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 mo
...
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 bifidaWhat organ does depakote cause toxicity? and what sx would you expect to see? labs to run? - AnsHepatotoxicity: RUQ pain, reddish brown urineDo LFTs
kava kava is used to treat - Ans-anxiety and insomnia
Rash and fever associated with tegretol, suspect - AnsWhat 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-lithiumbest 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
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