Georgette Review PMHNP.
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Georgette Review PMHNP. Georgette Review Exam Questions ... Lecture 8: Antipsych
388 terms Teacher 717 terms 48 terms
osujichristy Preview Evah_Msoo Preview Britt5645
When many answers are wrong
remarkably similar, they are
usually _____________
Interprofessional collaboration Collaborate is usually right.
is encouraged. Delegate is usually wrong.
ADPIER Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at levels > 1.5
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle
Signs of Lithium toxicity
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 Ebstein anomaly (congenital heart defect)
neonate, especially 1st trimester
dehydration and hyponatremia rise
cause lithium levels to
TSH
creatinine (0.6-1.2)
Baseline labs before initiation of BUN (10-20)
lithium HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
Side Effects of Lithium diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
, staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of Depakote spina bifida
alopecia
Adverse effects of depakote 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
DC med
Intervention for depakote check level
toxicity LFT
ammonia
MAOI + tyramine causes hypertensive crisis
elevated BP
sudden explosive like headache
facial flushing
Symptoms of hypertensive crisis palpitations
pupillary dilation
diaphoresis
fever
MEPERIDINE
STIMULANTS
decongestants
Hypertensive crisis occurs with TCAs
MAOI + atypicals
St. John's wart
L-tryptophan
asthma meds
DC offending agent
Treatment for hypertensive crisis
Administer PHENTOLAMINE
Teratogenic effects of benzos floppy baby, cleft palate
Teratogenic effects of tegratol neural tube defect
teratogenic effects of lithium ebstein anomaly (heart defect) (avoid, especially 1st trimester)
teratogenic effects of depakote neural tube defects/spina bifida
Adverse reaction to Lamictal Steven Johnson's Syndrome
FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
Signs of SJS skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Save
Students also studied
Flashcard sets Study guides
Georgette Review PMHNP. Georgette Review Exam Questions ... Lecture 8: Antipsych
388 terms Teacher 717 terms 48 terms
osujichristy Preview Evah_Msoo Preview Britt5645
When many answers are wrong
remarkably similar, they are
usually _____________
Interprofessional collaboration Collaborate is usually right.
is encouraged. Delegate is usually wrong.
ADPIER Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at levels > 1.5
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle
Signs of Lithium toxicity
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 Ebstein anomaly (congenital heart defect)
neonate, especially 1st trimester
dehydration and hyponatremia rise
cause lithium levels to
TSH
creatinine (0.6-1.2)
Baseline labs before initiation of BUN (10-20)
lithium HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
Side Effects of Lithium diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
, staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of Depakote spina bifida
alopecia
Adverse effects of depakote 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
DC med
Intervention for depakote check level
toxicity LFT
ammonia
MAOI + tyramine causes hypertensive crisis
elevated BP
sudden explosive like headache
facial flushing
Symptoms of hypertensive crisis palpitations
pupillary dilation
diaphoresis
fever
MEPERIDINE
STIMULANTS
decongestants
Hypertensive crisis occurs with TCAs
MAOI + atypicals
St. John's wart
L-tryptophan
asthma meds
DC offending agent
Treatment for hypertensive crisis
Administer PHENTOLAMINE
Teratogenic effects of benzos floppy baby, cleft palate
Teratogenic effects of tegratol neural tube defect
teratogenic effects of lithium ebstein anomaly (heart defect) (avoid, especially 1st trimester)
teratogenic effects of depakote neural tube defects/spina bifida
Adverse reaction to Lamictal Steven Johnson's Syndrome
FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
Signs of SJS skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
