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NURS 660 PSYCHOPHARM and Advanced Mental Health Questions with Verified Answers | Latest 2024/2025 |Graded A – Maryville
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NURS 660 PSYCHOPHARM and Advanced Mental Health Questions with Verified Answers | Latest 2024/2025 |Graded A – Maryville NURS 660 PSYCHOPHARM and Advanced Mental Health Questions with Verified Answers | Latest 2024/2025 |Graded A – Maryville NURS 660 PSYCHOPHARM and Advanced Mental Health Quest...

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  • October 10, 2024
  • 45
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NURS 660
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NURS 660 PSYCHOPHARM
1. Minimum ANC level to prescribe Clozapine, general population::


1,500 ¼L


2. Severe Neutropenia:


< 500¼L


3. Moderate Neutropenia:


500-999¼L


4. Mild Neutropenia:


1000-1499¼L


5. BEN patients: Normal ANC range for Clozaril:


e1,000¼L


6. Clozaril BEN patient: severe neutropenia:


<500 ¼L


,7. BEN neutropenia:


500-999 L¼


8. Lower ANC threshold for starting clozapine: General population:


e1,500¼L/


9. Lower ANC threshold for starting clozapine: Benign ethnic
neutropenia (BEN):


1,000/¼L


10.Medical emergencies when prescribing anti-psychotics: -
NMS
- Agranulocytosis
- Serotonin Syndrome


11. Clinical findings in agranulocytosis:
12.Clozaril: most likely side effect if pt develops fever within 6 weeks:


My- ocarditis


13. Clozaril: if pt


, develops fever within 6 weeks order a , and
.:


EKG, CRP, Troponin, as this is likely due to myocarditis


14.Common complaints in patients with
neutropenia: F,P, U, P: -


Fever (low grade)
- painful swallowing (odynophagia)
- URI (sinusitis, otitis, cough)
- Perirectal pain/irritation


15.Symptoms of neuroleptic malignant syndrome (NMS):: -


High fever
- Tachycardia/irregular pulse
- Increased respiratory rate
- Muscle Rigidity
- altered mental status


16.Off label TX for NMS:


Amantadine (SYMMETREL)




, 17.Serotonin Syndrome onset:: -


24 hours of combining antidepressants


18.Serotonin Syndrome Cardinal features: -


Myoclonic jerks
- Hyperreflexia
- Mental status changes
- Shivering
- Fever
- Tachycardia, HTN, hypotension (AUTONOMIC instability)
- Confused/ restless/ hyperactive/ unresponsive


19.Management of Serotonin syndrome: -


Discontinue meds, stablize vitals

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