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PASRR Lab Work Guidelines

 
 
 
 
 
Lab work - required for the following medications/conditions when the listed signs/symptoms are present:
 
 
 
 
 
Digoxin/Lanoxin:
weakness
 
Anti-convulsants
confusion
 
apathy
 
(Dilantin, Phenobarb
mood swings
 
disorientation
 
Tegretol, Depakote):
depression
 
agitation
 
 
excitement
 
mood swings
 
 
irritability
 
mutism
 
 
tearfulness
 
psychosis, including paranoia,
 
 
aggression
 
visual/auditory hallucinations
 
 
hyperactivity
 
thought disorders
 
 
somatic & paranoid
 
psycho-motor retardation
 
 
delusions
 
 
 
 
hallucinations
 
 
 
 
delirium
Theophylline:
irritability
 
 
ataxia
 
restlessness
 
 
slurred speech
 
insomnia
 
 
 
 
muscle twitchin
 
 
 
 
 
 
Synthroid/
depressed mood
 
 
 
Hypothyroidism:
loss of interest or pleasure
Electrolytes Required:
lethargy
 
 
weight gain
 
weakness
 
 
appetite decrease
 
confusion
 
 
sleep increase
 
delirium
 
 
anergia
 
 
 
 
fatigue
 
 
 
 
decreased concentration
 
 
 
 
suicidal ideation
 
 
 
 
delusions
 
 
 
 
 
 
 
 
 
 
TSH required for all Major Depressions and Dysthymias, even with no Thyroid related dx or medication.
 
 
 
 
 
Lithium - current level required for all individuals on Lithium
 
 
Valproic Acid/Depakote – current level needed
 
 
 
 
 
 
 
 
FYI Only - Lab Work Not Indicated
 
 
 
 
 
 
 
 
Corticosteroids
euphoria
 
Zantac, Tagamet:
confusion
(Prednisone, etc.):
insomnia
 
 
 
 
mood swings
 
 
 
 
personality changes
 
Anti-hypertensives
depression
 
severe depression
 
(Reserpin, Inderal
insomnia
 
psychosis
 
Catapres, etc.):
weakness
 
 
 
 
fatigue
 
 
 
 
visual hallucinations
Nonsteroidal Anti-
anxiety
 
 
disorientation
inflammatories
agitation
 
 
emotional lability
(Clinoril, Indocin,
hostility
 
 
lethargy
Naprosyn, etc.):
paranoia
 
 
 
 
depression
 
 
 
 
hallucinations
 
 
 
 
psychosis
 
 
 
 
irritability
 
 
 
 
 
 
 
 
 
 
 
 
 
2/14/2003