Georgette Review.| study guide question
os os os os
s and answers verified A+
os os os os
Whenosmanyosanswersosareosremarkablyossimilar,ostheyosareosusuallyos_____________os-oscorrectosanswer-
wrong
Interprofessionaloscollaborationosisosencouraged.os-oscorrectosanswer-Collaborateosisosusuallyosright.os
Delegateosisosusuallyoswrong.
ADPIERos-oscorrectosanswer-Assessment,osdiagnosis,osPlan,osintervention,osevaluate,osreferosoutoslast.
Lithiumos-oscorrectosanswer-Normalos0.6-1.2
Lithiumostoxicityosoccursosatoslevelsos-oscorrectosanswer->os1.5
SignsosofosLithiumostoxicityos-oscorrectosanswer-
severeosnausea,osdiarrhea,osvomiting,osconfusion,osdrowsiness,osmuscleosweakness,osheartospalpitation,oscoars
eoshandostremors,osunsteadyosgait
Lithiumosisosgoldosstandardosforos-oscorrectosanswer-MANIA
Lithiumoshasosevidenceosshownostoos-oscorrectosanswer-reduceossuicidalosideation
Whatosdoesoslithiumoscauseosinosneonate,osespeciallyos1stostrimesteros-oscorrectosanswer-
Ebsteinosanomalyos(congenitalosheartosdefect)
dehydrationosandoshyponatremiaoscauseoslithiumoslevelsostoos-oscorrectosanswer-rise
Baselineoslabsosbeforeosinitiationosofoslithiumos-oscorrectosanswer-TSH
creatinineos(0.6-1.2)
BUNos(10-20)
HCGos(allospsychotropicsosfemalesos12-51)
EKGos50+
Urinalysisos(checkosforosproteins,os4+osmayosindicateoskidneyosdisease)
SideosEffectsosofosLithiumos-oscorrectosanswer-hypothyroidism
coaseoshandostremorsoswithostoxicity
maculopapularosrash
diarrhea,osvomiting,oscramps--signsosofostoxicity.osMonitorosclosely.os
anorexia
,toswaveosinversions
leukocytosis
Ptoseducationosforoslithimumos-oscorrectosanswer-stayingoshydrated
avoidingosNSAIDS
compliance
Depakoteosnormaloslevelos-oscorrectosanswer-50-125
Depakoteostoxicityoslevelos-oscorrectosanswer-greaterosthanos150
TeratogenicoseffectsosofosDepakoteos-oscorrectosanswer-spinaosbifida
Adverseoseffectsosofosdepakoteos-oscorrectosanswer-alopecia
hepatotoxicityos(RUQospainosorosbrown/redosurine--orderosLFTs)osASTos5-40,osALTos5-
35,osyellowingosofosskinosoroseyes,osfatigue
SignsosofosDepakoteostoxicityos-oscorrectosanswer-
disorientation,oslethargy,osrespiratoryosdepression,osnausea/vomiting
Interventionosforosdepakoteostoxicityos-oscorrectosanswer-DCosmed
checkoslevel
LFT
ammonia
MAOIos+ostyramineoscausesos-oscorrectosanswer-hypertensiveoscrisis
Symptomsosofoshypertensiveoscrisisos-oscorrectosanswer-elevatedosBP
suddenosexplosiveoslikeosheadache
facialosflushing
palpitations
pupillaryosdilation
diaphoresis
fever
HypertensiveoscrisisosoccursoswithosMAOIos+os-oscorrectosanswer-MEPERIDINE
STIMULANTS
decongestants
TCAs
,atypicals
St.osJohn'soswart
L-tryptophan
asthmaosmeds
Treatmentosforoshypertensiveoscrisisos-oscorrectosanswer-DCosoffendingosagent
AdministerosPHENTOLAMINE
Teratogenicoseffectsosofosbenzosos-oscorrectosanswer-floppyosbaby,oscleftospalate
Teratogenicoseffectsosofostegratolos-oscorrectosanswer-neuralostubeosdefect
teratogenicoseffectsosofoslithiumos-oscorrectosanswer-
