What pills should be averted with Kava Kava?
Alprazolam
CNS depressants (e.G., phenobarbital, zolpidem)
What is the regular variety for TSH?
0.5 - 5.Zero mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
What are five primary signs and symptoms of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are four number one signs and symptoms of Hypothyroidism?
Cold intolerance
Lethargy
Weight advantage
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric ailment?
Depression
Hyperthyroidism mimics signs and symptoms of what psychiatric sickness?
Mania
,Valproic acid produces what teratogenic effect?
Spina bifida (neural tube disorder)
What is the primary organ where valproic acid is poisonous?
Liver (hepatoxicity)
What are 4 signs and symptoms of hepatoxicity?
Abdominal ache within the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
What is the therapeutic range for valproic acid?
50-one hundred twenty five mcg/ml
What is a poisonous stage of valproic acid?
>150 mcg/ml
What are four symptoms of valproic acid toxicity?
Disorientation
Lethargy
Respiratory melancholy
Nausea/vomiting
A pt on Depakote C/O Abdominal ache inside the URQ and Reddish-brown urine. What do
you believe you studied? What do you do?
Hepatotoxicity; keep med, draw LFT's (priority), DVP degree
With suspected toxicity with valproic acid, what steps/labs need to be drawn?
D/C drug
Check drug stage
Obtain LFTs
Obtain ammonia stage
A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd?
,Accutane (used for acne; Causes delivery Defects!!!)
What herbal supplement is used for tension, strain, and insomnia? What is the predominant
side effect with Kava Kava?
Kava Kava
liver damage
What are 5 signs of Stephen's Johnson Syndrome?
Fever -Key sx to suspect SJS; excessive yield (HY)
burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which temper stabilizer causes the least weight advantage?
Lamotrigine (Lamictal)
Which 3 SGAs purpose the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your pt is taking Kava and also you need to feature an AS to control their SCZ, which do you
add?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset
, disturbance of LOC
impaired cognition
inattention
How are agitation and psychotic signs treated in delirium?
Low dose Haldol (QTc take a look at first)
16 y/o C/O feeling humorous after inhaling Acetone (nail polish remover). What is your
motion?
Do UDS; possibilities are they will be abusing different materials
What 4 capsules can reason mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 capsules can result in melancholy?
"SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral tablets, Antineoplastic tablets
Benzodiazepines