Georgette's LMR (Flashcards made based off of
Georgette's Last Minute Review) ___Questions WITH
Complete Solutions
When you have hyperthyroidism , your TSH is - ANSWER Lower , and T3 and T4
elevated
When you have Hypothyroidism Your tsh is - ANSWER Elevated, T3 and T4 are lower
Depakote can cause what birth defect - ANSWER Spina Bifida
What are signs of Depakote Hepatoxicity - ANSWER Right upper abdomen pain
Red Brownish urine
Yellow skin
white sclera
What are normal Depakote levels - ANSWER 50-125
toxic over 150
What are the interventions for Depakote toxicity - ANSWER d/c agent
check Depakote levels
check liver function test
check ammonia
Depakote affects the liver! not the kidneys
what is the signs of Depakote toxicity - ANSWER AMS
lethargic
Resp Depression
N/V
What are signs of pancreatitis caused by Depakote - ANSWER oily stool
Right upper abdomen pain radiating to back
rapid pulse
n/v
abdomen tenderness
Kava can cause - ANSWER liver damage; monitor liver enzymes
Do NOT take Kava-kava with - ANSWER CNS suppressants - increases effects
MAOIs - increases effects
, example -alprazolam
benzo "pam's"
phenobarbital
what mood stabilizer has least weight gain - ANSWER lamictal
what is black box warning for lamictal - ANSWER can cause Steven Johnson syndrome
what are signs of Steven Johnson syndrome - ANSWER fever
body aches
red rash
face and tongue swelling
Name 3 antipsychotics ZAL - ANSWER Zeisprasidone
Abilify
Lurasidone
What is least sedating antipsychotic - ANSWER Abilify
Which antipsychotic is least likely to cause weight gain - ANSWER Lurasidone
If a patient gains weight on an antipsychotic what do you do - ANSWER exercise
nutritional counseling
bmi
hips to waist ratio
Carbamazepine black box warning - ANSWER aplastic anemia and agranulocytosis
Steven Johnson syndrome (screen for HLAB 1502)
What meds can cause Agranulocytosis - ANSWER clozaril and carbamazepine
signs of agranulocytosis - ANSWER Sore throat, sudden fever, malaise, weakness
if a patient has agranulocytosis from carbamazepine and clozaril what interventions can
you do - ANSWER D/C agent check labs if ANC less than 1000 d/c if patient showing
infection or not
what is the only antipsychotic shown to reduce suicidality in schizophrenia patients -
ANSWER Clozaril
what is lithium levels - ANSWER 0.6-1.2
1.5 is toxic
S/S of lithium toxicity - ANSWER severe Nausea, confusion, course hand tremors
Georgette's Last Minute Review) ___Questions WITH
Complete Solutions
When you have hyperthyroidism , your TSH is - ANSWER Lower , and T3 and T4
elevated
When you have Hypothyroidism Your tsh is - ANSWER Elevated, T3 and T4 are lower
Depakote can cause what birth defect - ANSWER Spina Bifida
What are signs of Depakote Hepatoxicity - ANSWER Right upper abdomen pain
Red Brownish urine
Yellow skin
white sclera
What are normal Depakote levels - ANSWER 50-125
toxic over 150
What are the interventions for Depakote toxicity - ANSWER d/c agent
check Depakote levels
check liver function test
check ammonia
Depakote affects the liver! not the kidneys
what is the signs of Depakote toxicity - ANSWER AMS
lethargic
Resp Depression
N/V
What are signs of pancreatitis caused by Depakote - ANSWER oily stool
Right upper abdomen pain radiating to back
rapid pulse
n/v
abdomen tenderness
Kava can cause - ANSWER liver damage; monitor liver enzymes
Do NOT take Kava-kava with - ANSWER CNS suppressants - increases effects
MAOIs - increases effects
, example -alprazolam
benzo "pam's"
phenobarbital
what mood stabilizer has least weight gain - ANSWER lamictal
what is black box warning for lamictal - ANSWER can cause Steven Johnson syndrome
what are signs of Steven Johnson syndrome - ANSWER fever
body aches
red rash
face and tongue swelling
Name 3 antipsychotics ZAL - ANSWER Zeisprasidone
Abilify
Lurasidone
What is least sedating antipsychotic - ANSWER Abilify
Which antipsychotic is least likely to cause weight gain - ANSWER Lurasidone
If a patient gains weight on an antipsychotic what do you do - ANSWER exercise
nutritional counseling
bmi
hips to waist ratio
Carbamazepine black box warning - ANSWER aplastic anemia and agranulocytosis
Steven Johnson syndrome (screen for HLAB 1502)
What meds can cause Agranulocytosis - ANSWER clozaril and carbamazepine
signs of agranulocytosis - ANSWER Sore throat, sudden fever, malaise, weakness
if a patient has agranulocytosis from carbamazepine and clozaril what interventions can
you do - ANSWER D/C agent check labs if ANC less than 1000 d/c if patient showing
infection or not
what is the only antipsychotic shown to reduce suicidality in schizophrenia patients -
ANSWER Clozaril
what is lithium levels - ANSWER 0.6-1.2
1.5 is toxic
S/S of lithium toxicity - ANSWER severe Nausea, confusion, course hand tremors
