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Vraylar Expert
Option
1
#660239
CONTEXT
(Help)
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What should Obama do next? »
What should Obama do next?
What should Obama do next?☜A series of debate maps for The Independent exploring the question of what Obama and America should do next on the main policy issues facing the new administration after the inauguraton on 20 January 2009.☜F1CEB7
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Health Care? »
Health Care?
Health Care?☜What policies should the Obama administration adopt towards the nations health care?☜FFB597
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The Obama-Biden Health Care Reform Plan »
The Obama-Biden Health Care Reform Plan
The Obama-Biden Health Care Reform Plan☜The Obama administration should implement the Obama-Biden health care reform plan.☜59C6EF
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How will the Obama-Biden plan be financed? »
How will the Obama-Biden plan be financed?
How will the Obama-Biden plan be financed?☜How will the Obama-Biden health care plan be financed?☜FFB597
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$ from middlemen to Pt-Dr. interaction via EHR's as VA VisTa »
$ from middlemen to Pt-Dr. interaction via EHR's as VA VisTa
$ from middlemen to Pt-Dr. interaction via EHR's as VA VisTa☜Funding for middlemen like Senior Drug Plan administrators shifted to finance the implementation of customized Public Option focused VA VisTa EMR/EHR☜59C6EF
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VA VisTa's potential to enhance Doctor-Patient interaction »
VA VisTa's potential to enhance Doctor-Patient interaction
VA VisTa's potential to enhance Doctor-Patient interaction☜Commercial versions of VA VisTa have the potential for being the EHR for all publically funded patients at a very low cost point.☜98CE71
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Comprehensively supports Primary Care »
Comprehensively supports Primary Care
Comprehensively supports Primary Care☜VisTa has comprehensive support for Primary Care☜98CE71
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Supports Coordination of Care »
Supports Coordination of Care
Supports Coordination of Care☜Coordination = sharing generalities,rights, responsibilities concepts, topics, themes, goals, algorithms, guidelines, task outlines, plans, outcomes, arguments, mistakes, results, conclusions, discoveries, predictions, revisions☜98CE71
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Communication with Drug Representative »
Communication with Drug Representative
Communication with Drug Representative☜☜FFB597
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Vraylar Expert
Vraylar Expert☜☜76A4CF
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Before starting Vraylar »
Before starting Vraylar
Before starting Vraylar☜Weigh all patients and track BMI during treatment; Get baseline personal and family history of diabetes, obesity, dyslipidemia, hypertension, and cardiovascular disease; Get waist circumference, blood pressure, fasting plasma glucose, and fasting lipid profile; Determine if the patient is overweight (BMI 25.0–29.9) obese (BMI >30) has pre-diabetes, has diabetes has hypertension, has dyslipidemia (increased total cholesterol, LDL cholesterol, and triglycerides)☜9FDEF6
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How Vraylar works »
How Vraylar works
How Vraylar works☜Partial agonism at dopamine 2 receptors; When dopamine high, reduces output---> improve positive symptoms & mediate antipsychotic actions; When dopamine low, increases output--->improve cognitive, negative, and mood symptoms; Preferentially binds to dopamine 3 over dopamine 2 receptors at low doses---> decrease negative symptoms; D3 partial agonism--> Rx cognition, mood, emotions, and reward/substance use; Serotonin 1A (partial agonist) & 2B (antagonist) Serotonin 2A receptors (antagonist)☜9FDEF6
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Vraylar - Monitoring after starting »
Vraylar - Monitoring after starting
Vraylar - Monitoring after starting☜BMI monthly for 3 months, then quarterly; Fasting triglycerides monthly for several months in patients at high risk for metabolic complications; BP, fasting glucose, & lipids within 3 months and then annually; Consider switching overweight, obese, pre-diabetic, diabetic, hypertensive, or dyslipidemic; Be vigilant for onset of diabetic ketoacidosis = rapid onset of polyuria, polydipsia, weight loss, nausea, vomiting, dehydration, rapid respiration, weakness, clouding of sensorium. ☜9FDEF6
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Vraylar Augmenting Combos »
Vraylar Augmenting Combos
Vraylar Augmenting Combos☜Best Augmenting Combos for Partial Response or Treatment Resistance: 1) Valproic acid (valproate, divalproex, divalproex ER) 2) Lamotrigine 3) Lithium 4) Benzodiazepines☜9FDEF6
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Vraylar Commonly Prescribed for: »
Vraylar Commonly Prescribed for:
Vraylar Commonly Prescribed for:☜Schizophrenia Acute mania/mixed mania Other psychotic disorders Bipolar maintenance Bipolar depression Treatment-resistant depression Behavioral disturbances in dementia Behavioral disturbances in children and adolescents Disorders associated with problems with impulse control☜9FDEF6
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Vraylar patients: Consider referring to »
Vraylar patients: Consider referring to
Vraylar patients: Consider referring to☜Nutrition and weight management; Physical activity counseling; Smoking cessation: and medical management☜9FDEF6
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Entered by:-
Charles Beauchamp
NodeID:
#660239
Node type:
Option
Entry date (GMT):
6/20/2020 5:39:00 PM
Last edit date (GMT):
6/20/2020 5:39:00 PM
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