Pharm Warnings

Question 1

Atypical antipsychotics

Answer 1

Increased death in older folks with dementia

Question 2

Clozapine

Answer 2

Decreased WBC

Question 3

Bupropion

Answer 3

Seizures

Question 4

Lamotrigine

Answer 4

Rash
Steven Johnson

Question 5

Valproic acid

Answer 5

Liver dysfunction

Question 6

Carbamazepine

Answer 6

Decreased WBC

Question 7

Early lithium toxicity

Answer 7

Ataxia

Question 8

Mild lithium toxicity

Answer 8

Lethargic and slurring
Nausea and diarrhea
Tremor

Question 9

Moderate lithium toxicity

Answer 9

Tremor
Ataxia
Confusion
Delirium

Question 10

Severe lithium toxicity

Answer 10

Altered LOC
Hyperextended extremities
Seizures
Coma
Death

Question 11

Signs of serotonin syndrome

Answer 11

Confusion
Anxiety and tremors
HTN, high temp
Sweating
Ataxia

Question 12

Signs of anticholinergic toxicity

Answer 12

HTN, tachycardia, fever
Retention, decreased bowel sounds
Tremors
Flushing
Dry
Mydriasis
Altered mental status
“Red as a beet, dry as a bone, blind as a bat, mad as a hatter, hot as a hare”

Question 13

Signs of dystonia

Answer 13

Twisting and pain
Rigid and cramping
Respiratory and dysphagia

Question 14

Signs of pseudo Parkinson’s

Answer 14

Shuffling
Vocal tics
Mask
Stooped
Drooling
Tremor

Question 15

Signs of akathisia

Answer 15

Restlessness

Question 16

Signs of tardive dyskinesia

Answer 16

May be permanent
Uncontrollable movements - commonly in face

Question 17

Signs of neuroleptic malignant syndrome

Answer 17

Rigid, dystonia
Mute, lethargic
Akinesia
Agitation
Very high fever
Profuse diaphoresis
Tachycardia , labile BP
Increased WBC and enzymes