Your patient with Bipolar disorder recently suffered a myoca…

Your patient with Bipolar disorder recently suffered a myocardial infarction (MI). He was stabilized at the hospital and discharged on propranolol (Inderal), losartan Cozaar), and hydrochlorothiazide (Microzide). Prior to his MI, his lithium level was consistently around 0.8 mmol/L on 900 mg of lithium carbonate a day. He arrives at your office today, and his lithium level is now 1.3 mmol/L on the same dose. What caused this change?

You are treating a 14-year-old female for attention-deficit…

You are treating a 14-year-old female for attention-deficit hyperactivity disorder (ADHD) who has a family history of bipolar disorder. As a PMHNP familiar with symptoms of both ADHD and pediatric bipolar disorder, you know the following are overlapping symptoms of both disorders;