NURS 660: PSYCHOPHARM QUESTIONS | TESTED AND PROVEN ANSWERS | LATEST UPDATE 2024/2025 100% (GRADE A+)

NURS 660: PSYCHOPHARM QUESTIONS | TESTED
AND PROVEN ANSWERS | LATEST UPDATE
2024/2025 100% (GRADE A+)
Minimum ANC level to prescribe Clozapine, general population:


Ans>> 1,500 μL




Severe Neutropenia


Ans>> < 500μL




Moderate Neutropenia


Ans>> 500-999μL




Mild Neutropenia


Ans>> 1000-1499μL




BEN patients: Normal ANC range for Clozaril


Ans>> ≥1,000 μL


1

,Clozaril BEN patient: severe neutropenia


Ans>> <500 μL




BEN neutropenia


Ans>> 500-999 μL




Lower ANC threshold for starting clozapine: General population


Ans>> ≥1,500/μL




Lower ANC threshold for starting clozapine: Benign ethnic neutropenia (BEN)


Ans>> 1,000/μL




Medical emergencies when prescribing anti-psychotics


Ans>> - NMS


- Agranulocytosis



2

,- Serotonin Syndrome




Clinical findings in agranulocytosis


Ans>>




Clozaril: most likely side effect if pt develops fever within 6 weeks


Ans>> Myocarditis




Clozaril: if pt develops fever within 6 weeks order a ______, _________ and _______.


Ans>> EKG, CRP, Troponin, as this is likely due to myocarditis




Common complaints in patients with neutropenia:


F,P, U, P


Ans>> - Fever (low grade)


- painful swallowing (odynophagia)


- URI (sinusitis, otitis, cough)


- Perirectal pain/irritation

3

, Symptoms of neuroleptic malignant syndrome (NMS):


Ans>> - High fever


- Tachycardia/irregular pulse


- Increased respiratory rate


- Muscle Rigidity


- altered mental status




Off label TX for NMS


Ans>> Amantadine (SYMMETREL)




Serotonin Syndrome onset:


Ans>> -24 hours of combining antidepressants




Serotonin Syndrome Cardinal features


Ans>> - Myoclonic jerks


- Hyperreflexia

4