Georgette Review PMHNP/ 388 Quizzes with Certified Ans.
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Georgette PMHNP
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Georgette PMHNP
Georgette Review PMHNP/ 388 Quizzes with Certified Ans. Terms like:
Lithium has evidence shown to - Answer: reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - Answer: Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium ...
Georgette Review PMHNP/ 388 Quizzes with
Certified Ans.
Lithium has evidence shown to - Answer: reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - Answer: Ebstein
anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - Answer: rise
Baseline labs before initiation of lithium - Answer: TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
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,EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - Answer: hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Depakote toxicity level - Answer: greater than 150
When many answers are remarkably similar, they are usually _____________ -
Answer: wrong
Interprofessional collaboration is encouraged. - Answer: Collaborate is usually
right.
Delegate is usually wrong.
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,ADPIER - Answer: Assessment, diagnosis, Plan, intervention, evaluate, refer out
last.
Lithium - Answer: Normal 0.6-1.2
Lithium toxicity occurs at levels - Answer: > 1.5
Signs of Lithium toxicity - Answer: severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady
gait
Lithium is gold standard for - Answer: MANIA
Teratogenic effects of Depakote - Answer: spina bifida
Adverse effects of depakote - Answer: alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
yellowing of skin or eyes, fatigue
Symptoms of hypertensive crisis - Answer: elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - Answer: MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - Answer: DC offending agent
Administer PHENTOLAMINE
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