LMR - GEORGETTE'S REVIEW PMHNP 2024 QUESTIONS WITH COMPLETE SOLUTIONS ALREADY PASSED

LMR - GEORGETTE'S REVIEW PMHNP What drugs should be avoided with Kava Kava? Alprazolam CNS depressants (e.g., phenobarbital, zolpidem) What is the normal range forTSH? 0.5 - 5.0 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 Heat intolerance What are 5 primary symptoms of Agitation, Anxiety, Irritability Hyperthyroidism? Tachycardia Mood swings Weight loss Cold intolerance What are 4 primary symptoms of Lethargy Hypothyroidism? Weight gain Decreased libido Hypothyroidism mimics symptoms of what psychiatric disorder? Depression Hyperthyroidism mimics symptoms of what psychiatric disorder? Mania Valproic acid produces what teratogenic effect? Spina bifida (neural tube defect) What is the primary organ where valproic acid is toxic? Liver (hepatoxicity) What are 4 signs of hepatoxicity? Abdominal pain in the URQ Reddishbrown urine Yellowing of the skin and sclera Fatigue What is the therapeutic range for valproic acid? 50-125 mcg/ml What is a toxic level of valproic acid? >150 mcg/ml Disorientation What are 4 signs of valproic acid toxicity? Lethargy Respiratory depression Nausea/vomiting A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What do you suspect? What do you do? Hepatotoxicity; hold med, draw LFT's (priority), DVP level D/C drug With suspected toxicity with valproic acid, what Check drug level steps/labs should be drawn? Obtain LFTs Obtain ammonia level A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd? Accutane (used for acne; Causes birth Defects!!!) What herbalsupplement is used for anxiety, stress, and insomnia?What is the majorside effect with Kava Kava? Kava Kava liver damage What are 5 symptoms of Stephen'sJohnson Syndrome? Fever -Key sx to suspect SJS; high yield (HY) burning of mouth/eyes - HY Body aches Severe red rash Peeling skin Facial and tongue swelling