Georgettes LMR study set Exam Questions With Correct Answers

Georgettes LMR study set Exam Questions With Correct Answers When questions ask for a priority action...think about... - answerABC, airway breathing, circulation Maslows hierarchy If undecided on an answer due to high similarities, choose: - answerthe umbrella answer What is the most common side effect of olanzapine/zyprexa - answermetabolic syndrome what is the difference between typical and atypical antipsychotics - answerAtypical 5HT2A specific 1st psychotic break... two actions to take - answerUDS and r/o sub Consider IM Geodon or Invega Three AP with least weight gain - answerLatuda, Abilify, Geodon Always encourage interprofessional collaboration - answerbetween therapists/pcps/SW/RN, the ENTIRE team TSH High, then....t3/t4 - answerT3, T4 low TSH low, then...t3/t4 - answerT3, T4 high cold/hot sensitivity with t3/t4 relationship - answerT3/T4 low, hypothyroid, cold, slow T3/T4 high, hyperthyroid, hot, flushed, tachy What birth defect can be caused by depakote? - answerSpina bifida What organ does depakote cause toxicity? and what sx would you expect to see? labs to run? - answerHepatotoxicity: RUQ pain, reddish brown urine- Do LFTs kava kava is used to treat - answeranxiety and insomnia Rash and fever associated with tegretol, suspect - answer EXAM STUDY MATERIALS July 29, 2024 12:59 PM What allele is HLAB 1502 associated? - answerAsians. They CANNOT have tegretol. Test all asians for this allele. what rare and dangerous side effects are associated with tegretol - answerAplastic anemia Agranulocytosis-DC at ANC less than 1000 Sx's of agranulocytosis - answerunusual bleeding or bruising, mouth sores, infections, fever, sore throat, fatigue if starting a woman on lithium what test should be done? why? - answerHCG--risk of ebstein anomaly adverse s/e of lamictal/lamotrigine - answerSJS labs to checke BEFORE starting on lithium - answerBUN CRE urine protein What does protein in urine indicate - answerkidney impairment; 4+ protein in urine=you cannot start on lithium best choice med for decreasing si in bipolar disorder. - answerlithium best choice med for si in schizophrenia - answerclozaril best choice med for SI in borderline - answerlithium What medications will INCREASE Li levels - answerNSAIDS ACE's Thiazides/HCTZ Besides medications, what else can cause increased Li levels - answerdehydration hyponatremia lithium s/e inc N/V, which will effect electrolytes, and dehydration status what type of tremors will you see with lithium toxicity? - answercourse tremors lithium can cause what other comorbidities? - answerhypothyroidism maculopapular rash leukocytosis EXAM STUDY MATERIALS July 29, 2024 12:59 PM twave inversion what is a defining characteristic of NMS vs SS - answermuscle rigidity Sx's/labs associated with NMS - answerInc CPK, WBC, LFT Rhabdomyolosis myoglobinuria Can lead to mutism myoglobinuria/rhabdo can cause cherry colored urine Treatment for NMS and what each does - answerDC the offending agent bromocriptin-D2 agonis dantrolene: muscle relaxant Make sure if ? is asking for agonist or relaxant Sx of SS - answerHYPERREFLEXIA myoclonic jerks treatment for SS - answerciproheptadine how to best PREVENT SS - answerfollow 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 - answersafest for OD depressed patient presents with fatigue and low energy, consider: - answerNDRI wellbutrin sexual s/e with ssri? try... - answerwellbutrin due to lower risk of sexual s/e What medication must be avoided if client has seizure history or eating disorder? why? - answerwellbutrin due to decreasing the seizure threshold if client has depression and neuropathic pain - answerSNRI or TCA for treatment of BOTH What med class treats neuropathic pain