10/4/24, 6:07 PM
DANIEL
Georgette Review. WITH 100% SURE ANSWERS
Terms in this set (254)
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
What do you do first?
Pt develops metabolic 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
1/9
, 10/4/24, 6:07 PM
Normal TSH 0.5 - 5.0
hyperthyroid anxiety, irritable, heat intolerance, tachy, mood swings, wt loss, increased appetite
Hypothyroid cold intolerance, lethargy, wt gain, decreased lbido
Fever
rash
Steven Johnson (lamictal, 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
DC if ANC <1000 whether or not signs of infection
Which meds cause 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)
herbal supplement
taken for insomnia, anxiety
Kava kava
MOST important is to check LFTs
also drug drug interaction w/ kava and benzos
BZN
Which meds can effect liver? TCA
Depakote
0.6-1.2
Lithium level If reaches 1.5- discontinue lithum...
if 1.3 or 1.4---monitor for toxicity, but once reaches 1.5- immediately d/c
2/9
DANIEL
Georgette Review. WITH 100% SURE ANSWERS
Terms in this set (254)
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
What do you do first?
Pt develops metabolic 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
1/9
, 10/4/24, 6:07 PM
Normal TSH 0.5 - 5.0
hyperthyroid anxiety, irritable, heat intolerance, tachy, mood swings, wt loss, increased appetite
Hypothyroid cold intolerance, lethargy, wt gain, decreased lbido
Fever
rash
Steven Johnson (lamictal, 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
DC if ANC <1000 whether or not signs of infection
Which meds cause 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)
herbal supplement
taken for insomnia, anxiety
Kava kava
MOST important is to check LFTs
also drug drug interaction w/ kava and benzos
BZN
Which meds can effect liver? TCA
Depakote
0.6-1.2
Lithium level If reaches 1.5- discontinue lithum...
if 1.3 or 1.4---monitor for toxicity, but once reaches 1.5- immediately d/c
2/9
