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Georgette's LMR 2024/2025, (Answered) 153 Questions and Correct Answers, 100% Correct.
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Georgette's LMR 2024/2025, (Answered) 153 Questions and Correct Answers, 100% Correct.
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Georgette's LMR 2024/2025, (Answered) 153Questions and Correct Answers, 100%
Correct.
When you have hyperthyroidism , your TSH is
Lower , and T3 and T4 elevated
When you have Hypothyroidism Your tsh is
Elevated, T3 and T4 are lower
Depakote can cause what birth defect
Spina Bifida
What are signs of Depakote Hepatoxicity
Right upper abdomen pain
Red Brownish urine
Yellow skin
white sclera
What are normal Depakote levels
50-125
toxic over 150
What are the interventions for Depakote toxicity
d/c agent
check Depakote levels
check liver function test
check ammonia
Depakote affects the liver! not the kidneys
what is the signs of Depakote toxicity
AMS
lethargic
Resp Depression
N/V
What are signs of pancreatitis caused by Depakote
oily stool
Right upper abdomen pain radiating to back
rapid pulse
n/v
abdomen tenderness
,Kava can cause
liver damage; monitor liver enzymes
Do NOT take Kava-kava with
CNS suppressants - increases effects
MAOIs - increases effects
example -alprazolam
benzo "pam's"
phenobarbital
what mood stabilizer has least weight gain
lamictal
what is black box warning for lamictal
can cause Steven Johnson syndrome
what are signs of Steven Johnson syndrome
fever
body aches
red rash
face and tongue swelling
Name 3 antipsychotics ZAL
Zeisprasidone
Abilify
Lurasidone
What is least sedating antipsychotic
Abilify
Which antipsychotic is least likely to cause weight gain
Lurasidone
If a patient gains weight on an antipsychotic what do you do
exercise
nutritional counseling
bmi
hips to waist ratio
Carbamazepine black box warning
aplastic anemia and agranulocytosis
Steven Johnson syndrome (screen for HLAB 1502)
What meds can cause Agranulocytosis
clozaril and carbamazepine
, signs of agranulocytosis
Sore throat, sudden fever, malaise, weakness
if a patient has agranulocytosis from carbamazepine and clozaril what interventions can you do
D/C agent check labs if ANC less than 1000 d/c if patient showing infection or not
what is the only antipsychotic shown to reduce suicidality in schizophrenia patients
Clozaril
what is lithium levels
0.6-1.2
1.5 is toxic
S/S of lithium toxicity
severe Nausea, confusion, course hand tremors
what is the gold standard for mania
Lithium
what labs do you order for lithium
tsh
serum creatinine (Kidney)
bun'
urinalysis
HCG - for childbearing female ages 12-51
what are side affects of lithium
Hypothyroidism
fine hand tremors
Leukocytosis
what interventions to do for lithium toxicity
d/c agent
check lithium levels
What drugs can reduce renal clearance affecting levels may increase serum concentration of drugs
that are excreted by kidneys
Nsaids (Ibuprofen, Indocin)
Thiazides (Hydrochlothizide)
Angio converting enzyme inhibitors
cardiac meds (Lisinopril)
what can affect lithium levels
dehyrdration
hyponatremia
NMS is caused by
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