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A comprehensive list of lab values relevant to psychiatric mental health nurse practitioners (pmhnps), including normal ranges, potential causes of deviations, and clinical implications. It also includes questions and answers related to these lab values, making it a valuable resource for students preparing for the ancc pmhnp exam.
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altered mental status, cardiac arrhythmias"
<7.0, tetany
11.0, hyperparathyroidism 13.5, hypercalcemic coma, metastatic cancer"
hypovolemia diabetes insipidus eating too much salt gastroenteritis drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds"
addisons renal disorder gi fluid loss"
lithium can increase"
convulsions, ataxia, increased reflexes, muscle weakness"
muscle contraction and nerve function, bradycardia"
passive transport through sodium major anion in the extracellular fluid"
limit"
slight elevation can occur in DT's depakote can increase, safe to use up to 2 times normal limit"
Increased In Graves Decreased In Hypothyroidism"
Normal values can range from 0.4 - 4.0 mIU/L (milli-international units per liter),"
if below - bone marrow doesn't make enough platelets. or bone marrow makes enough platelets, but the body destroys them or uses them up. or - The spleen holds on to too many platelets. The spleen is an organ that normally stores about one- third of the body's platelets. It also helps your body fight infection and remove unwanted cell material. can be caused by Valproate"
DIFF, URINALYSIS, EKG, ck levels (post dose 12 hrs trough), after 4 days on med, then q 4-5 days during initial therapy"
elevated in MI, myositis, rhabdomysitis"
Clozapine - WBC => 3500 to initiate therapy, ANC MUST BE =>2000/mm, ck wbc/anc weekly x 6 months, then Q other week for 6 months; if stable then Q 4 weeks. after therapy test for at least 4 weeks,"
metronidazole can INCREASE LITHIUM"
theophyline decreases lithium"