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PMHNP Exam Reported Questions -... Georgette Review PMHNP. Dermatology
341 terms 388 terms 71 terms
incrediblekem1 Preview osujichristy Preview we2stca75
Native americans ethnic group w/ the highest rate of SI in the US
make an accommodation for them even if against policy
RESPECT also important
If cultural question contextualize their situation/clarify the meaning of their illness in
their culture
if it's a cultural syndrome, it's not mental illness--provide
supportive psychotherapy
teach education based on cultural.
Education w/ cultural
consideration if multiple cultures present during education- provide
multicultural ethonospecific assessment parameters
if part of quesiton wrong, whole question wrong.
Answering tips
If 3 of the same and one different usually answer is the one that's
different
Priority is airway, breathing, circulation.
Then maslows heirchy-- safety, needs, culture
Answering tips
then assessment before intervention if needed.
don't choose to delegate, always chose to collaborate/do it
yourself
lurasidone, abilify, and ziprasidone (geodon)
3 antipscyhotics that are least
likely to cause wt gain
abilify least sedating
, elevated A1C, lipid, glucose, hip to waist ratio, BMI
Pt develops metabolic What do you do first?
syndrome: reduce calorie, exercise..if not
then switch to lurasidone, abilify, or geodon
atypicals...especially IM injections because fastest mode of
action
First psychotic episodes?
Zyprexa, Invega, Abilify or Geodon
Normal TSH 0.5 - 5.0
anxiety, irritable, heat intolerance, tachy, mood swings, wt loss,
hyperthyroid
increased appetite
Hypothyroid cold intolerance, lethargy, wt gain, decreased lbido
Fever
Steven Johnson (lamictal, rash
lamotrigine) burning eyes/mucosa
HA
Lamictal mood stabilizer that causes the least amount of wt gain
also can cause SJS or rash
especially in asians
Carbamazepine (tegretol)
must screen for HLAB-1502 allele first for all asains (if positive,
means at increased risk for SJS, don't give)
tegretol AND clozaril
Which meds cause DC if ANC <1000 whether or not signs of infection
agranulocytosis
monitor for signs of infection which indicate granulocytosis-
fever, sore throat, fatigue, chills.
can cause:
Valproic Acid (depakote) -spina bifida
-hepatotoxicity (RUQ pain, reddish-brown urine- check LFTS)
confusion
disorientation
lethargy
respiratory depression
Signs of hepatotoxicity
(depakote) level >150
priority- D/c depakote
get LFTs, ammonia levels --high ammonia causes confusion
50-125, toxicity occurs if >150
HCG human chorionic gonadotropin
pregnancy test
always check before placing on mood stabilizer for women
childbearing age (12-51)
Save
Students also studied
Flashcard sets Study guides
PMHNP Exam Reported Questions -... Georgette Review PMHNP. Dermatology
341 terms 388 terms 71 terms
incrediblekem1 Preview osujichristy Preview we2stca75
Native americans ethnic group w/ the highest rate of SI in the US
make an accommodation for them even if against policy
RESPECT also important
If cultural question contextualize their situation/clarify the meaning of their illness in
their culture
if it's a cultural syndrome, it's not mental illness--provide
supportive psychotherapy
teach education based on cultural.
Education w/ cultural
consideration if multiple cultures present during education- provide
multicultural ethonospecific assessment parameters
if part of quesiton wrong, whole question wrong.
Answering tips
If 3 of the same and one different usually answer is the one that's
different
Priority is airway, breathing, circulation.
Then maslows heirchy-- safety, needs, culture
Answering tips
then assessment before intervention if needed.
don't choose to delegate, always chose to collaborate/do it
yourself
lurasidone, abilify, and ziprasidone (geodon)
3 antipscyhotics that are least
likely to cause wt gain
abilify least sedating
, elevated A1C, lipid, glucose, hip to waist ratio, BMI
Pt develops metabolic What do you do first?
syndrome: reduce calorie, exercise..if not
then switch to lurasidone, abilify, or geodon
atypicals...especially IM injections because fastest mode of
action
First psychotic episodes?
Zyprexa, Invega, Abilify or Geodon
Normal TSH 0.5 - 5.0
anxiety, irritable, heat intolerance, tachy, mood swings, wt loss,
hyperthyroid
increased appetite
Hypothyroid cold intolerance, lethargy, wt gain, decreased lbido
Fever
Steven Johnson (lamictal, rash
lamotrigine) burning eyes/mucosa
HA
Lamictal mood stabilizer that causes the least amount of wt gain
also can cause SJS or rash
especially in asians
Carbamazepine (tegretol)
must screen for HLAB-1502 allele first for all asains (if positive,
means at increased risk for SJS, don't give)
tegretol AND clozaril
Which meds cause DC if ANC <1000 whether or not signs of infection
agranulocytosis
monitor for signs of infection which indicate granulocytosis-
fever, sore throat, fatigue, chills.
can cause:
Valproic Acid (depakote) -spina bifida
-hepatotoxicity (RUQ pain, reddish-brown urine- check LFTS)
confusion
disorientation
lethargy
respiratory depression
Signs of hepatotoxicity
(depakote) level >150
priority- D/c depakote
get LFTs, ammonia levels --high ammonia causes confusion
50-125, toxicity occurs if >150
HCG human chorionic gonadotropin
pregnancy test
always check before placing on mood stabilizer for women
childbearing age (12-51)
