GEORGETTE'S LMR MADE BASED OFF OF GEORGETTE'S
LAST MINUTE REVIEW EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS 2025/2026
what is lithium levels - ANSWER - >0.6-1.2
1.5 is toxic
S/S of lithium toxicity - ANSWER - >severe Nausea, confusion, course
hand tremors
what is the gold standard for mania - ANSWER - >Lithium
what labs do you order for lithium - ANSWER - >tsh serum
creatinine (Kidney) bun' urinalysis
HCG - for childbearing female ages 12-51
what are side affects of lithium - ANSWER -
>Hypothyroidism fine hand
tremors
Leukocytosis
what interventions to do for lithium toxicity - ANSWER -
>d/c agent check
lithium levels
What drugs can reduce renal clearance affecting levels may increase
serum concentration of drugs that are excreted by kidneys - ANSWER -
>Nsaids (Ibuprofen,
,Indocin)
Thiazides (Hydrochlothizide) Angio
converting enzyme inhibitors
cardiac meds (Lisinopril)
what can affect lithium levels - ANSWER - >dehyrdration hyponatremia
NMS is caused by - ANSWER - >Antipsychotics
NMS symptoms - ANSWER - >severe muscle rigidity, confusion,
agitation, and increased temperature, pulse, and blood pressure
life threatening
Mutism
What lab findings can show up with NMS - ANSWER - >Elevated
CPK Myoglobinuria elevated wbc
elevated LFT
What is Dantrolene? - ANSWER - >DIRECT-ACTING muscle relaxer
What is Bromocriptine - ANSWER - >Dopamine D2 agonist
what medication are safer in overdose - ANSWER - >SSRI if your patient
is depressed and diagnosed with cancer you can order what medicine -
ANSWER - >SSRI citalopram
escitalopram
what medicine can be ordered for a patient with depression and
neuropathy - ANSWER - >SNRI/TCA
Alpha 2 ligand
, Pregablin
Gabapentin
SSRI can cause - ANSWER - >serotonin syndrome
What are the signs of Serotonin Syndrome - ANSWER - >Altered mental
status, agitation, anxiety, confusion, hallucinations, tremor, myoclonus,
hyperreflexia, fever, diaphoresis, possibly death
when depression is gone you can switch to NDRI
*Wellbutrin*
If your patient has a history of eating disorders or seizures what do you
not give - ANSWER - >wellbutrin
what is black box warning for all antidepressants - ANSWER - >assess
self harm on young adults
if a patient has insomnia what do you recommend - ANSWER - >take in
morning
what health conditions can increase the risk of self harm
- ANSWER - >depression
schizophrenia eating
disorders alcohol abuse
bipolar
what disorder has the highest risk of homicidal ideation - ANSWER -
>antisocial personality disorder
LAST MINUTE REVIEW EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS 2025/2026
what is lithium levels - ANSWER - >0.6-1.2
1.5 is toxic
S/S of lithium toxicity - ANSWER - >severe Nausea, confusion, course
hand tremors
what is the gold standard for mania - ANSWER - >Lithium
what labs do you order for lithium - ANSWER - >tsh serum
creatinine (Kidney) bun' urinalysis
HCG - for childbearing female ages 12-51
what are side affects of lithium - ANSWER -
>Hypothyroidism fine hand
tremors
Leukocytosis
what interventions to do for lithium toxicity - ANSWER -
>d/c agent check
lithium levels
What drugs can reduce renal clearance affecting levels may increase
serum concentration of drugs that are excreted by kidneys - ANSWER -
>Nsaids (Ibuprofen,
,Indocin)
Thiazides (Hydrochlothizide) Angio
converting enzyme inhibitors
cardiac meds (Lisinopril)
what can affect lithium levels - ANSWER - >dehyrdration hyponatremia
NMS is caused by - ANSWER - >Antipsychotics
NMS symptoms - ANSWER - >severe muscle rigidity, confusion,
agitation, and increased temperature, pulse, and blood pressure
life threatening
Mutism
What lab findings can show up with NMS - ANSWER - >Elevated
CPK Myoglobinuria elevated wbc
elevated LFT
What is Dantrolene? - ANSWER - >DIRECT-ACTING muscle relaxer
What is Bromocriptine - ANSWER - >Dopamine D2 agonist
what medication are safer in overdose - ANSWER - >SSRI if your patient
is depressed and diagnosed with cancer you can order what medicine -
ANSWER - >SSRI citalopram
escitalopram
what medicine can be ordered for a patient with depression and
neuropathy - ANSWER - >SNRI/TCA
Alpha 2 ligand
, Pregablin
Gabapentin
SSRI can cause - ANSWER - >serotonin syndrome
What are the signs of Serotonin Syndrome - ANSWER - >Altered mental
status, agitation, anxiety, confusion, hallucinations, tremor, myoclonus,
hyperreflexia, fever, diaphoresis, possibly death
when depression is gone you can switch to NDRI
*Wellbutrin*
If your patient has a history of eating disorders or seizures what do you
not give - ANSWER - >wellbutrin
what is black box warning for all antidepressants - ANSWER - >assess
self harm on young adults
if a patient has insomnia what do you recommend - ANSWER - >take in
morning
what health conditions can increase the risk of self harm
- ANSWER - >depression
schizophrenia eating
disorders alcohol abuse
bipolar
what disorder has the highest risk of homicidal ideation - ANSWER -
>antisocial personality disorder
