A patient calls your office stating that he is experiencing…
A patient calls your office stating that he is experiencing a rash with some painful blisters, mostly on his lips and in his mouth. He felt mildly flu like a for the last couple of days as well. You look in his record and he was just in the office, where he received a increase in his dose of lamotrigine. What is the best course of action for the PMHNP?
Read DetailsAdam is a 23 year old Asian American male who calls your off…
Adam is a 23 year old Asian American male who calls your office to report a rash. He reports that he is experiencing swelling in his face, has a fever, has purpura on his arms and legs. He was treated for an infection in the ED with a medication that he can’t remember but it was intravenous and started with a V. He is currently taking carbamazepine. The most likely concern with Adam is:
Read DetailsTracy is a 24-year-old female who had her first hypomanic ep…
Tracy is a 24-year-old female who had her first hypomanic episode last month and presents to the PMHNP, now with symptoms consistent with major depressive episode. She is sexually active with a male partner and does not have plans to get pregnant, but she is not currently using birth control. First line pharmacotherapy for her would be which of the following:
Read DetailsGerald is a 65-year-old male who is brought in to the ED wit…
Gerald is a 65-year-old male who is brought in to the ED with acute changes in his behavior, including psychosis. You have been asked to consult. He has a history of bipolar I disorder and he takes valproate DR 750 mg PO BID. His current VPA level is 80. The ED physician has recommended in-patient monitoring for Gerald. You would expect the in-patient psychiatrist to:
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