NURS 660 PSYCHOPHARM (Exam 1-With 100% verified solutions-

Minimum ANC level to prescribe Clozapine, general population: 1,500 μL Severe Neutropenia < 500μL Moderate Neutropenia 500-999μL Mild Neutropenia μL BEN patients: Normal ANC range for Clozaril ≥1,000 μL Clozaril BEN patient: severe neutropenia <500 μL BEN neutropenia 500-999 μL Lower ANC threshold for starting clozapine: General population ≥1,500/μL Lower ANC threshold for starting clozapine: Benign ethnic neutropenia (BEN) 1,000/μL Medical emergencies when prescribing anti-psychotics - NMS - Agranulocytosis - Serotonin Syndrome Clinical findings in agranulocytosis Clozaril: most likely side effect if pt develops fever within 6 weeks Myocarditis Clozaril: if pt develops fever within 6 weeks order a ______, _________ and _______. EKG, CRP, Troponin, as this is likely due to myocarditis Common complaints in patients with neutropenia: F,P, U, P - Fever (low grade) - painful swallowing (odynophagia) - URI (sinusitis, otitis, cough) - Perirectal pain/irritation Symptoms of neuroleptic malignant syndrome (NMS): - High fever - Tachycardia/irregular pulse - Increased respiratory rate - Muscle Rigidity - altered mental status Off label TX for NMS