Georgette Review PMHNP Questions and Guide
Answers, 100% Verified Graded A+
When many answers are remarkably similar, they are usually
_____________
Answer: wrong
Interprofessional collaboration is encouraged.
Answer: Collaborate is usually right.
Delegate is usually wrong.
ADPIER
Answer: Assessment, diagnosis, Plan, intervention, evaluate, refer
out last.
Lithium
Answer: Normal 0.6-1.2
Lithium toxicity occurs at levels
Answer: > 1.5
Signs of Lithium toxicity
,Answer: severe nausea, diarrhea, vomiting, confusion, drowsiness,
muscle weakness, heart palpitation, coarse hand tremors,
unsteady gait
Lithium is gold standard for
Answer: MANIA
Lithium has evidence shown to
Answer: reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester
Answer: Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to
Answer: rise
Baseline labs before initiation of lithium
Answer: TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
,EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium
Answer: hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum
Answer: staying hydrated
avoiding NSAIDS
compliance
Depakote normal level
Answer: 50-125
Depakote toxicity level
, Answer: greater than 150
Teratogenic effects of Depakote
Answer: spina bifida
Adverse effects of depakote
Answer: alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-
40, ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity
Answer: disorientation, lethargy, respiratory depression,
nausea/vomiting
Intervention for depakote toxicity
Answer: DC med
check level
LFT
ammonia
MAOI + tyramine causes
Answer: hypertensive crisis
Answers, 100% Verified Graded A+
When many answers are remarkably similar, they are usually
_____________
Answer: wrong
Interprofessional collaboration is encouraged.
Answer: Collaborate is usually right.
Delegate is usually wrong.
ADPIER
Answer: Assessment, diagnosis, Plan, intervention, evaluate, refer
out last.
Lithium
Answer: Normal 0.6-1.2
Lithium toxicity occurs at levels
Answer: > 1.5
Signs of Lithium toxicity
,Answer: severe nausea, diarrhea, vomiting, confusion, drowsiness,
muscle weakness, heart palpitation, coarse hand tremors,
unsteady gait
Lithium is gold standard for
Answer: MANIA
Lithium has evidence shown to
Answer: reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester
Answer: Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to
Answer: rise
Baseline labs before initiation of lithium
Answer: TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
,EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium
Answer: hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum
Answer: staying hydrated
avoiding NSAIDS
compliance
Depakote normal level
Answer: 50-125
Depakote toxicity level
, Answer: greater than 150
Teratogenic effects of Depakote
Answer: spina bifida
Adverse effects of depakote
Answer: alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-
40, ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity
Answer: disorientation, lethargy, respiratory depression,
nausea/vomiting
Intervention for depakote toxicity
Answer: DC med
check level
LFT
ammonia
MAOI + tyramine causes
Answer: hypertensive crisis
