GEORGETTES REVIEW

Question 1

therapeutic lithium level

Answer 1

0.6-1.2 meq/l

Question 2

gold standard for mania, neuroprotective

Answer 2

Lithium

Question 3

baseline labs before initiation of lithium

Answer 3

TSH, serum creatinine (0.6-1.2), BUN (10-20), pregnancy test, EKG for clients older than 50

Question 4

side effects of lithium

Answer 4

impaired thyroid function, fine hand tremors, fatigue, headache, nystagmus, mental cloudiness, maculopapular rash, pruritus, acne, GI upset, N/V/D, anorexia, cramps, polyuria/polydipsia, DI, edema, T-wave inversions, dysrhytmias, leukocytosis

Question 5

kidney disease or Drugs that reduce renal clearance do WHAT to serum concentration of drugs that are excreted by kidneys

Answer 5

INCREASE
ex: Lithium

Question 6

Examples of drugs that reduce renal clearance that will INCREASE serum concentrations of lithium, or other drugs excreted by kidneys

Answer 6

NSAIDS, thiazides, ACE inhibitors (Lisinopril)

Question 7

Systemic effects of hypernatremia (NA>147)

Answer 7

convulsions, pulmonary edema, thirst, fever, dry mucous membranes

Question 8

Lithium toxicity

Answer 8

Nausea, vomiting, diarrhea, confusion, convulsions, drowsiness, blurred vision, slurred speech, muscle weakness, heart palpitations, COARSE hand tremor, and unsteadiness (ataxia)

Question 9

What do you do if you suspect lithium toxicity

Answer 9

DC LITHIUM AND CHECK SERUM LEVEL

Question 10

What effect does hyperkalemia have on lithium levels

Answer 10

INCREASE serum lithium levels

Question 11

what culture believes mental illness and SUD is an imbalance with the individual’s relationship with the world

Answer 11

Native American

Question 12

Cultural formation is what?

Answer 12

Clarifying meaning of illness or predicament, contextualize their situation in their local world, empower the patient

Question 13

Susto!

Answer 13

Latin- fright; result from a shocking, unpleasant, or frightening experience that is believed to cause the soul to leave the body

Question 14

Ataque de nervios

Answer 14

Latino cultural syndrome; uncontrollable shouting, attacks of crying, trembling, heat in the chest rising to the head, verbal and physical aggression. usually caused by disruptions in family bonds

Question 15

Mal de Ojo

Answer 15

“Evil eyes;” fatigue, headache, weight loss, exhaustion, malaise

Question 16

Empacho

Answer 16

Latin American/hispanic-“Blocked intestine;” indigestion, feeling bloated, nauseous.

Question 17

Caida de mollera

Answer 17

“Fallen fontanelle”