Question

1. You are ordering labs on a new patient that you suspect might be depressed. What labs would you order and why?

2. What labs would you order prior to initiating Lithium therapy?

3. What labs are required for follow up after initiating Lithium therapy? What schedule will you follow in repeat labs?

4. Your patient’s labs reveal a low serum sodium. What is the significance of this value? What psychiatric drugs are associated with hyponatremia and why?

5. What lab values would you order on a new patient who is currently on an antipsychotic medication?

6. What schedule would you follow for monitoring labs for a patient taking antipsychotic medication?

7. What does the HGA1C represent? List the values for Normal, pre-diabetic, and diabetic values?
8. What is significant about an elevation or decrease in the MCV?
9. What is significant about an elevation or decrease in the MCH?
10. In what clinical condition would you order a serum prolactin?
11. If the serum prolactin was elevated, in your patient, what action would you take?
12. Describe how to interpret a LIPID profile?
13. What are the recommended levels for triglyceride? What disorders cause elevated triglycerides?
14. What are the recommended levels for LDL? What are the recommended goals for treatment?
15. You are reviewing a urinalysis on your patient. There are RBC’s present in the urinalysis. What would you do?
16. When do you order a Clozapine level?
17. When the ALT, AST, and GGTP are elevated? What would your list of differentials include?
18. List the causes of elevated and low albumin level and how would out of normal range albumin influence your prescribing?
19. You suspect that your patient may be drinking alcohol to excess. What lab values would you order and why?
20. How would dehydration influence your interpretation of labs?
21. What lab values are assessed for possible pancreatitis? What psychiatric medications are associated with pancreatitis?
22. What test is ordered to determine if a patient is pregnant? When is it important to order this test?
23. What is an expected range for the serum potassium in a patient newly diagnosed with Anorexia Nervosa, restricting type?
24. Your patient’s labs returns with an elevated creatinine phosphokinase. What action would you take ? What might be the etiology of this elevation?

Answer 1

Ans-27 Lithium Therapy Lithium is one of the oldest & most frequent! of the oldest & most frequently prescribed drugs avaidable for the treament of mania. It affects the flow of sodium through nerve & muscle cells in the body. Labs ordered prior to lithium therapy. is calcium Level : as lithium may cause hypoparathyroidism. TYRET: BUN & creatinine level for symptoms of kidney disease. > Thyroid Stimulating Hormone Test: ás lithium affect thyroid function iny ECG 27 Complete Blood count. Ans #folyponatremia is decreased in serum sodium level (Na <139meq/L) Normal sodium Range (135-145 meq/L) Significance: It is of clinical significan that reflects hypoosmolarity of the plasma that causes excess water retention & oedema in the body, Drugs: Antipsychotics & Benzodiazepines are associated with hyponatremia because SIADH (Synd some of inappropriate antidiuretic hormone) is the major side effect of these drugs which Leads to Increased release of antidiurétic hormone (ADH eos 7 :- HGA 10 : It is a glycated hemoglobin that is The HGUAL Chemically linked to sugar. The HGAIC test reflects average blood glucose levels . Normal valover past 2-3 months in diabetic patint pre-diabetic value Diabetic value 5.7% – 6.4% 76.5% - 47 5.6%

cams - 8 - MCV: Mean corpuscular volume coverage red blood cel volume) Normal range: 80-96 EL. Higher values : macrocytosis caused by vit B12 & folic acid deficiency anemia) Lower values : microcytosis Canemia caused by iyon deficiency)