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Psychiatry Key Information > 4th Year Bipolar > Flashcards

4th Year Bipolar Flashcards

1
Q

how long do you need to be on lithium for the effects?

A

2 years

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2
Q

what happens if you suddenly stop taking lithium?

A

rebound effects

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3
Q

optimal plasma level of lithium?

A

0.4-1.0

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4
Q

what to check beforehand and monitor while on lithium?

A

renal, thyroid and parathyroid function (TSH, U&Es, calcium)

ECG if cardio RF

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5
Q

is lithium anti-suicidal?

A

yes

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6
Q

what advice to give while on lithium?

A 
hydration
vomiting and diarrhoea seek attention
pregnancy advice
avoid NSAIDs
monitor every 6 months or 3 months if RF surrounding SEs
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7
Q

management of acute mania

A

haloperidol
olanzapine
quetiapine
risperidone

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8
Q

management of acute depression

A

fluoxetine or lamotrigine as monotherapy

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9
Q

alternatives for maintenance therapy

A

sodium valproate
carbamazepine (HA limiting factor)
lamotrigine (risks SJS)
second generation antipsychotics

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Psychiatry Key Information (34 decks)

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