Georgette Review PMHNP. | QUESTIONS AND
ANSWERS | LATEST UPDATE
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Terms in this set (388)
When many answers are remarkably wrong
similar, they are usually _____________
Interprofessional collaboration is Collaborate is usually right.
encouraged. Delegate is usually wrong.
ADPIER Assessment, diagnosis, Plan, intervention, evaluate,
refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at levels > 1.5
Signs of Lithium toxicity severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard for MANIA
Lithium has evidence shown to reduce suicidal ideation
What does lithium cause in neonate, Ebstein anomaly (congenital heart defect)
especially 1st trimester
, dehydration and hyponatremia cause rise
lithium levels to
Baseline labs before initiation of TSH
lithium 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 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 staying hydrated
avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of Depakote spina bifida
Adverse effects of depakote alopecia
hepatotoxicity (RUQ pain or brown/red urine--
order LFTs) AST 5-40, ALT 5-35, yellowing of skin or
eyes, fatigue
ANSWERS | LATEST UPDATE
Save
Terms in this set (388)
When many answers are remarkably wrong
similar, they are usually _____________
Interprofessional collaboration is Collaborate is usually right.
encouraged. Delegate is usually wrong.
ADPIER Assessment, diagnosis, Plan, intervention, evaluate,
refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at levels > 1.5
Signs of Lithium toxicity severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard for MANIA
Lithium has evidence shown to reduce suicidal ideation
What does lithium cause in neonate, Ebstein anomaly (congenital heart defect)
especially 1st trimester
, dehydration and hyponatremia cause rise
lithium levels to
Baseline labs before initiation of TSH
lithium 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 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 staying hydrated
avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of Depakote spina bifida
Adverse effects of depakote alopecia
hepatotoxicity (RUQ pain or brown/red urine--
order LFTs) AST 5-40, ALT 5-35, yellowing of skin or
eyes, fatigue
