1 PMHNP Exam Review - Georgette's/ Exam Questions with Correct Verified Answers/ Rated A+
How does Tegretol interact with cipro - ANS - cipro and erythromycin are inhibitors. Cause increased level of Tegretol. Black box warning
Tegretol side effects - ANS - Aplastic anemia, agranulocytosis, steven Johnson’s, hyponatremia. Watch with cipro and erythron
nuchal rigidity - ANS - stiffness in cervical neck area, meningitis
ACE inhibitors - ANS - -peril, CHF
Patient abusing stimulants, what does NP assess for - ANS - Insomnia and tremor, irritability, weight loss, nervous, hypertension, tachycardia
Anorexic teenager with pain when eating - ANS - refeeding syndrome causes delayed gastric emptying
signs of serotonin syndrome - ANS - -shivering -anxiety -diaphoresis -hyperthermia
Shits and Shivers diarrhea, shivering, hyperreflexia/myoclonus, increased temperature, vital sign instability, encephalopathy, restlessness, sweating 1 / 2
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Serotonin Discontinuation Syndrome - ANS - syndrome caused by abrupt withdrawal of an antidepressant drug, resulting in sensory disturbances, sleeping disturbances, disequilibrium, flu-like symptoms, dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal effects
Labs for rheumatoid arthritis - ANS -. ESR erythrocyte sedimentation rate elevation. Synovial fluid analysis. X ray of joints. Rheumatoid factor titer, CRP, Hgb
PTSD nightmares - ANS - prazosin
adjustment disorder - ANS - reaction to a specific life event (identified stressor), symptoms within 3 months but no more than 6 months. Think about a patient move
Norepinephrine (NE) - ANS - Synthesized in locus coeruleus arousal and other functions like mood, hunger, and sleep
NMS - ANS - neuroleptic malignant syndrome *S*ever fever *C*hanging LOC *A*autonomic instability *R*rigidity *S*wearing and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cap, rigidity
Levels of Prevention - ANS - Primary: prevent/promotion, classes, safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day treatment, social skills
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