ebsteinosanomalyos(heartosdefect)os(avoid,osespeciallyos1stostrimester)
teratogenicoseffectsosofosdepakoteos-oscorrectosanswer-neuralostubeosdefects/spinaosbifida
AdverseosreactionostoosLamictalos-oscorrectosanswer-StevenosJohnson'sosSyndrome
SignsosofosSJSos-oscorrectosanswer-FEVERos--highosyield
soreosthroat
facialosswelling
tongueosswelling
redosrash
skinossloughing
bodyosaches
prodromalosheadache
malaise
arthralgia
painfulosmucusosmembranes
Lamotrigineosisosleastoslikelyostooscauseos-oscorrectosanswer-sedationosorosweightosgain
Carbamazepineos(tegretol)osblackosboxoswarningos-oscorrectosanswer-agranulocytosisos(decreaseosWBCs)
aplasticosanemiaos(pallor,osfatigue,osHA,osfever,osnosebleeds,osbleedingosgums,osskinosrash,osSOA)
Carbamazepineosandosasiansos-oscorrectosanswer-ScreenosforosHLAB-
1502osalleleosbeforeosinitiating,osdueostooshighosincidenceosofosSJSosifospositiveosforosallele.
Child-bearingosagedoswomenos-oscorrectosanswer-checkosforospregnancyosbeforeosstartingosmoodosstabilizer
, startosonosfolicosacidostoossupportosneuralostubeosdevelopmentosduringostheosfirstosmonthosthatosaoswomanosisospr
egnant
Clozaril/clozapineoscanoscauseos-oscorrectosanswer-agranulocytosisosandosneutropenia
ForosmonitoringosneutropeniaosinosClozaril,osmonitoros-oscorrectosanswer-ANC
DCosclozarliosifosANCos-oscorrectosanswer-lessosthanos1000
DCosclozarilosifosWBCos-oscorrectosanswer-2000-3000,osriskosofosagranulocytosis
Whenosonosclozarilosmonitorosforos-oscorrectosanswer-
signsosandossymptomsosofosinfection:ossuddenosfever,oschills,ossoreosthroat,osweakness
Clozarilosonlyosknownosantipsychoticostoos-oscorrectosanswer-
decreaseosriskosofossuicideosinospatientsoswithosschizophrenia.
Yourospatientoswithosbipolarosdisorderosisosadmittedostoosaosmedicaloshospital.osTheosinternistoscontactsosyourosof
ficeosandosasksoswhetherostheoslithiumosyouosprescribedoshimosisoseffectingoshisosECG.osHowosdoosyouosrespond?
A.osLithiumoscanosprolongostheosQTosinterval
B.osLithiumoshasosnooseffectosonoshisosECG
C.osLithiumoscanosinvertostheostoswaves
D.osLithiumoscanosshortenostheosPRosintervalos-oscorrectosanswer-Answer:osLithiumoscanosinvertostheostoswaves.
Maryosisosaos45-year-
oldosAfricanosAmericanosfemaleoswhooshasosbeenostreatedosonosIsocarboxazidos(Marplan)osforosoveros6osyears.os
Maryosisosgoingosinosforosaossurgicalosprocedure.osWhichosmedicationosisosstrictlyoscontraindicatedoswithosIsocarb
oxazid?
A.osMorphine
B.osNSAIDS
C.osMethylphenidate
D.osAcetaminophenos-oscorrectosanswer-Answer:osMethylphenidate
Youosareostreatingosaosclientoswithosschizophreniaoswhoostakesosclozapine.osWhatoslabosvaluesoswillosindicateostheo
sclientosneedsostoosdiscontinueostreatment?
A.osWBCoslessosthanos1800osandosANCoslessosthanos1200
B.osANCoslessosthanos1,000
C.osWBCoslessosthanos5,000
D.osANCoslessosthanos2000os-oscorrectosanswer-Answer:osANCoslessosthanos1000
Ifosgivenosduringospregnancy,ossociumosvalproateoscanoscauseoswhichosofostheosfollowingosmedicalosproblemsosino
stheosbaby?
