Georgette's LMR Test Questions And Answers Verified 100% Correct

Georgette's LMR Test Questions And Answers Verified 100% Correct What action do we take at signs of valproic acid (Divalproex/Depakote) toxicity? Dc medication and check depakote levels, do a LFT and check ammonia levels What are the signs and symptoms of pancreatitis upper adbominal pain abdominal pain that radiates to patient's back tenderness when touching the abdomen fever rapid pulse nausea vomiting oily stools What in mental illness is Kava (or Kava Kava) used for ? Kava Calms anxiety stress insomnia What is the major side effect of Kava? What do we monitor? Liver damage We monitor patient for RUQ pain and do LFTs Kava is contraindicated with which meds/med classes? Xanax (Alprazolam) CNS depressants/ sedative medications Benzos (CLonazepam/Klonopin), (Lorazepam/ Ativan), phenobarbital (Donnatal) Zolpidem (Ambien) Lamictal and weight Lamictal is the mood stabilizer that causes the least weight gain Lamictal and rash Can cause Stevens Johnson What are the symptoms of Stevens Johnson syndrome? Body aches, red rash, peeling skin, facial and tongue swelling Which antipsychotics cause the least weight gain? ZAL Ziprasodone (Geodon) Aripriprazole (Abilify) Lurasidone (Latuda) For patients taking antipsychotics that have caused weight gain, what routine labs do we check? bmi hip-to-waist ratio glucose lipid panel Non-pharm treatment of antipsychotic induced weight gain (AIWG)--1st line Exercise and nutritional counseling This is first line treatment Pharm intervention for Antipsychotic Induced Weight Gain Switch to antipsychotic with lower potential for weight gain: ZAL Black Box Warning for Carbamazepine agranulocytosis, aplastic anemia, Stevens --Johnson syndrome symptoms of Aplastic anemia pallor fatigue HA fever nosebleeds bleeding gums skin rash SOB If prescribing Carbamazepine for an Asian patient, what gene do you screen for ? HLA-B* 1502 allele is highly associated with Carbamazepine-induced Stevens-Johnson syndrome ANC level that indicates NP should DC clozapine or Carbamazepine? An ANC less than 1000 mm3 whether patient is showing signs of infection or not. What are signs of infection for which we should monitor patients on Clozapine or Carbamazepine to DC it? Sudden fever Chills sore throat weakness Lithium and neuroprotection Lithium is neuroprotective treatment of choice for bipolar disorder-- can protect nerve cells from damage. What is the therapeutic range of Lithium 0.6-1.2 mEq/L At what Lithium level does lithium toxicity occur? 1.5 mEq/L or higher Lithium is the gold standard for treating what? Mania Lithium and suicide. Lithium is the only mood stabilizer with evidence of anti-suicidal effects in bipolar What is the therapeutic range of depakote? 50-125 micrograms (ug/ml) What is the toxic range of depakote(valproic acid)? 150 microgrms (ug/ml)