NAPLEX Quiz
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PERSON-CENTERED ASSESSMENT AND TREATMENT PLANNING
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A 40-year-old woman (62 kg, 168 cm) presents with nausea, tremor, and confusion 5 days after her psychiatrist increased lithium carbonate from 300 mg twice daily to 600 mg twice daily. Current medications: lithium carbonate 600 mg twice daily, ibuprofen 600 mg three times daily for back pain (started 1 week ago), sertraline 100 mg daily. PMH: bipolar disorder. Labs: lithium level 1.9 mEq/L (high; typical maintenance 0.6–1.2), SCr 1.3 mg/dL (baseline 0.8). Allergies: none. Which drug-related problem needs immediate attention?
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