Georgette Review PMHNP/ 388 Quizzes with Certified Ans.
2 views 0 purchase
Course
Georgette PMHNP
Institution
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)
Page 1 of 61
,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.
Page 2 of 61
,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
Page 4 of 61
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller docmickey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
