2025 Exam 250+Questions & Answers 100%
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When many answers are remarkably similar, they are usually _____________ - CORRECT ANSWERS
wrong
Interprofessional collaboration is encouraged. - CORRECT ANSWERS Collaborate is usually
right.
Delegate is usually wrong.
ADPIER - CORRECT ANSWERS Assessment, diagnosis, Plan, intervention, evaluate, refer out
last.
Lithium - CORRECT ANSWERS Normal 0.6-1.2
Lithium toxicity occurs at levels - CORRECT ANSWERS > 1.5
Signs of Lithium toxicity - CORRECT ANSWERS severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - CORRECT ANSWERS MANIA
Lithium has evidence shown to - CORRECT ANSWERS reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - CORRECT ANSWERS Ebstein
anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - CORRECT ANSWERS rise
Baseline labs before initiation of lithium - CORRECT ANSWERS TSH
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2025 Exam 250+Questions & Answers 100%
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2025 GRADED A+
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - CORRECT ANSWERS 50-125
Depakote toxicity level - CORRECT ANSWERS greater than 150
Teratogenic effects of Depakote - CORRECT ANSWERS spina bifida
Adverse effects of depakote - CORRECT ANSWERS alopecia
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2025 Exam 250+Questions & Answers 100%
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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 - CORRECT ANSWERS disorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity - CORRECT ANSWERS DC med
check level
LFT
ammonia
MAOI + tyramine causes - CORRECT ANSWERS hypertensive crisis
Symptoms of hypertensive crisis - CORRECT ANSWERS elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - CORRECT ANSWERS MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
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2025 Exam 250+Questions & Answers 100%
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2025 GRADED A+
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - CORRECT ANSWERS DC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos - CORRECT ANSWERS floppy baby, cleft palate
Teratogenic effects of tegratol - CORRECT ANSWERS neural tube defect
teratogenic effects of lithium - CORRECT ANSWERS ebstein anomaly (heart defect) (avoid,
especially 1st trimester)
teratogenic effects of depakote - CORRECT ANSWERS neural tube defects/spina bifida
Adverse reaction to Lamictal - CORRECT ANSWERS Steven Johnson's Syndrome
Signs of SJS - CORRECT ANSWERS FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache