When many answers are remarkably similar, they are usually _____________ -
ANSWER :
wrong
When two answers are opposites, usually... -
ANSWER :
one of those two is the correct answer
When looking at questions about intraprofessional communication: ________ don't
_________. -
ANSWER :
collaborate, dont delegate
If asked to differentiate #1 from #2; think what is unique about _______. -
ANSWER :
#1
If a question and an answer use the same words or synonyms, then that answer is usually
______. -
ANSWER :
correct
If an answer has absolutes (only, always) it is usually _________. -
ANSWER :
1
,wrong
Levels of prioritization to use when answering questions: three levels. -
ANSWER :
1. Airway, breathing, circulation
2. Maslowes - physiological needs (food, water, warmth, rest), safey and security
3. Nursing process: Assessment, diagnosis, plan, intervention, evaluate, refer out last
Lithium levels - Normal and Toxicity -
ANSWER :
Normal 0.6-1.2
Toxicity > 1.5
Lithium toxicity occurs at levels -
ANSWER :
> 1.5
Signs of Lithium toxicity -
ANSWER :
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpita-
tion, coarse hand tremors, unsteady gait
Lithium is gold standard for -
ANSWER :
MANIA
Lithium has evidence shown to (2) -
2
,ANSWER :
1. reduce suicidal ideation
2. Neuroprotective tx of choice for bipolar
What does lithium cause in neonate, especially 1st trimester -
ANSWER :
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to -
ANSWER :
rise
Baseline labs before initiation of lithium -
ANSWER :
TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Side Effects of Lithium and lithium toxicity -
ANSWER :
SIde Effects: hypothyroidism, coarse hand tremors with toxicity, diarrhea, leukocytosis
Toxicity: N/V, confusion, convulsions, drawsiness, blurred vision, slurred speech, mm weak-
ness, heart palpitations, course hand tremors, and unsteadiness when walking (STOP and
check levels)
Why are elderly more sensitive to lithium (5) -
3
, ANSWER :
Decreased intercellular water, protein binding, mm mass, and metabolism
Increased body fat
MAOI + tyramine causes -
ANSWER :
hypertensive crisis - life threatening and emergency
Symptoms of hypertensive crisis -
ANSWER :
elevated BP
sudden explosive occipital headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + -
ANSWER :
MEPERIDINE
STIMULANTS
TCAs
asthma meds
antipsychotics
Treatment for hypertensive crisis -
4
ANSWER :
wrong
When two answers are opposites, usually... -
ANSWER :
one of those two is the correct answer
When looking at questions about intraprofessional communication: ________ don't
_________. -
ANSWER :
collaborate, dont delegate
If asked to differentiate #1 from #2; think what is unique about _______. -
ANSWER :
#1
If a question and an answer use the same words or synonyms, then that answer is usually
______. -
ANSWER :
correct
If an answer has absolutes (only, always) it is usually _________. -
ANSWER :
1
,wrong
Levels of prioritization to use when answering questions: three levels. -
ANSWER :
1. Airway, breathing, circulation
2. Maslowes - physiological needs (food, water, warmth, rest), safey and security
3. Nursing process: Assessment, diagnosis, plan, intervention, evaluate, refer out last
Lithium levels - Normal and Toxicity -
ANSWER :
Normal 0.6-1.2
Toxicity > 1.5
Lithium toxicity occurs at levels -
ANSWER :
> 1.5
Signs of Lithium toxicity -
ANSWER :
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpita-
tion, coarse hand tremors, unsteady gait
Lithium is gold standard for -
ANSWER :
MANIA
Lithium has evidence shown to (2) -
2
,ANSWER :
1. reduce suicidal ideation
2. Neuroprotective tx of choice for bipolar
What does lithium cause in neonate, especially 1st trimester -
ANSWER :
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to -
ANSWER :
rise
Baseline labs before initiation of lithium -
ANSWER :
TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Side Effects of Lithium and lithium toxicity -
ANSWER :
SIde Effects: hypothyroidism, coarse hand tremors with toxicity, diarrhea, leukocytosis
Toxicity: N/V, confusion, convulsions, drawsiness, blurred vision, slurred speech, mm weak-
ness, heart palpitations, course hand tremors, and unsteadiness when walking (STOP and
check levels)
Why are elderly more sensitive to lithium (5) -
3
, ANSWER :
Decreased intercellular water, protein binding, mm mass, and metabolism
Increased body fat
MAOI + tyramine causes -
ANSWER :
hypertensive crisis - life threatening and emergency
Symptoms of hypertensive crisis -
ANSWER :
elevated BP
sudden explosive occipital headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + -
ANSWER :
MEPERIDINE
STIMULANTS
TCAs
asthma meds
antipsychotics
Treatment for hypertensive crisis -
4
