Georgettes LMR study set/PMHNP Review items (Latest 2023/2024) Questions & Verified Answers

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Georgettes LMR study set/PMHNP Review items (Latest 2023/2024) Questions & Verified Answers-When questions ask for a priority action...think about... - ABC, airway breathing, circulation Maslows hier... archy 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 w [Show More]

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