Georgette's foundation
Lithium base line labs Correct answers -Thyroid Panel
(TSH)
-Serum creatinine (0.6-1.2mg/dl) (same number as
lithium)
-Blood urea nitrogen (BUN) (10-
20mg/dl)
-Pregnancy test (human chorionic gonadotropin
HCG)
-ECG for clients older
than 50
Meds mixed with Lithium that may reduce renal clearance Correct
-answers -NSAIDS
Thyizide
-Ace
s
inhibitors
Signs lithium toxicity Correct answers Nausea, vomitting, diarhea,
confusion, course
hand tremors, unsteady walking (ataxia), heart palpitations, muscle
weakness
What to do if lithium toxicity expected Correct answers D/C lithium and
get lithium
serum
level
MAOI mixed with what food and what meds may cause hypertensive
crisis Correct
answers tyramine (food like processed meats/cheeses aged). TCA
asthma
meds, St. Johns Wart, atypical
antipsychotics
Benzos teratogenic effects Correct answers floppy baby
syndrome
Lithium teratogenic effects Correct answers epstein
abnomaly
Depakote teratogenic effects Correct answers neural tube defects,
spina bifida
Carbamezapine (Tegretol) MOA Correct answers neural tube
defect
Lamotrigine (Lamictal) black box warning Correct answers Steven Johnson's
Syndrome
(Rash, fever, swell,
sick)
Depakote- davloproex sodium black box warning Correct answers
hepatotoxicity,
pancreatit
is
Carbamezipine (Tegretol) black box warning Correct answers
Agranulocytosis
aplastic
anemia
steven johnsons syndrome (in asians
especially)
-take pregnancy
test
What should pregnant women take while on mood stabilizer? Correct
answers
Acid Folicfolic acid to promote neural tube
0.4-0.8
development
, Normal ANC Correct answers 2500-
6500
Normal WBC Correct answers 4500-
11000
CLozaril (clozapine) warning Correct answers
neutropenia
agranulocytos
is
D/C clozaril or carbamezapine if ANC below or WBC below Correct answers
1000 anc
2000-
3000WBC
Normal BMI Correct answers 18.5-
24.9
Overweight BMI Correct answers 25-
29.9
Obese BMI Correct answers
30+
Bulimia BMI is usually Correct answers
normal
FDA approved medication for bulimia Correct answers Fluoxetine
(Prozac)
Russel's sign Correct answers Calluses/scars on the knuckles or dorsal hand
from self-
induced
vomiting
Medication recommended for anorexia? Correct answers No specific
medication. Just
treat
symptoms
Wellbutrin (bupropion) does not cause Correct answers sexual
dysfunction
Wellbutrin (bupropion) contraindications Correct answers seizures, eating
disorders
Wellbutrin (bupropion) helps with Correct answers Depression,
fatigue, smoking
cessatio
n
Wellbutrin (bupropion) class Correct answers NDRI (norepinephrine-dopamine
reuptake
inhibito
r)
SNRI examples Correct answers Venlafaxine
(Effexor)
Desvenlafaxine
(Pristiq)
Duloxetine
(Cymbalta)
SSRI examples Correct answers Citalopram
(Celexa)
Escitalopram
(Lexapro)
Fluoxetine
(Prozac)
Fluvoxamine
(Luvox)
Paroxetine
(Paxil)
Lithium base line labs Correct answers -Thyroid Panel
(TSH)
-Serum creatinine (0.6-1.2mg/dl) (same number as
lithium)
-Blood urea nitrogen (BUN) (10-
20mg/dl)
-Pregnancy test (human chorionic gonadotropin
HCG)
-ECG for clients older
than 50
Meds mixed with Lithium that may reduce renal clearance Correct
-answers -NSAIDS
Thyizide
-Ace
s
inhibitors
Signs lithium toxicity Correct answers Nausea, vomitting, diarhea,
confusion, course
hand tremors, unsteady walking (ataxia), heart palpitations, muscle
weakness
What to do if lithium toxicity expected Correct answers D/C lithium and
get lithium
serum
level
MAOI mixed with what food and what meds may cause hypertensive
crisis Correct
answers tyramine (food like processed meats/cheeses aged). TCA
asthma
meds, St. Johns Wart, atypical
antipsychotics
Benzos teratogenic effects Correct answers floppy baby
syndrome
Lithium teratogenic effects Correct answers epstein
abnomaly
Depakote teratogenic effects Correct answers neural tube defects,
spina bifida
Carbamezapine (Tegretol) MOA Correct answers neural tube
defect
Lamotrigine (Lamictal) black box warning Correct answers Steven Johnson's
Syndrome
(Rash, fever, swell,
sick)
Depakote- davloproex sodium black box warning Correct answers
hepatotoxicity,
pancreatit
is
Carbamezipine (Tegretol) black box warning Correct answers
Agranulocytosis
aplastic
anemia
steven johnsons syndrome (in asians
especially)
-take pregnancy
test
What should pregnant women take while on mood stabilizer? Correct
answers
Acid Folicfolic acid to promote neural tube
0.4-0.8
development
, Normal ANC Correct answers 2500-
6500
Normal WBC Correct answers 4500-
11000
CLozaril (clozapine) warning Correct answers
neutropenia
agranulocytos
is
D/C clozaril or carbamezapine if ANC below or WBC below Correct answers
1000 anc
2000-
3000WBC
Normal BMI Correct answers 18.5-
24.9
Overweight BMI Correct answers 25-
29.9
Obese BMI Correct answers
30+
Bulimia BMI is usually Correct answers
normal
FDA approved medication for bulimia Correct answers Fluoxetine
(Prozac)
Russel's sign Correct answers Calluses/scars on the knuckles or dorsal hand
from self-
induced
vomiting
Medication recommended for anorexia? Correct answers No specific
medication. Just
treat
symptoms
Wellbutrin (bupropion) does not cause Correct answers sexual
dysfunction
Wellbutrin (bupropion) contraindications Correct answers seizures, eating
disorders
Wellbutrin (bupropion) helps with Correct answers Depression,
fatigue, smoking
cessatio
n
Wellbutrin (bupropion) class Correct answers NDRI (norepinephrine-dopamine
reuptake
inhibito
r)
SNRI examples Correct answers Venlafaxine
(Effexor)
Desvenlafaxine
(Pristiq)
Duloxetine
(Cymbalta)
SSRI examples Correct answers Citalopram
(Celexa)
Escitalopram
(Lexapro)
Fluoxetine
(Prozac)
Fluvoxamine
(Luvox)
Paroxetine
(Paxil)
