Exam (elaborations)
Georgette Module 1 & 2 Questions With Complete Solutions
- Course
- Institution
Georgette Module 1 & 2 Questions With Complete Solutions
[Show more]
1 review
By: ajhayes89 • 4 months ago
Seller
Follow
Classroom
Reviews received
Content preview
Georgette Module 1 & 2 Questions WithComplete Solutions
Lithium level correct answer: 0.6-1.2
Lithium toxicity level correct answer: greater than or equal to 1.5
what is the gold standard for treating manic episodes? correct answer: Lithium
What drug has evidence of anti-suicidal effects for bipolar disorder? correct answer: Lithium
baseline labs to collect in order to R/O medical diagnoses prior to giving Lithium correct answer: TSH (r/o bipolar)
Creatinine (0.6-1.2)
BUN (10-20)
Pregnancy test
ECG if greater than 50 (inverted T-waves)
All psychotropics should have what test prior to giving for child-
bearing age? correct answer: pregnancy test
what is considered child-bearing age? correct answer: 12-51
SE of Lithium? (endocrine) correct answer: HYPOthyroidism SE of Lithium? (CNS) correct answer: **course hand tremors w/ toxicity
SE of Lithium? (dermatological) correct answer: Maculopapular rash
SE of Lithium? (GI) correct answer: diarrhea, vomiting, cramp, anorexia
**imp. because these become severe w/ toxicity
SE of Lithium? (Renal) correct answer: diabetes insipidus (polyuria r/t polydipsia)
SE of Lithium? (Cardiac) correct answer: T-wave inversions
SE of Lithium? (Hematologic) correct answer: leukocytosis (increased WBC)
Hypertensive Crisis occurs when..... correct answer: MAOIs are
taken in conjunction w/ foods containing TYRAMINE (dietary precursor of NE)
Hypertensive crisis is _____-__________ and cannot be reversed unless..... correct answer: life-threatening & cannot be reversed unless more MAO is produced by the body
Hypertensive crisis & death can occur when MAOIs are taken in
conjunction with which types of meds?? correct answer: ***Meperidine
***Stimulants/other sympathomimetics
Decongestants/TCA/SGA/St. Johns Wort/L-tryptophan Symptoms of Hypertensive crisis include correct answer: sudden explosive-like HA in OCCIPITAL region
Fever**
Treatment of Hypertensive Crisis correct answer: 1. d/c offending agent (MAOI)
2. administer PHENTOLAMINE
3. Stabilize fever
medication to reverse hypertensive crisis w/ MAOI? correct answer: Phentolamine****
List of common MAOIs (don't need to memorize, just know what it looks like) correct answer: Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (Emsam)
Tranylcypromine (Parnate)
Teratogenic risks of common psych meds (Benzo, Carbamazepine, Lithium, Depakote) correct answer: Benzo: floppy baby & cleft palate
Carbamazepine: neural tube defect
Lithium: Epstein's anomaly & Congenital heart defects (esp. 1st trimester)
Depakote: Neural tube defects (spec. spina bifida)
Lamicatal main SE correct answer: Steven Johnson's Syndrome*** (SE below, KNOW)
- Fever**
- Sore throat (may feel like burning** - Facial/tongue swelling**
- Skin sloughing***
- Prodromal HA, malaise, Arthralgia, painful mucous membranes may occur BEFORE rash
Valproic Acid/Divalproex Sodium aka Depakote main SE correct answer: Hepatotoxicity**
Pancreatitis**
Carbamazepine (Tegretol) main SE correct answer: Agranulocytosis***
Aplastic Anemia***
Steven-Johnson's*** (mainly Asians HLAB-1502 allele)
Aplastic Anemia s/s correct answer: pallor, fatigue, HA, fever, nose bleeds, bleeding gums, skin rash, SOB
Carbamazepine when to d/c correct answer: WBC 2000-3000
ANC < 1000
Rash/Steven Johnson's
Or s/s of aplastic anemia or agranulocytosis
What to test prior to prescribing Cabamazepine?? correct answer: HLA-B 1502 allele in Asians d/t Steven's Johnson Syndrome
Clozapine main SE correct answer: Risk for NEUTROPENIA --> monitor for s/s of infection***
Neutropenia is monitored only by... correct answer: ANC
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 EFT, 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 this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for R332,84. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77333 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy summaries for 14 years now