GEORGETTE MODULE 5 FINAL PAPER 2026
STUDY GUIDE DETAILED ANSWERS READY
◉ Lithium toxicity level
Answer: greater than or equal to 1.5
◉ what is the gold standard for treating manic episodes?
Answer: Lithium
◉ What drug has evidence of anti-suicidal effects for bipolar
disorder?
Answer: Lithium
◉ baseline labs to collect in order to R/O medical diagnoses prior to
giving Lithium
Answer: TSH (r/o bipolar)
Creatinine (0.6-1.2)
BUN (10-20)
Pregnancy test
ECG if greater than 50 (inverted T-waves)
,◉ All psychotropics should have what test prior to giving for child-
bearing age?
Answer: pregnancy test
◉ what is considered child-bearing age?
Answer: 12-51
◉ SE of Lithium? (endocrine)
Answer: HYPOthyroidism
◉ SE of Lithium? (CNS)
Answer: **course hand tremors w/ toxicity
◉ SE of Lithium? (dermatological)
Answer: Maculopapular rash
◉ SE of Lithium? (GI)
Answer: diarrhea, vomiting, cramp, anorexia
**imp. because these become severe w/ toxicity
◉ SE of Lithium? (Renal)
Answer: diabetes insipidus (polyuria r/t polydipsia)
,◉ SE of Lithium? (Cardiac)
Answer: T-wave inversions
◉ SE of Lithium? (Hematologic)
Answer: leukocytosis (increased WBC)
◉ Hypertensive Crisis occurs when.....
Answer: MAOIs are taken in conjunction w/ foods containing
TYRAMINE (dietary precursor of NE)
◉ Hypertensive crisis is _____-__________ and cannot be reversed
unless.....
Answer: life-threatening & cannot be reversed unless more MAO is
produced by the body
◉ Hypertensive crisis & death can occur when MAOIs are taken in
conjunction with which types of meds??
Answer: ***Meperidine
***Stimulants/other sympathomimetics
Decongestants/TCA/SGA/St. Johns Wort/L-tryptophan
◉ Symptoms of Hypertensive crisis include
, Answer: sudden explosive-like HA in OCCIPITAL region
Fever**
◉ Treatment of Hypertensive Crisis
Answer: 1. d/c offending agent (MAOI)
2. administer PHENTOLAMINE
3. Stabilize fever
◉ medication to reverse hypertensive crisis w/ MAOI?
Answer: Phentolamine****
◉ List of common MAOIs (don't need to memorize, just know what it
looks like)
Answer: Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (Emsam)
Tranylcypromine (Parnate)
◉ Teratogenic risks of common psych meds (Benzo, Carbamazepine,
Lithium, Depakote)
Answer: Benzo: floppy baby & cleft palate
Carbamazepine: neural tube defect
STUDY GUIDE DETAILED ANSWERS READY
◉ Lithium toxicity level
Answer: greater than or equal to 1.5
◉ what is the gold standard for treating manic episodes?
Answer: Lithium
◉ What drug has evidence of anti-suicidal effects for bipolar
disorder?
Answer: Lithium
◉ baseline labs to collect in order to R/O medical diagnoses prior to
giving Lithium
Answer: TSH (r/o bipolar)
Creatinine (0.6-1.2)
BUN (10-20)
Pregnancy test
ECG if greater than 50 (inverted T-waves)
,◉ All psychotropics should have what test prior to giving for child-
bearing age?
Answer: pregnancy test
◉ what is considered child-bearing age?
Answer: 12-51
◉ SE of Lithium? (endocrine)
Answer: HYPOthyroidism
◉ SE of Lithium? (CNS)
Answer: **course hand tremors w/ toxicity
◉ SE of Lithium? (dermatological)
Answer: Maculopapular rash
◉ SE of Lithium? (GI)
Answer: diarrhea, vomiting, cramp, anorexia
**imp. because these become severe w/ toxicity
◉ SE of Lithium? (Renal)
Answer: diabetes insipidus (polyuria r/t polydipsia)
,◉ SE of Lithium? (Cardiac)
Answer: T-wave inversions
◉ SE of Lithium? (Hematologic)
Answer: leukocytosis (increased WBC)
◉ Hypertensive Crisis occurs when.....
Answer: MAOIs are taken in conjunction w/ foods containing
TYRAMINE (dietary precursor of NE)
◉ Hypertensive crisis is _____-__________ and cannot be reversed
unless.....
Answer: life-threatening & cannot be reversed unless more MAO is
produced by the body
◉ Hypertensive crisis & death can occur when MAOIs are taken in
conjunction with which types of meds??
Answer: ***Meperidine
***Stimulants/other sympathomimetics
Decongestants/TCA/SGA/St. Johns Wort/L-tryptophan
◉ Symptoms of Hypertensive crisis include
, Answer: sudden explosive-like HA in OCCIPITAL region
Fever**
◉ Treatment of Hypertensive Crisis
Answer: 1. d/c offending agent (MAOI)
2. administer PHENTOLAMINE
3. Stabilize fever
◉ medication to reverse hypertensive crisis w/ MAOI?
Answer: Phentolamine****
◉ List of common MAOIs (don't need to memorize, just know what it
looks like)
Answer: Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (Emsam)
Tranylcypromine (Parnate)
◉ Teratogenic risks of common psych meds (Benzo, Carbamazepine,
Lithium, Depakote)
Answer: Benzo: floppy baby & cleft palate
Carbamazepine: neural tube defect
