PMHNP Tessy Latest 2023 with Complete and Certified Solutions

PMHNP Tessy Latest 2023 with Complete and Certified Solutions Reflexes expected at 1 month Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease) Signs of fetal alcohol syndrome small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early intervention specialist Rhett Syndrome a rare disorder found virtually exclusively in girls, is a neurodevelopmental disorder in which the child usually develops normally unitl about 6 to 18 months of age at which characteristics of the syndrome emerge; characteristics include: hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth, and disinterest in play activities EPS types Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days) Where do EPS originate nigrostiatal tract. How does tegretol interact with cipro cipro and erythromycin are inhibitors. Cause increased level of Tegretol. Black box warning Tegretol side effects Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia. Watch with cipro and erythro nuchal rigidity stiffness in cervical neck area, meningitis ACE inhibitors -pril, CHF signs of serotonin syndrome -shivering -anxiety -diaphoresis -hyperthermia Shits and Shivers diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability, encephalopathy, restlessness, sweating Serotonin Discontinuation Syndrome syndrome caused by abrupt withdrawal of an antidepressant drug, resulting in sensory disturbances, sleeping disturbances, disequilibrium, flu-like symptoms, dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal effects NMS neuroleptic malignant syndrome *S*evere fever *C*hanging LOC *A*utonomic instability *R*igidity *S*weating and drooling FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk, rigidity Levels of Prevention Primary: prevent/promotion, classes, safety initiatives, education, classes, modifying environment Secondary: screen-early detection, crisis hotlines, disaster Tertiary: treat- to prevent further deterioration, rehab, restoration, day treatment, social skills Risk factors for serotonin syndrome more than 1 SSRI, st johns wart, tramadol, demerol, ultram, maperidone, 5HT Grade 2/5 hoarse systolic heart murmur aortic stenosis