava kava is used to treat anxiety and insomnia Rash and fever associated with tegretol, suspect What allele is HLAB 1502 associated? Asians. They CANNOT have tegretol. Test all asians for this allele. what rare and dangerous side effects are associated with tegretol Aplastic anemia Agranulocytosis-DC at ANC less than 1000 Sx's of agranulocytosis unusual bleeding or bruising, mouth sores, infections, fever, sore throat, fatigue if starting a woman on lithium what test should be done? why? HCG--risk of ebstein anomaly adverse s/e of lamictal/lamotrigine SJS labs to checke BEFORE starting on lithium BUN CRE urine protein What does protein in urine indicate kidney impairment; 4+ protein in urine=you cannot start on lithium best choice med for decreasing si in bipolar disorder. lithium best choice med for si in schizophrenia clozaril best choice med for SI in borderline lithium What medications will INCREASE Li levels NSAIDS ACE's Thiazides/HCTZ Besides medications, what else can cause increased Li levels dehydration hyponatremia lithium s/e inc N/V, which will effect electrolytes, and dehydration status what type of tremors will you see with lithium toxicity? course tremors lithium can cause what other comorbidities? hypothyroidism maculopapular rash leukocytosis twave inversion what is a defining characteristic of NMS vs SS muscle rigidity Sx's/labs associated with NMS Inc CPK, WBC, LFT Rhabdomyolosis myoglobinuria Can lead to mutism myoglobinuria/rhabdo can cause cherry colored urine Treatment for NMS and what each does DC the offending agent bromocriptin-D2 agonis dantrolene: muscle relaxant Make sure if ? is asking for agonist or relaxant 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 (Imitrex sumatriptan) can also cause SS due to serotonin increase with the use give any NDRI welbutrin Why are SSRIs considered the safest for use in depression safest for OD first line treatment for depression antidepressant for cancer citalopram and escitalopramless drug to drug interactions