Georgette Review PMHNP. QUESTIONS & ANSWERS 100% VERIFIED

When many answers are remarkably similar, they are usually _____________ - ANSWER wrong Interprofessional collaboration is encouraged. - ANSWER Collaborate is usually right. Delegate is usually wrong. ADPIER - ANSWER Assessment, diagnosis, Plan, intervention, evaluate, refer out last. Lithium - ANSWER Normal 0.6-1.2 Lithium toxicity occurs at levels - ANSWER 1.5 Signs of Lithium toxicity - ANSWER severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for - ANSWER MANIA Lithium has evidence shown to - ANSWER reduce suicidal ideation 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+ Urinalysis (check for proteins, 4+ may indicate kidney disease) Side Effects of Lithium - ANSWER hypothyroidism coase hand tremors with toxicity maculopapular rash diarrhea, vomiting, cramps--signs of toxicity. Monitor closely. anorexia t wave inversions leukocytosis Pt education for lithimum - ANSWER staying hydrated avoiding NSAIDS compliance Depakote normal level - ANSWER 50-125 Depakote toxicity level - ANSWER greater than 150 Teratogenic effects of Depakote - ANSWER spina bifida