Exam (elaborations)
GEORGETTE REVIEW. QUESTIONS WITH ANSWERS
- Course
- Institution
GEORGETTE REVIEW. QUESTIONS WITH ANSWERS
[Show more]
Content preview
GEORGETTE REVIEW. QUESTIONS WITH ANSWERSNative americans - answers- ethnic group w/ the highest rate of si in the us
If cultural question - answers- make an accommodation for them even if against policy
Respect also important
Contextualize their situation/clarify the meaning of their illness in their culture
If it's a cultural syndrome, it's not mental illness--provide supportive psychotherapy
Education w/ cultural consideration - answers- teach education based on cultural.
If multiple cultures present during education- provide multicultural ethonospecific
assessment parameters
Answering tips - answers- if part of quesiton wrong, whole question wrong.
If 3 of the same and one different usually answer is the one that's different
Answering tips - answers- priority is airway, breathing, circulation.
What do you do first?
Reduce calorie, exercise..if not
Then switch to lurasidone, abilify, or geodon
First psychotic episodes? - answers- atypicals...especially im injections because fastest
mode of action
Zyprexa, invega, abilify or geodon
Normal tsh - answers- 0.5 - 5.0
Hyperthyroid - answers- anxiety, irritable, heat intolerance, tachy, mood swings, wt loss,
increased appetite
Hypothyroid - answers- cold intolerance, lethargy, wt gain, decreased lbido
Steven johnson (lamictal, lamotrigine) - answers- fever
Rash
Burning eyes/mucosa
Ha
,Lamictal - answers- mood stabilizer that causes the least amount of wt gain
Carbamazepine (tegretol) - answers- also can cause sjs or rash
Especially in asians
Must screen for hlab-1502 allele first for all asains (if positive, means at increased risk
for sjs, don't give)
Which meds cause agranulocytosis - answers- tegretol and clozaril
Dc if anc <1000 whether or not signs of infection
Monitor for signs of infection which indicate granulocytosis- fever, sore throat, fatigue,
chills.
Valproic acid (depakote) - answers- can cause:
-spina bifida
-hepatotoxicity (ruq pain, reddish-brown urine- check lfts)
Signs of hepatotoxicity (depakote) level >150 - answers- confusion
Disorientation
Lethargy
Respiratory depression
Priority- d/c depakote
Get lfts, ammonia levels --high ammonia causes confusion
50-125, toxicity occurs if >150
Pregnancy test - answers- hcg human chorionic gonadotropin
Always check before placing on mood stabilizer for women childbearing age (12-51)
Kava kava - answers- herbal supplement
Taken for insomnia, anxiety
Most important is to check lfts
Also drug drug interaction w/ kava and benzos
Which meds can effect liver? - answers- bzn
Tca
Depakote
Lithium level - answers- 0.6-1.2
, If reaches 1.5- discontinue lithum...
If 1.3 or 1.4---monitor for toxicity, but once reaches 1.5- immediately d/c
Which drugs increase lithium levels - answers- they reduce renal clearance:
Nsaids
Hydrochlorothiazide
Ace inhibitors
Also- dehydration/hyponatremia can increase lithium. Make sure they stay hydrated.
Treatment of nms - answers- d/c med
Bromocriptine (parlodel)- d2 agonist
Or
Dantrolene- muscle relaxant (muscle rigidity)
Serotonin syndrome - answers- d/c med
Cyproheptadine
Then maslows heirchy-- safety, needs, culture
Then assessment before intervention if needed.
Don't choose to delegate, always chose to collaborate/do it yourself
3 antipscyhotics that are least likely to cause wt gain - answers- lurasidone, abilify, and
ziprasidone (geodon)
Abilify least sedating
Pt develops metabolic syndrome: - answers- elevated a1c, lipid, glucose, hip to waist
ratio, bmi
When switching antidepressenats - answers- wait 14 days when ssri -> maoi
Wait 5-6 wks from fluoxetine to maoi
Wait 2 wks if switching from maoi -> fluoxetine.
Due to fluoxetine (prozac) having longer halflife.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85169 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now