Georgette Review correctly answered 2022(already passed)

Georgette Review correctly answered 2022(already passed)When many answers are remarkably similar, they are usually _____________ wrong Interprofessional collaboration is encouraged. Collaborate is usually right. Delegate is usually wrong. 01:25 01:41 ADPIER Assessment, diagnosis, Plan, intervention, evaluate, refer out last. Lithium Normal 0.6-1.2 Lithium toxicity occurs at levels 1.5 Signs of Lithium toxicity severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for MANIA Lithium has evidence shown to reduce suicidal ideation What does lithium cause in neonate, especially 1st trimester Ebstein anomaly (congenital heart defect) dehydration and hyponatremia cause lithium levels to rise Baseline labs before initiation of lithium TSH 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 hypothyroidism coase hand tremors with toxicity maculopapular rash diarrhea, vomiting, cramps--signs of toxicity. Monitor closely. anorexia t wave inversions leukocytosis 00:02 01:41 Pt education for lithimum staying hydrated avoiding NSAIDS compliance Depakote normal level 50-125 Depakote toxicity level greater than 150 Teratogenic effects of Depakote spina bifida Adverse effects of depakote alopecia 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 disorientation, lethargy, respiratory depression, nausea/vomiting Intervention for depakote toxicity DC med check level LFT ammonia MAOI + tyramine causes hypertensive crisis Symptoms of hypertensive crisis elevated BP sudden explosive like headache facial flushing palpitations pupillary dilation diaphoresis fever Hypertensive crisis occurs with MAOI + MEPERIDINE STIMULANTS decongestants TCAs atypicals St. John's wart L-tryptophan asthma meds Treatment for hypertensive crisis DC offending agent Administer PHENTOLAMINE Teratogenic effects of benzos floppy baby, cleft palate