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Terms in this set (388)
When many answers are wrong
remarkably 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
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle
Signs of Lithium toxicity
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 Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester
dehydration and hyponatremia rise
cause lithium levels to
TSH
creatinine (0.6-1.2)
BUN (10-20)
Baseline labs before initiation of
HCG (all psychotropics females
lithium
12-51) EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
, hypothyroidism
coase hand tremors with
toxicity maculopapular
Side Effects of Lithium rash
diarrhea, vomiting, cramps--signs of toxicity.
Monitor closely. anorexia
t wave
inversions
leukocytosis
staying
Pt education for lithimum hydrated
avoiding
NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of Depakote spina bifida
alopecia
Adverse effects of depakote 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 disorientation, lethargy, respiratory depression, nausea/vomiting
DC med
check
Intervention for depakote toxicity
level LFT
ammonia
MAOI + tyramine causes hypertensive crisis
elevated BP
sudden explosive like
headache facial flushing
Symptoms of hypertensive crisis palpitations
pupillary
dilation
diaphoresis
fever