Georgette's - LMR final
What is the ordinary range for TSH?
Zero.Five - 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 five number one signs and symptoms of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?
Cold intolerance
Lethargy
Weight advantage
Decreased libido
Hypothyroidism mimics signs and symptoms of what psychiatric ailment?
Depression
Hyperthyroidism mimics signs and symptoms of what psychiatric disease?
Mania
Valproic acid produces what teratogenic impact?
Spina bifida (neural tube disorder)
,What is the number one organ in which valproic acid is toxic?
Liver (hepatoxicity)
What are four signs and symptoms of hepatoxicity?
Abdominal ache in the RUQ
Reddish-brown urine
Yellowing of the skin/sclera
Fatigue
What is the healing variety for valproic acid?
50-one hundred twenty five mcg/ml
What is a toxic degree of valproic acid?
>a hundred and fifty mcg/ml
What are 4 signs of valproic acid toxicity?
Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A affected person on depakote complains of belly pain in the RUQ and reddish-brown urine.
What do you suspect? What do you do?
Suspect: hepatotoxicity
Interventions:
-hold med
-draw LFT's (precedence)
-VPA/DVP degree
,With suspected toxicity with valproic acid, what steps/labs ought to be drawn?
D/C drug
Check drug stage
Obtain LFTs
Obtain ammonia level
A pregnant affected person is taking accutane, zyprexa, and abilify. What medicine needs to be
discontinued?
Accutane
Accutane is used for zits and is contraindicated in being pregnant as it is able to reason delivery
defects
What natural complement is used for anxiety, pressure, and insomnia?
Kava Kava
What is a first-rate aspect impact of Kava Kava?
Liver damage
What pills should be prevented with Kava Kava?
Alprazolam
CNS depressants (e.G., phenobarbital, zolpidem)
What are five signs and symptoms of Stephen's Johnson Syndrome (SJS)?
Key signs and symptoms:
-Fever
-Burning of mouth/eyes
Additional signs and symptoms:
Body aches
Severe purple rash
, Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight benefit?
Lamotrigine (Lamictal)
Which 3 SGAs purpose 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 want to add an antipsychotic to control their
schizophrenia. Which remedy do you upload?
Aripiprazole (least sedating)
What are 2 hallmark signs of delirium?
Acute onset
Altered LOC
impaired cognition
inattention
How are agitation and psychotic symptoms treated in delirium?
Low-dose Haldol
Ensure you check QTc first as Haldol can reason QTc prolongation
Your sixteen 12 months old patient complains of feeling "humorous" after inhaling Acetone (nail
polish remover). What is your action?
What is the ordinary range for TSH?
Zero.Five - 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 five number one signs and symptoms of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?
Cold intolerance
Lethargy
Weight advantage
Decreased libido
Hypothyroidism mimics signs and symptoms of what psychiatric ailment?
Depression
Hyperthyroidism mimics signs and symptoms of what psychiatric disease?
Mania
Valproic acid produces what teratogenic impact?
Spina bifida (neural tube disorder)
,What is the number one organ in which valproic acid is toxic?
Liver (hepatoxicity)
What are four signs and symptoms of hepatoxicity?
Abdominal ache in the RUQ
Reddish-brown urine
Yellowing of the skin/sclera
Fatigue
What is the healing variety for valproic acid?
50-one hundred twenty five mcg/ml
What is a toxic degree of valproic acid?
>a hundred and fifty mcg/ml
What are 4 signs of valproic acid toxicity?
Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A affected person on depakote complains of belly pain in the RUQ and reddish-brown urine.
What do you suspect? What do you do?
Suspect: hepatotoxicity
Interventions:
-hold med
-draw LFT's (precedence)
-VPA/DVP degree
,With suspected toxicity with valproic acid, what steps/labs ought to be drawn?
D/C drug
Check drug stage
Obtain LFTs
Obtain ammonia level
A pregnant affected person is taking accutane, zyprexa, and abilify. What medicine needs to be
discontinued?
Accutane
Accutane is used for zits and is contraindicated in being pregnant as it is able to reason delivery
defects
What natural complement is used for anxiety, pressure, and insomnia?
Kava Kava
What is a first-rate aspect impact of Kava Kava?
Liver damage
What pills should be prevented with Kava Kava?
Alprazolam
CNS depressants (e.G., phenobarbital, zolpidem)
What are five signs and symptoms of Stephen's Johnson Syndrome (SJS)?
Key signs and symptoms:
-Fever
-Burning of mouth/eyes
Additional signs and symptoms:
Body aches
Severe purple rash
, Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight benefit?
Lamotrigine (Lamictal)
Which 3 SGAs purpose 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 want to add an antipsychotic to control their
schizophrenia. Which remedy do you upload?
Aripiprazole (least sedating)
What are 2 hallmark signs of delirium?
Acute onset
Altered LOC
impaired cognition
inattention
How are agitation and psychotic symptoms treated in delirium?
Low-dose Haldol
Ensure you check QTc first as Haldol can reason QTc prolongation
Your sixteen 12 months old patient complains of feeling "humorous" after inhaling Acetone (nail
polish remover). What is your action?
