GEORGETTE REVIEW. PMHNP- 388 QUESTIONS

GEORGETTE REVIEW. PMHNP- 388 QUESTIONS-

WITH COMPLETE SOLUTIONS 2024 UPDATE |

GUARANTEED PASS|

When gmany ganswers gare gremarkably gsimilar, gthey gare gusually
g_____________ g g g g g g g g g- gANS g- gwrong




Interprofessional gcollaboration gis gencouraged. g g g g g g g g g- gANS g-
gCollaborate gis gusually gright. g



Delegate gis gusually gwrong.



ADPIER g g g g g g g g g- gANS g- gAssessment, gdiagnosis, gPlan, gintervention,
gevaluate, grefer gout glast.




Lithium g g g g g g g g g- gANS g- gNormal g0.6-1.2



Lithium gtoxicity goccurs gat glevels g g g g g g g g g- gANS g- g> g1.5

,Signs gof gLithium gtoxicity g g g g g g g g g- gANS g- gsevere gnausea, gdiarrhea,
gvomiting, gconfusion, gdrowsiness, gmuscle gweakness, gheart gpalpitation,

gcoarse ghand gtremors, gunsteady ggait




Lithium gis ggold gstandard gfor g g g g g g g g g- gANS g- gMANIA



Lithium ghas gevidence gshown gto g g g g g g g g g- gANS g- greduce gsuicidal
gideation




What gdoes glithium gcause gin gneonate, gespecially g1st gtrimester g g g g g g g g g-
gANS g- gEbstein ganomaly g(congenital gheart gdefect)




dehydration gand ghyponatremia gcause glithium glevels gto g g g g g g g g g- gANS g-
grise




Baseline glabs gbefore ginitiation gof glithium g g g g g g g g g- gANS g- gTSH

creatinine g(0.6-1.2)

BUN g(10-20)

HCG g(all gpsychotropics gfemales g12-51)

EKG g50+

Urinalysis g(check gfor gproteins, g4+ gmay gindicate gkidney gdisease)

,Side gEffects gof gLithium g g g g g g g g g- gANS g- ghypothyroidism

coase ghand gtremors gwith gtoxicity

maculopapular grash

diarrhea, gvomiting, gcramps--signs gof gtoxicity. gMonitor gclosely. g

anorexia

t gwave ginversions

leukocytosis



Pt geducation gfor glithimum g g g g g g g g g- gANS g- gstaying ghydrated

avoiding gNSAIDS

compliance



Depakote gnormal glevel g g g g g g g g g- gANS g- g50-125



Depakote gtoxicity glevel g g g g g g g g g- gANS g- ggreater gthan g150



Teratogenic geffects gof gDepakote g g g g g g g g g- gANS g- gspina gbifida



Adverse geffects gof gdepakote g g g g g g g g g- gANS g- galopecia

, hepatotoxicity g(RUQ gpain gor gbrown/red gurine--order gLFTs) gAST g5-40,
gALT g5-35, gyellowing gof gskin gor geyes, gfatigue




Signs gof gDepakote gtoxicity g g g g g g g g g- gANS g- gdisorientation, glethargy,
grespiratory gdepression, gnausea/vomiting




Intervention gfor gdepakote gtoxicity g g g g g g g g g- gANS g- gDC gmed

check glevel

LFT

ammonia



MAOI g+ gtyramine gcauses g g g g g g g g g- gANS g- ghypertensive gcrisis



Symptoms gof ghypertensive gcrisis g g g g g g g g g- gANS g- gelevated gBP

sudden gexplosive glike gheadache

facial gflushing

palpitations

pupillary gdilation

diaphoresis

fever