8/12/26, 12:00 AM PMHNP Review (Georgette) Flashcards | Quizlet
PMHNP Review (Georgette)
5.0 (1 review)
Students also studied
Flashcard sets Study guides
Georgette Review PMHNP. PMHNP Exam Reported Questions -... LMR Georgette’s PMHNP Certificati... Purple
388 terms 341 terms 249 terms Teacher
osujichristy Preview incrediblekem1 Preview Hayden_Waugh Preview lost
Terms in this set (590)
Lithium Level - normal 0.6-1.2
Lithium Toxicity >1.5
Narrow therapeutic window
Lithium Gold Standard Manic Episodes
has some slight effects on depressive symptoms
Long-standing history
Lithium has evidence for Reducing suicidal ideation
Lithium for Bipolar Is neuroprotective. The neuroprotective effects of lithium are attributed to its
ability to regulate several biological pathways and processes:
Neuroprotective has properties that help protect neurons (nerve cells) from damage,
degeneration, or death. This effect is significant in the context of
neurodegenerative diseases, mood disorders, and other conditions that involve
neuronal injury.
Baseline Labs for Lithium Thyroid Panel (TSH)
Serum Creatinine (.06-1.2)
Blood Urea Nitrogen (BUN) 10-20
Pregnancy test (HCG) - all females 12-51 on psychotropics
EKG 50+
https://quizlet.com/1079947701/pmhnp-review-georgette-flash-cards/ 1/11
, 8/12/26, 12:00 AM PMHNP Review (Georgette) Flashcards | Quizlet
Side effects of Lithium Endo (wt gain, hypothyroid)
CNS (fine hand tremor, fatigue, brain fog, HA, nystagmus)
Dermatological (maculopapular rash, acne, pruritis)
GI (Diarrhea, vomiting, cramps, anorexia)
Renal (Diabetes insipidus, polyuria/polydypsia, edema, tubular changes in the
kidneys)
Cardiac (T wave inversion, dysrhythmia)
Hematologic (leukocytosis - increased WBC)
Drugs that reduce renal clearance Kidney disease, reduces renal clearance
NSAIDS (Ibuprophen, Indocin)
Thiazides (HCTZ)
Ace Inhibitors (Lisinopril)
these drugs cause an increase in serum concentration of the drugs excreted by
the kidney such as Lithium
Lithium excretion Kidney - impacted by drugs that reduce renal clearance
Lithium toxicity Severe
Nausea, vomiting, diarrhea
Confusion, convulsions
drowsiness, blurred vision
slurred speech
Muscle weakness
Heart palpitations
Coarse hand tremors
Ataxia (unstable gait)
Treatment for Lithium Toxicity First: DC Lithium, Check serum lithium levels
Management secondary: Vital signs, ekg,
Therapeutic effect of Lithium Narrow therapeutic window
Draw at trough level, 12 hours post dose
Level at 1.2 and above is at risk for toxicity
Lithium and pregnancy Category D
Lactation category L3
Elderly and psychotropics More sensitive due to
decreased intracellular water
Protien binding
Low muscle mass
decreased metabolism
increased body fat
https://quizlet.com/1079947701/pmhnp-review-georgette-flash-cards/ 2/11
PMHNP Review (Georgette)
5.0 (1 review)
Students also studied
Flashcard sets Study guides
Georgette Review PMHNP. PMHNP Exam Reported Questions -... LMR Georgette’s PMHNP Certificati... Purple
388 terms 341 terms 249 terms Teacher
osujichristy Preview incrediblekem1 Preview Hayden_Waugh Preview lost
Terms in this set (590)
Lithium Level - normal 0.6-1.2
Lithium Toxicity >1.5
Narrow therapeutic window
Lithium Gold Standard Manic Episodes
has some slight effects on depressive symptoms
Long-standing history
Lithium has evidence for Reducing suicidal ideation
Lithium for Bipolar Is neuroprotective. The neuroprotective effects of lithium are attributed to its
ability to regulate several biological pathways and processes:
Neuroprotective has properties that help protect neurons (nerve cells) from damage,
degeneration, or death. This effect is significant in the context of
neurodegenerative diseases, mood disorders, and other conditions that involve
neuronal injury.
Baseline Labs for Lithium Thyroid Panel (TSH)
Serum Creatinine (.06-1.2)
Blood Urea Nitrogen (BUN) 10-20
Pregnancy test (HCG) - all females 12-51 on psychotropics
EKG 50+
https://quizlet.com/1079947701/pmhnp-review-georgette-flash-cards/ 1/11
, 8/12/26, 12:00 AM PMHNP Review (Georgette) Flashcards | Quizlet
Side effects of Lithium Endo (wt gain, hypothyroid)
CNS (fine hand tremor, fatigue, brain fog, HA, nystagmus)
Dermatological (maculopapular rash, acne, pruritis)
GI (Diarrhea, vomiting, cramps, anorexia)
Renal (Diabetes insipidus, polyuria/polydypsia, edema, tubular changes in the
kidneys)
Cardiac (T wave inversion, dysrhythmia)
Hematologic (leukocytosis - increased WBC)
Drugs that reduce renal clearance Kidney disease, reduces renal clearance
NSAIDS (Ibuprophen, Indocin)
Thiazides (HCTZ)
Ace Inhibitors (Lisinopril)
these drugs cause an increase in serum concentration of the drugs excreted by
the kidney such as Lithium
Lithium excretion Kidney - impacted by drugs that reduce renal clearance
Lithium toxicity Severe
Nausea, vomiting, diarrhea
Confusion, convulsions
drowsiness, blurred vision
slurred speech
Muscle weakness
Heart palpitations
Coarse hand tremors
Ataxia (unstable gait)
Treatment for Lithium Toxicity First: DC Lithium, Check serum lithium levels
Management secondary: Vital signs, ekg,
Therapeutic effect of Lithium Narrow therapeutic window
Draw at trough level, 12 hours post dose
Level at 1.2 and above is at risk for toxicity
Lithium and pregnancy Category D
Lactation category L3
Elderly and psychotropics More sensitive due to
decreased intracellular water
Protien binding
Low muscle mass
decreased metabolism
increased body fat
https://quizlet.com/1079947701/pmhnp-review-georgette-flash-cards/ 2/11
