LMR - Georgette's Exam Questions And Answers Verified 100% Correct

LMR - Georgette's Exam Questions And Answers Verified 100% Correct What 6 drugs can induce depression? "SIP BARB" Steroids Interferon, Progesterone Beta blockers Accutane, (Isotretinoin) Retroviral drugs, Antineoplastic drugs Benzodiazepines Steroids can induce what 3 psychiatric states? Mania Depression Psychosis REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____. What is the best environment to interview this pt in? reassure safety, provide environment of safety private area with door open/partially open What is the therapeutic range for lithium? 0.6-1.2 mEq/L Many postpartum women have SI after delivery, yet they don’t have psych evals before leaving the hospital, what could a possible solution be? collaborating care between psych and OBGYN to provide the best care for that pt If collaborating with a provider who is not in the same clinic or hospital, the informed consent [does/does not] apply? Does not, ie pt will need to sign consent for labs/ chart to be sent When discharging from inpatient you want [to fax/print off-give to pt.] labs for the outpatient provider before pt discharge? fax; so the new provider has them for follow-up appointment Before referring a pt out or discharging them, it is good to ask yourself what question? is there something that I could do for this patient first? What 3 things are MUST KNOWS about Lithium? has neuroprotective effect for bipolar disorder the gold standard for treating manic episodes the mood stabilizer w/ anti-suicidal effects What mood stabilizer has anti-suicidal effects? Lithium What 5 labs should be drawn with lithium? Thyroid panel (TSH) Serum creatinine BUN Urinalysis HCG What is a normal SerumCr range? 0.6-1.2 mg/dL What is the normal range for BUN? 10-20 mg/dL When should you suspect kidney disease with a urinalysis? 4+ protein; if pt on Lithium--monitor closely toxicity What are 7 side effects of lithium? Hypothyroidism Fine hand tremors Maculopapular rash GI upset (N/V/D, cramps, anorexia) Polyuria, polydipsia, diabetes insipidus T-wave inversions Leucocytosis What are 7 signs of lithium toxicity? Severe nausea, vomiting, diarrhea Confusion Drowsiness Muscle weakness Heart palpitations Coarse hand tremor Unsteadiness while standing or walking Bold =must knows Which 3 drugs can increase lithium levels by decreasing renal clearance? NSAIDs (ibuprofen, indomethacin) Thiazides ACE-I What is a toxic level of lithium? 1.5 mEq/L or higher