Neuroleptic Malignant Syndrome (NMS) - ✔✔syndrome related to the use of medications,
mainly antipsychotics, that typically presents with a sudden onset of diffuse muscle rigidity,
high fever, labile blood pressure, tremor, and notable cognitive dysfunction. It is potentially
fatal if not treated immediately, including stopping the offending medications.
Serotonin Syndrome - ✔✔a potentially serious clinical condition resulting from
overstimulation of serotonin receptors. It is commonly related to the use of multiple serotonin-
stimulating medications (e.g., SSRIs, SNRIs, triptans, certain antibiotics).
Symptoms may include restlessness, hallucinations, confusion, loss of coordination, fast
heartbeat, rapid changes in blood pressure, increased body temperature, overactive reflexes,
nausea, vomiting and diarrhea.
Tardive dyskinesia - ✔✔abnormal, recurrent, involuntary movements that may be
irreversible and typically present as lateral movements of the tongue or jaw, tongue thrusting,
chewing, frequent blinking, brow arching, grimacing, and lip smacking, although the trunk or
other parts of the body may also be affected.
Which 2 classes of drugs that cannot be crushed - ✔✔Time released medications and enteric
coated
What are Macronase, Orinase, Diabinese? - ✔✔Oral Hypoglycemics
a group of drugs used to help reduce the amount of sugar present in the blood. They are not
insulin, but they stimulate the pancreas to produce insulin.
, Usually used in the treatment of adult onset diabetes (also known as Type 2 or non-insulin
dependent diabetes mellitus)
What is the time frame for provider requested IDR - ✔✔10 days
IDR process - ✔✔Does not impact need to provided POC, implement corrective actions, or
delay any enforcement actions
CMS has the responsibility of showing why the provider should be subject to the enforcement
remedy.
Severity Level 2 - ✔✔Non compliance that has potential to cause more than minimal harm
that is not IJ.
Resident has no more than minimal discomfort,
Shame/embarrassment without loss of interest
minimal episodic pain
facility has no system to prevent problems
7 LTSCP Steps - ✔✔1. Offsite prep 2. Facility entrance 3. initial pool 4. sample selection 5.
investigation 6. ongoing and other survey activities 7. potential citations
Digoxin Toxicity - ✔✔Digoxin toxicity is a life-threatening condition. The most common
symptoms are gastrointestinal and include nausea, vomiting, abdominal pain and diarrhea. The
cardiac manifestations are the most concerning and can be fatal.
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