Georgette Georgette Review Pmhnp

Georgette Review PMHNP PS: 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