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Georgette Review. PMHNP- 388 QUESTIONS- WITH COMPLETE SOLUTIONS 2024 Updat
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GEORGETTE REVIEW. PMHNP- 388 QUESTIONS-N N N N
N WITH COMPLETE SOLUTIONS 2024 UPDATE
N N N N
[GUARANTEED PASS]
N N
When nmany nanswers nare nremarkably nsimilar, nthey nare nusually
n_____________ n n n n n n n n n- nANS n- nwrong
Interprofessional ncollaboration nis nencouraged. n n n n n n n n n- nANS n-
nCollaborate nis nusually nright. n
Delegate nis nusually nwrong.
ADPIER n n n n n n n n n- nANS n- nAssessment, ndiagnosis, nPlan, nintervention,
nevaluate, nrefer nout nlast.
Lithium n n n n n n n n n- nANS n- nNormal n0.6-1.2
Lithium ntoxicity noccurs nat nlevels n n n n n n n n n- nANS n- n> n1.5
,Signs nof nLithium ntoxicity n n n n n n n n n- nANS n- nsevere nnausea, ndiarrhea,
nvomiting, nconfusion, ndrowsiness, nmuscle nweakness, nheart npalpitation,
ncoarse nhand ntremors, nunsteady ngait
Lithium nis ngold nstandard nfor n n n n n n n n n- nANS n- nMANIA
Lithium nhas nevidence nshown nto n n n n n n n n n- nANS n- nreduce nsuicidal
nideation
What ndoes nlithium ncause nin nneonate, nespecially n1st ntrimester n n n n n n n n
n- nANS n- nEbstein nanomaly n(congenital nheart ndefect)
dehydration nand nhyponatremia ncause nlithium nlevels nto n n n n n n n n n- nANS n-
nrise
Baseline nlabs nbefore ninitiation nof nlithium n n n n n n n n n- nANS n- nTSH
creatinine n(0.6-1.2)
BUN n(10-20)
HCG n(all npsychotropics nfemales n12-51)
EKG n50+
,Urinalysis n(check nfor nproteins, n4+ nmay nindicate nkidney ndisease)
Side nEffects nof nLithium n n n n n n n n n- nANS n- nhypothyroidism
coase nhand ntremors nwith ntoxicity
maculopapular nrash
diarrhea, nvomiting, ncramps--signs nof ntoxicity. nMonitor nclosely. n
anorexia
t nwave ninversions
leukocytosis
Pt neducation nfor nlithimum n n n n n n n n n- nANS n- nstaying nhydrated
avoiding nNSAIDS
compliance
Depakote nnormal nlevel n n n n n n n n n- nANS n- n50-125
Depakote ntoxicity nlevel n n n n n n n n n- nANS n- ngreater nthan n150
Teratogenic neffects nof nDepakote n n n n n n n n n- nANS n- nspina nbifida
, Adverse neffects nof ndepakote n n n n n n n n n- nANS n- nalopecia
hepatotoxicity n(RUQ npain nor nbrown/red nurine--order nLFTs) nAST n5-40,
nALT n5-35, nyellowing nof nskin nor neyes, nfatigue
Signs nof nDepakote ntoxicity n n n n n n n n n- nANS n- ndisorientation, nlethargy,
nrespiratory ndepression, nnausea/vomiting
Intervention nfor ndepakote ntoxicity n n n n n n n n n- nANS n- nDC nmed
check nlevel
LFT
ammonia
MAOI n+ ntyramine ncauses n n n n n n n n n- nANS n- nhypertensive ncrisis
Symptoms nof nhypertensive ncrisis n n n n n n n n n- nANS n- nelevated nBP
sudden nexplosive nlike nheadache
facial nflushing
palpitations
pupillary ndilation
diaphoresis
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