Georgette's - LMR final
What is the ordinary variety for TSH?
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
What are 5 number one signs of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are four primary symptoms of Hypothyroidism?
Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics signs of what psychiatric disorder?
Depression
Hyperthyroidism mimics signs of what psychiatric sickness?
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 symptoms of hepatoxicity?
Abdominal ache in the RUQ
Reddish-brown urine
Yellowing of the pores and skin/sclera
Fatigue
What is the therapeutic range for valproic acid?
50-one hundred twenty five mcg/ml
What is a poisonous degree of valproic acid?
>one hundred fifty mcg/ml
What are four signs of valproic acid toxicity?
Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A patient on depakote complains of abdominal pain in the RUQ and reddish-brown urine.
What do you watched? What do you do?
Suspect: hepatotoxicity
Interventions:
-hold med
-draw LFT's (precedence)
-VPA/DVP level
With suspected toxicity with valproic acid, what steps/labs must be drawn?
D/C drug
Check drug degree
,Obtain LFTs
Obtain ammonia degree
A pregnant affected person is taking accutane, zyprexa, and abilify. What medicine needs to
be discontinued?
Accutane
Accutane is used for acne and is contraindicated in pregnancy as it could cause beginning
defects
What natural supplement is used for anxiety, stress, and insomnia?
Kava Kava
What is a major aspect impact of Kava Kava?
Liver damage (hepatotoxicity)
What drugs have to be prevented with Kava Kava?
Alprazolam
CNS depressants (e.G., phenobarbital, zolpidem)
What are 5 signs and symptoms of Stephen's Johnson Syndrome (SJS)?
Key signs:
-Fever
-Burning of mouth/eyes
Additional signs:
Body aches
Severe crimson rash
Peeling pores and skin
Facial and tongue swelling
, Which temper stabilizer causes the least weight gain?
Lamotrigine (Lamictal)
Which three SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your patient is taking Kava Kava and you need to add an antipsychotic to control their
schizophrenia. Which medication do you upload?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset
Altered LOC
impaired cognition
inattention
How are agitation and psychotic signs treated in delirium?
Low-dose Haldol
Ensure you check QTc first as Haldol can purpose QTc prolongation
Your sixteen year old affected person complains of feeling "funny" after inhaling Acetone
(nail polish remover). What is your movement?
Obtain a UDS
They may be abusing different substances
What 4 tablets can motive mania?
"SAID"
What is the ordinary variety for TSH?
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
What are 5 number one signs of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are four primary symptoms of Hypothyroidism?
Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics signs of what psychiatric disorder?
Depression
Hyperthyroidism mimics signs of what psychiatric sickness?
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 symptoms of hepatoxicity?
Abdominal ache in the RUQ
Reddish-brown urine
Yellowing of the pores and skin/sclera
Fatigue
What is the therapeutic range for valproic acid?
50-one hundred twenty five mcg/ml
What is a poisonous degree of valproic acid?
>one hundred fifty mcg/ml
What are four signs of valproic acid toxicity?
Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A patient on depakote complains of abdominal pain in the RUQ and reddish-brown urine.
What do you watched? What do you do?
Suspect: hepatotoxicity
Interventions:
-hold med
-draw LFT's (precedence)
-VPA/DVP level
With suspected toxicity with valproic acid, what steps/labs must be drawn?
D/C drug
Check drug degree
,Obtain LFTs
Obtain ammonia degree
A pregnant affected person is taking accutane, zyprexa, and abilify. What medicine needs to
be discontinued?
Accutane
Accutane is used for acne and is contraindicated in pregnancy as it could cause beginning
defects
What natural supplement is used for anxiety, stress, and insomnia?
Kava Kava
What is a major aspect impact of Kava Kava?
Liver damage (hepatotoxicity)
What drugs have to be prevented with Kava Kava?
Alprazolam
CNS depressants (e.G., phenobarbital, zolpidem)
What are 5 signs and symptoms of Stephen's Johnson Syndrome (SJS)?
Key signs:
-Fever
-Burning of mouth/eyes
Additional signs:
Body aches
Severe crimson rash
Peeling pores and skin
Facial and tongue swelling
, Which temper stabilizer causes the least weight gain?
Lamotrigine (Lamictal)
Which three SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your patient is taking Kava Kava and you need to add an antipsychotic to control their
schizophrenia. Which medication do you upload?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset
Altered LOC
impaired cognition
inattention
How are agitation and psychotic signs treated in delirium?
Low-dose Haldol
Ensure you check QTc first as Haldol can purpose QTc prolongation
Your sixteen year old affected person complains of feeling "funny" after inhaling Acetone
(nail polish remover). What is your movement?
Obtain a UDS
They may be abusing different substances
What 4 tablets can motive mania?
"SAID"
