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Georgettes LMR study set 2021/2022 COMPLETE SOLUTION $12.99   Add to cart

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Georgettes LMR study set 2021/2022 COMPLETE SOLUTION

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Georgettes LMR study set When questions ask for a priority action...think about... ans: ABC, airway breathing, circulation Maslows hierarchy If undecided on an answer due to high similarities, choose: ans: the umbrella answer What is the most common side effect of olanzapine/zyprexa ans: ...

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  • May 27, 2022
  • 23
  • 2020/2021
  • Exam (elaborations)
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By: deloachlaura • 1 year ago

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Georgettes LMR study set
When questions ask for a priority action...think about... ans: ABC, airway breathing, circulation
Maslows hierarchy

If undecided on an answer due to high similarities, choose: ans: the umbrella answer

What is the most common side effect of olanzapine/zyprexa ans: metabolic syndrome

what is the difference between typical and atypical antipsychotics ans: Atypical 5HT2A specific

1st psychotic break... two actions to take ans: UDS and r/o sub
Consider IM Geodon or Invega

Three AP with least weight gain ans: Latuda, Abilify, Geodon

Always encourage interprofessional collaboration ans: between therapists/pcps/SW/RN, the ENTIRE
team

TSH High, then....t3/t4 ans: T3, T4 low

TSH low, then...t3/t4 ans: T3, T4 high

cold/hot sensitivity with t3/t4 relationship ans: T3/T4 low, hypothyroid, cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy

What birth defect can be caused by depakote? ans: Spina bifida

What organ does depakote cause toxicity? and what sx would you expect to see? labs to run? ans:
Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs

kava kava is used to treat ans: anxiety and insomnia

Rash and fever associated with tegretol, suspect ans:

What allele is HLAB 1502 associated? ans: Asians. They CANNOT have tegretol. Test all asians for this
allele.

what rare and dangerous side effects are associated with tegretol ans: Aplastic anemia
Agranulocytosis-DC at ANC less than 1000

Sx's of agranulocytosis ans: unusual bleeding or bruising, mouth sores, infections, fever, sore throat,
fatigue

if starting a woman on lithium what test should be done? why? ans: HCG--risk of ebstein anomaly

,adverse s/e of lamictal/lamotrigine ans: SJS

labs to checke BEFORE starting on lithium ans: BUN
CRE
urine protein

What does protein in urine indicate ans: kidney impairment; 4+ protein in urine=you cannot start on
lithium

best choice med for decreasing si in bipolar disorder. ans: lithium

best choice med for si in schizophrenia ans: clozaril

best choice med for SI in borderline ans: lithium

What medications will INCREASE Li levels ans: NSAIDS
ACE's
Thiazides/HCTZ

Besides medications, what else can cause increased Li levels ans: dehydration
hyponatremia
lithium s/e inc N/V, which will effect electrolytes, and dehydration status

what type of tremors will you see with lithium toxicity? ans: course tremors

lithium can cause what other comorbidities? ans: hypothyroidism
maculopapular rash
leukocytosis
twave inversion

what is a defining characteristic of NMS vs SS ans: muscle rigidity

Sx's/labs associated with NMS ans: Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
Can lead to mutism

myoglobinuria/rhabdo can cause cherry colored urine

Treatment for NMS and what each does ans: DC the offending agent
bromocriptin-D2 agonis
dantrolene: muscle relaxant
Make sure if ? is asking for agonist or relaxant

Sx of SS ans: HYPERREFLEXIA
myoclonic jerks

treatment for SS ans: ciproheptadine

, how to best PREVENT SS ans: follow 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 ans: safest for OD

depressed patient presents with fatigue and low energy, consider: ans: NDRI wellbutrin

sexual s/e with ssri? try... ans: wellbutrin due to lower risk of sexual s/e

What medication must be avoided if client has seizure history or eating disorder? why? ans: wellbutrin
due to decreasing the seizure threshold

if client has depression and neuropathic pain ans: SNRI or TCA for treatment of BOTH

What med class treats neuropathic pain well ans: alpha 2 delta ligands
Gabapentin
Lyrica

What medication class is good for depression with comorbid CA ans: SSRI
least chance of drug drug interactions
Celexa and lexapro are good choices

Black box warning on SSRI ans: inc SI in kids, esp

Required education for rx ssri ans: long time for effect
side effects esp n/v/d
NO ABRUPT stopping d/t Serotonin discontinuation syndrome

Sx's of serotonin discontinuation syndrome ans: fever, shivering, muscle aches and nausea diarrhea,
agitation, cog impairment... (think flu like sx's)
disequilibrium

What are some scenarios that place patients at risk of a hypertensive crisis? ans: MAOI and tyramine
MAOI and TCA
MAOI and Atypical AP
MAOI and decongestant
MAOI and stimulants
MAOI and asthma meds

Sx of Hypertensive crisis ans: HA
Diaphoresis
fever
facial flushing
pupillary dilation
palpitation

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