Georgette's LMR; Georgette's PMHNP Certification
Exam Questions And Answers Verified 100% Correct
What action do we take at signs of valproic acid (Divalproex/Depakote)
toxicity?
Dc medication and check depakote levels, do a LFT and check ammonia
levels
What are the signs and symptoms of pancreatitis upper
adbominal pain
abdominal pain that radiates to patient's back
tenderness when touching the abdomen fever
rapid pulse nausea
vomiting oily
stools
What in mental illness is Kava (or Kava Kava) used for ? Kava
Calms anxiety stress insomnia
What is the major side effect of Kava? What do we monitor?
Liver damage
We monitor patient for RUQ pain and do LFTs
Kava is contraindicated with which meds/med classes?
Xanax (Alprazolam)
CNS depressants/ sedative medications
Benzos (CLonazepam/Klonopin), (Lorazepam/ Ativan),
phenobarbital (Donnatal) Zolpidem (Ambien)
,Lamictal and weight
Lamictal is the mood stabilizer that causes the least weight gain
Lamictal and rash
Can cause Stevens Johnson
What are the symptoms of Stevens Johnson syndrome?
Body aches, red rash, peeling skin, facial and tongue swelling Which
antipsychotics cause the least weight gain?
ZAL
Ziprasodone (Geodon)
Aripriprazole (Abilify)
Lurasidone (Latuda)
For patients taking antipsychotics that have caused weight gain, what
routine labs do we check?
bmi hip-to-waist
ratio glucose lipid
panel
Non-pharm treatment of antipsychotic induced weight gain (AIWG)--1st line
Exercise and nutritional counseling
This is first line treatment
Pharm intervention for Antipsychotic Induced Weight Gain
Switch to antipsychotic with lower potential for weight gain: ZAL Black Box
Warning for Carbamazepine
, agranulocytosis, aplastic anemia, Stevens --Johnson syndrome symptoms
of Aplastic anemia
pallor fatigue
HA
fever nosebleeds
bleeding gums skin
rash
SOB
If prescribing Carbamazepine for an Asian patient, what gene do you
screen for ?
HLA-B* 1502 allele is highly associated with Carbamazepineinduced
Stevens-Johnson syndrome
ANC level that indicates NP should DC clozapine or Carbamazepine?
An ANC less than 1000 mm3 whether patient is showing signs of infection
or not.
What are signs of infection for which we should monitor patients on
Clozapine or Carbamazepine to DC it?
Sudden fever
Chills sore
throat
weakness
Lithium and
neuroprotect
ion
Exam Questions And Answers Verified 100% Correct
What action do we take at signs of valproic acid (Divalproex/Depakote)
toxicity?
Dc medication and check depakote levels, do a LFT and check ammonia
levels
What are the signs and symptoms of pancreatitis upper
adbominal pain
abdominal pain that radiates to patient's back
tenderness when touching the abdomen fever
rapid pulse nausea
vomiting oily
stools
What in mental illness is Kava (or Kava Kava) used for ? Kava
Calms anxiety stress insomnia
What is the major side effect of Kava? What do we monitor?
Liver damage
We monitor patient for RUQ pain and do LFTs
Kava is contraindicated with which meds/med classes?
Xanax (Alprazolam)
CNS depressants/ sedative medications
Benzos (CLonazepam/Klonopin), (Lorazepam/ Ativan),
phenobarbital (Donnatal) Zolpidem (Ambien)
,Lamictal and weight
Lamictal is the mood stabilizer that causes the least weight gain
Lamictal and rash
Can cause Stevens Johnson
What are the symptoms of Stevens Johnson syndrome?
Body aches, red rash, peeling skin, facial and tongue swelling Which
antipsychotics cause the least weight gain?
ZAL
Ziprasodone (Geodon)
Aripriprazole (Abilify)
Lurasidone (Latuda)
For patients taking antipsychotics that have caused weight gain, what
routine labs do we check?
bmi hip-to-waist
ratio glucose lipid
panel
Non-pharm treatment of antipsychotic induced weight gain (AIWG)--1st line
Exercise and nutritional counseling
This is first line treatment
Pharm intervention for Antipsychotic Induced Weight Gain
Switch to antipsychotic with lower potential for weight gain: ZAL Black Box
Warning for Carbamazepine
, agranulocytosis, aplastic anemia, Stevens --Johnson syndrome symptoms
of Aplastic anemia
pallor fatigue
HA
fever nosebleeds
bleeding gums skin
rash
SOB
If prescribing Carbamazepine for an Asian patient, what gene do you
screen for ?
HLA-B* 1502 allele is highly associated with Carbamazepineinduced
Stevens-Johnson syndrome
ANC level that indicates NP should DC clozapine or Carbamazepine?
An ANC less than 1000 mm3 whether patient is showing signs of infection
or not.
What are signs of infection for which we should monitor patients on
Clozapine or Carbamazepine to DC it?
Sudden fever
Chills sore
throat
weakness
Lithium and
neuroprotect
ion
