Georgettes LMR study set | 271 questions &
Complete Solutions| Verified Answers
Sx of SS - ✔✔HYPERREFLEXIA
myoclonic jerks
treatment for SS - ✔✔ciproheptadine
how to best PREVENT SS - ✔✔follow proper transition protocols
SSRI to MAOI=14 days
Prozac to MAOI=5-6 weeks
Triptans can also cause SS due to serotonin increase with use
Why are SSRIs considered the safest for use in depression - ✔✔safest for OD
depressed patient presents with fatigue and low energy, consider: - ✔✔NDRI wellbutrin
sexual s/e with ssri? try... - ✔✔wellbutrin due to lower risk of sexual s/e
What medication must be avoided if client has seizure history or eating disorder? why? -
✔✔wellbutrin due to decreasing the seizure threshold
if client has depression and neuropathic pain - ✔✔SNRI or TCA for treatment of BOTH
What med class treats neuropathic pain well - ✔✔alpha 2 delta ligands
Gabapentin
,Lyrica
What medication class is good for depression with comorbid CA - ✔✔SSRI
least chance of drug drug interactions
Celexa and lexapro are good choices
Black box warning on SSRI - ✔✔inc SI in kids, esp
Required education for rx ssri - ✔✔long time for effect
side effects esp n/v/d
NO ABRUPT stopping d/t Serotonin discontinuation syndrome
Sx's of serotonin discontinuation syndrome - ✔✔fever, shivering, muscle aches and nausea
diarrhea, agitation, cog impairment... (think flu like sx's)
disequilibrium
What are some scenarios that place patients at risk of a hypertensive crisis? - ✔✔MAOI and
tyramine
MAOI and TCA
MAOI and Atypical AP
MAOI and decongestant
MAOI and stimulants
MAOI and asthma meds
Sx of Hypertensive crisis - ✔✔HA
Diaphoresis
fever
,facial flushing
pupillary dilation
palpitation
Treatment for HTN Crisis - ✔✔DC Agent
Give Phenolamine
age of onset for male / female schizophrenia - ✔✔male 18-25
female 25-35
schizophrenia has high rate of suicide - ✔✔always be assessing for SI
what is the cause of schizophrenia - ✔✔inadequate synapse formation
excessive pruning of synapses
intrauterine insult (drugs/toxin/viral agent/malnutrition/substance use, mental illness, o2
deprivation)
on MRI /PET schizonphrenia - ✔✔ventrical enlargement
positive sx of schizophrenia caused by... - ✔✔excess DA in mesolimbic pathway
positive sx of schizophrenia on a stimulant? - ✔✔will potentiate DA release (worsening
schizophrenias positive symtpoms) bc stimulants tap into the reward and addiction pathway inc
dopamine
What is ACT - ✔✔Assertive community treatment
Post hospital DC
not in the hospital
, delusions, you respond how? - ✔✔do not try to disprove
If HARMFUL delusions, notify authority
Also notify potential victim
how to assess mental abstraction - ✔✔interpret a proverb
assess thought process why? and potential findings - ✔✔to assess organization of patients
thoughts
tangential: no rip to a ?
circumstantial: gets around to anss after going in circles with unnecessary details
MMSE thought content include - ✔✔SI HI
plan
Hallucinations
delusions
MMSE/ Folstein Test assesses? - ✔✔tool used to assess cognitive status in adults
concentration/attention/calculation assessed how? - ✔✔spell a word backward or serial 7's
Registration/ability to learn new material assessed how? - ✔✔remember 3 words
orientation is assessed by - ✔✔Person place time
fund of knowledge assessed how? - ✔✔Who is the president? Governor?
Complete Solutions| Verified Answers
Sx of SS - ✔✔HYPERREFLEXIA
myoclonic jerks
treatment for SS - ✔✔ciproheptadine
how to best PREVENT SS - ✔✔follow proper transition protocols
SSRI to MAOI=14 days
Prozac to MAOI=5-6 weeks
Triptans can also cause SS due to serotonin increase with use
Why are SSRIs considered the safest for use in depression - ✔✔safest for OD
depressed patient presents with fatigue and low energy, consider: - ✔✔NDRI wellbutrin
sexual s/e with ssri? try... - ✔✔wellbutrin due to lower risk of sexual s/e
What medication must be avoided if client has seizure history or eating disorder? why? -
✔✔wellbutrin due to decreasing the seizure threshold
if client has depression and neuropathic pain - ✔✔SNRI or TCA for treatment of BOTH
What med class treats neuropathic pain well - ✔✔alpha 2 delta ligands
Gabapentin
,Lyrica
What medication class is good for depression with comorbid CA - ✔✔SSRI
least chance of drug drug interactions
Celexa and lexapro are good choices
Black box warning on SSRI - ✔✔inc SI in kids, esp
Required education for rx ssri - ✔✔long time for effect
side effects esp n/v/d
NO ABRUPT stopping d/t Serotonin discontinuation syndrome
Sx's of serotonin discontinuation syndrome - ✔✔fever, shivering, muscle aches and nausea
diarrhea, agitation, cog impairment... (think flu like sx's)
disequilibrium
What are some scenarios that place patients at risk of a hypertensive crisis? - ✔✔MAOI and
tyramine
MAOI and TCA
MAOI and Atypical AP
MAOI and decongestant
MAOI and stimulants
MAOI and asthma meds
Sx of Hypertensive crisis - ✔✔HA
Diaphoresis
fever
,facial flushing
pupillary dilation
palpitation
Treatment for HTN Crisis - ✔✔DC Agent
Give Phenolamine
age of onset for male / female schizophrenia - ✔✔male 18-25
female 25-35
schizophrenia has high rate of suicide - ✔✔always be assessing for SI
what is the cause of schizophrenia - ✔✔inadequate synapse formation
excessive pruning of synapses
intrauterine insult (drugs/toxin/viral agent/malnutrition/substance use, mental illness, o2
deprivation)
on MRI /PET schizonphrenia - ✔✔ventrical enlargement
positive sx of schizophrenia caused by... - ✔✔excess DA in mesolimbic pathway
positive sx of schizophrenia on a stimulant? - ✔✔will potentiate DA release (worsening
schizophrenias positive symtpoms) bc stimulants tap into the reward and addiction pathway inc
dopamine
What is ACT - ✔✔Assertive community treatment
Post hospital DC
not in the hospital
, delusions, you respond how? - ✔✔do not try to disprove
If HARMFUL delusions, notify authority
Also notify potential victim
how to assess mental abstraction - ✔✔interpret a proverb
assess thought process why? and potential findings - ✔✔to assess organization of patients
thoughts
tangential: no rip to a ?
circumstantial: gets around to anss after going in circles with unnecessary details
MMSE thought content include - ✔✔SI HI
plan
Hallucinations
delusions
MMSE/ Folstein Test assesses? - ✔✔tool used to assess cognitive status in adults
concentration/attention/calculation assessed how? - ✔✔spell a word backward or serial 7's
Registration/ability to learn new material assessed how? - ✔✔remember 3 words
orientation is assessed by - ✔✔Person place time
fund of knowledge assessed how? - ✔✔Who is the president? Governor?
