Georgettes LMR study set
When questions ask for a priority action...think about...
ABC, airway breathing, circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose:
the umbrella answer
What is the most common side effect of olanzapine/zyprexa
metabolic syndrome
what is the difference between typical and atypical antipsychotics
Atypical 5HT2A specific
1st psychotic break... two actions to take
UDS and r/o sub
Consider IM Geodon or Invega
Three AP with least weight gain
Latuda, Abilify, Geodon
Always encourage interprofessional collaboration
between therapists/pcps/SW/RN, the ENTIRE team
,TSH High, then....t3/t4
T3, T4 low
TSH low, then...t3/t4
T3, T4 high
cold/hot sensitivity with t3/t4 relationship
T3/T4 low, hypothyroid, cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy
What birth defect can be caused by depakote?
Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see?
labs to run?
Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat
anxiety and insomnia
Rash and fever associated with tegretol, suspect
...
What allele is HLAB 1502 associated?
,Asians. They CANNOT have tegretol. Test all asians for this allele.
what rare and dangerous side effects are associated with tegretol
Aplastic anemia
Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis
unusual bleeding or bruising, mouth sores, infections, fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why?
HCG--risk of ebstein anomaly
adverse s/e of lamictal/lamotrigine
SJS
labs to checke BEFORE starting on lithium
BUN
CRE
urine protein
What does protein in urine indicate
kidney impairment; 4+ protein in urine=you cannot start on lithium
best choice med for decreasing si in bipolar disorder.
lithium
, best choice med for si in schizophrenia
clozaril
best choice med for SI in borderline
lithium
What medications will INCREASE Li levels
NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels
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?
course tremors
lithium can cause what other comorbidities?
hypothyroidism
maculopapular rash
leukocytosis
twave inversion
When questions ask for a priority action...think about...
ABC, airway breathing, circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose:
the umbrella answer
What is the most common side effect of olanzapine/zyprexa
metabolic syndrome
what is the difference between typical and atypical antipsychotics
Atypical 5HT2A specific
1st psychotic break... two actions to take
UDS and r/o sub
Consider IM Geodon or Invega
Three AP with least weight gain
Latuda, Abilify, Geodon
Always encourage interprofessional collaboration
between therapists/pcps/SW/RN, the ENTIRE team
,TSH High, then....t3/t4
T3, T4 low
TSH low, then...t3/t4
T3, T4 high
cold/hot sensitivity with t3/t4 relationship
T3/T4 low, hypothyroid, cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy
What birth defect can be caused by depakote?
Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see?
labs to run?
Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat
anxiety and insomnia
Rash and fever associated with tegretol, suspect
...
What allele is HLAB 1502 associated?
,Asians. They CANNOT have tegretol. Test all asians for this allele.
what rare and dangerous side effects are associated with tegretol
Aplastic anemia
Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis
unusual bleeding or bruising, mouth sores, infections, fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why?
HCG--risk of ebstein anomaly
adverse s/e of lamictal/lamotrigine
SJS
labs to checke BEFORE starting on lithium
BUN
CRE
urine protein
What does protein in urine indicate
kidney impairment; 4+ protein in urine=you cannot start on lithium
best choice med for decreasing si in bipolar disorder.
lithium
, best choice med for si in schizophrenia
clozaril
best choice med for SI in borderline
lithium
What medications will INCREASE Li levels
NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels
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?
course tremors
lithium can cause what other comorbidities?
hypothyroidism
maculopapular rash
leukocytosis
twave inversion
