Georgettes LMR study set 2024 Newest
what type of tremors will you see with lithium toxicity? - ANSWERS-course tremors
lithium can cause what other comorbidities? - ANSWERS-hypothyroidism
maculopapular rash
leukocytosis
twave inversion
what is a defining characteristic of NMS vs SS - ANSWERS-muscle rigidity
Sx's/labs associated with NMS - ANSWERS-Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
Can lead to mutism
myoglobinuria/rhabdo can cause cherry colored urine
Treatment for NMS and what each does - ANSWERS-DC the offending agent
bromocriptin-D2 agonis
dantrolene: muscle relaxant
,Make sure if ? is asking for agonist or relaxant
Sx of SS - ANSWERS-HYPERREFLEXIA
myoclonic jerks
treatment for SS - ANSWERS-ciproheptadine
how to best PREVENT SS - ANSWERS-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
What birth defect can be caused by depakote? - ANSWERS-Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see? labs to run?
- ANSWERS-Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat - ANSWERS-anxiety and insomnia
Rash and fever associated with tegretol, suspect - ANSWERS-
,What allele is HLAB 1502 associated? - ANSWERS-Asians. They CANNOT have tegretol. Test
all asians for this allele.
what rare and dangerous side effects are associated with tegretol - ANSWERS-Aplastic
anemia
Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis - ANSWERS-unusual bleeding or bruising, mouth sores, infections,
fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why? - ANSWERS-HCG--risk of
ebstein anomaly
adverse s/e of lamictal/lamotrigine - ANSWERS-SJS
labs to checke BEFORE starting on lithium - ANSWERS-BUN
CRE
urine protein
What does protein in urine indicate - ANSWERS-kidney impairment; 4+ protein in urine=you
cannot start on lithium
best choice med for decreasing si in bipolar disorder. - ANSWERS-lithium
, best choice med for si in schizophrenia - ANSWERS-clozaril
best choice med for SI in borderline - ANSWERS-lithium
What medications will INCREASE Li levels - ANSWERS-NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels - ANSWERS-dehydration
hyponatremia
lithium s/e inc N/V, which will effect electrolytes, and dehydration status
When questions ask for a priority action...think about... - ANSWERS-ABC, airway breathing,
circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose: - ANSWERS-the umbrella answer
What is the most common side effect of olanzapine/zyprexa - ANSWERS-metabolic
syndrome
what is the difference between typical and atypical antipsychotics - ANSWERS-Atypical
5HT2A specific
what type of tremors will you see with lithium toxicity? - ANSWERS-course tremors
lithium can cause what other comorbidities? - ANSWERS-hypothyroidism
maculopapular rash
leukocytosis
twave inversion
what is a defining characteristic of NMS vs SS - ANSWERS-muscle rigidity
Sx's/labs associated with NMS - ANSWERS-Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
Can lead to mutism
myoglobinuria/rhabdo can cause cherry colored urine
Treatment for NMS and what each does - ANSWERS-DC the offending agent
bromocriptin-D2 agonis
dantrolene: muscle relaxant
,Make sure if ? is asking for agonist or relaxant
Sx of SS - ANSWERS-HYPERREFLEXIA
myoclonic jerks
treatment for SS - ANSWERS-ciproheptadine
how to best PREVENT SS - ANSWERS-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
What birth defect can be caused by depakote? - ANSWERS-Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see? labs to run?
- ANSWERS-Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat - ANSWERS-anxiety and insomnia
Rash and fever associated with tegretol, suspect - ANSWERS-
,What allele is HLAB 1502 associated? - ANSWERS-Asians. They CANNOT have tegretol. Test
all asians for this allele.
what rare and dangerous side effects are associated with tegretol - ANSWERS-Aplastic
anemia
Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis - ANSWERS-unusual bleeding or bruising, mouth sores, infections,
fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why? - ANSWERS-HCG--risk of
ebstein anomaly
adverse s/e of lamictal/lamotrigine - ANSWERS-SJS
labs to checke BEFORE starting on lithium - ANSWERS-BUN
CRE
urine protein
What does protein in urine indicate - ANSWERS-kidney impairment; 4+ protein in urine=you
cannot start on lithium
best choice med for decreasing si in bipolar disorder. - ANSWERS-lithium
, best choice med for si in schizophrenia - ANSWERS-clozaril
best choice med for SI in borderline - ANSWERS-lithium
What medications will INCREASE Li levels - ANSWERS-NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels - ANSWERS-dehydration
hyponatremia
lithium s/e inc N/V, which will effect electrolytes, and dehydration status
When questions ask for a priority action...think about... - ANSWERS-ABC, airway breathing,
circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose: - ANSWERS-the umbrella answer
What is the most common side effect of olanzapine/zyprexa - ANSWERS-metabolic
syndrome
what is the difference between typical and atypical antipsychotics - ANSWERS-Atypical
5HT2A specific
