Georgette's - LMR final Save
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What is the normal range 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 primary symptoms of Hyperthyroidism? Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism? Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric Depression
disorder?
Hyperthyroidism mimics symptoms of what psychiatric Mania
disorder?
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 signs of hepatoxicity? Abdominal pain in the RUQ
Reddish-brown urine
Yellowing of the skin/sclera
Fatigue
What is the therapeutic range for valproic acid? 50-125 mcg/ml
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, 1/7/26, 2:40 AM Georgette's - LMR final Flashcards | Quizlet
What is a toxic level of valproic acid? >150 mcg/ml
What are 4 signs of valproic acid toxicity? Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A patient on depakote complains of abdominal pain in Suspect: hepatotoxicity
the RUQ and reddish-brown urine. What do you
suspect? What do you do? Interventions:
-hold med
-draw LFT's (priority)
-VPA/DVP level
With suspected toxicity with valproic acid, what D/C drug
steps/labs should be drawn? Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant patient is taking accutane, zyprexa, and Accutane
abilify. What medication needs to be discontinued?
Accutane is used for acne and is contraindicated in pregnancy as it can cause
birth defects
What herbal supplement is used for anxiety, stress, and Kava Kava
insomnia?
What is a major side effect of Kava Kava? Liver damage (hepatotoxicity)
What drugs should be avoided with Kava Kava? Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What are 5 symptoms of Stephen's Johnson Syndrome Key symptoms:
(SJS)? -Fever
-Burning of mouth/eyes
Additional symptoms:
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain? Lamotrigine (Lamictal)
Which 3 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 Aripiprazole (least sedating)
an antipsychotic to manage their schizophrenia. Which
medication do you add?
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