LMR GEORGETTE COMPREHENSIVE EXAM
PREP QUESTIONS AND ANSWERS STUDY
GUIDE
●● 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
PREP QUESTIONS AND ANSWERS STUDY
GUIDE
●● 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
