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NU664 CX Questions and Answers 100%

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NU664 CX Questions and Answers 100% Excel Know the route of administration for newer agent asenapine (Saphris) and what instructions should be given to the patient regarding administration. - CORRECT ANSWER-a. Orally disintegrating sublingual tablets b. Place under tongue and let dissolve. Do not swallow chew break or crush. Do not eat or drink for 10 minutes after taking this drug. Know and describe the top atypical antipsychotic with greatest incidence of prolonged QTc interval. - CORRECT ANSWER-a. Ziprasidone Know which antipsychotics have specific instructions for minimum food intake or diet restrictions. - CORRECT ANSWER-a. Avoid with MAOI: Dried, aged, smoked, fermented, spoiled, or improperly stored meat, fish, poultry, broad bean pods , aged cheeses , tap and unpasteurized beer , marmite, sauerkraut, kimchee ,soy products/tofu ,banana peel ,tyramine-containing nutritional supplement b. ziprasidone should be taken with meals of at least 500 calories for optimal and consistent bioavailability. c. Lurasidone needs to be taken with 350 kcal Know an alternative atypical antipsychotic for a patient who has developed diabetes and has a significant weight gain from treatment with olanzapine. - CORRECT ANSWER-a. Quetiapine, Risperidone, paloperidone (medium risk of weight gain) b. Asenapine, Amisulpride, Aripiprazole, Lurasidone, Haloperidol, Ziprasidone (low risk of weight gain) Know whether a patient is demonstrating efficacy to clozapine 500 mg/day if this week's granulocyte count is less than 500mm3. What is the most appropriate recommendation for drug therapy? - CORRECT ANSWER-a. Agranulocytosis (STOP TX) i. Daily ANC until > or equal to 1000 mm3. When ANC is >1500 mm3, check weekly for 4 weeks and then return to previous monitoring schedule. Know the common effects of smoking along with antipsychotic drug therapy such as olanzapine. - CORRECT ANSWER-a. olanzapine who smoke tobacco products have decreased serum concentrations of the medication because of increased drug clearance b. Smoking is considered an inducer

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