Georgettes LMR study set questions and answers 100% verified.
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Georgettes LMR
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Georgettes LMR
Georgettes LMR study set questions and answers 100% verified.
When questions ask for a priority action...think about... - correct answer. ABC, airway breathing, circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose: - correct answer. the umb...
What birth defect can be caused by depakote? - correct answer. Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see? labs
to run? - correct answer. Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat - correct answer. anxiety and insomnia
Rash and fever associated with tegretol, suspect - correct answer.
What allele is HLAB 1502 associated? - correct answer. Asians. They CANNOT have
tegretol. Test all asians for this allele.
what rare and dangerous side effects are associated with tegretol - correct answer.
Aplastic anemia
Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis - correct answer. unusual bleeding or bruising, mouth sores,
infections, fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why? - correct answer. HCG-
-risk of ebstein anomaly
adverse s/e of lamictal/lamotrigine - correct answer. SJS
labs to checke BEFORE starting on lithium - correct answer. BUN
CRE
urine protein
What does protein in urine indicate - correct answer. kidney impairment; 4+ protein in
urine=you cannot start on lithium
best choice med for decreasing si in bipolar disorder. - correct answer. lithium
best choice med for si in schizophrenia - correct answer. clozaril
best choice med for SI in borderline - correct answer. lithium
What medications will INCREASE Li levels - correct answer. NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels - correct answer.
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? - correct answer. course
tremors
lithium can cause what other comorbidities? - correct answer. hypothyroidism
maculopapular rash
leukocytosis
twave inversion
what is a defining characteristic of NMS vs SS - correct answer. muscle rigidity
Sx's/labs associated with NMS - correct answer. Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
Can lead to mutism
myoglobinuria/rhabdo can cause cherry colored urine
Treatment for NMS and what each does - correct answer. DC the offending agent
bromocriptin-D2 agonis
dantrolene: muscle relaxant
Make sure if ? is asking for agonist or relaxant
Sx of SS - correct answer. HYPERREFLEXIA
myoclonic jerks
treatment for SS - correct answer. ciproheptadine
how to best PREVENT SS - correct answer. 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 - correct answer. safest
for OD
depressed patient presents with fatigue and low energy, consider: - correct answer.
NDRI wellbutrin
sexual s/e with ssri? try... - correct answer. wellbutrin due to lower risk of sexual s/e
What medication must be avoided if client has seizure history or eating disorder? why? -
correct answer. wellbutrin due to decreasing the seizure threshold
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