Answers // Graded A+ 2025 Edition.
Terms in this set (388)
When many answers are wrong
remarkably similar, they
are usually _____________
Interprofessional collaboration Collaborate is usually right. Delegate is
is usually wrong.
encouraged.
Assessment, diagnosis, Plan, intervention, evaluate,
ADPIER
refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at > 1.5
levels
severe nausea, diarrhea, vomiting, confusion,
Signs of Lithium toxicity drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard MANIA
for
Lithium has evidence reduce suicidal ideation
shown to
,What does lithium cause in Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester
dehydration and rise
hyponatremia cause
lithium levels to
TSH
creatinine (0.6-1.2)
BUN (10-20)
Baseline labs before
HCG (all psychotropics females 12-51) EKG 50+
initiation of lithium
Urinalysis (check for proteins, 4+ may indicate kidney
disease)
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
Side Effects of Lithium
anorexia
t wave inversions
leukocytosis
staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of spina bifida
Depakote
, alopecia
Adverse effects of hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST
depakote 5-40, ALT 5-35, yellowing of skin or eyes, fatigue