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PSYCHIATRIC > ANTICONVULSANT > Flashcards

ANTICONVULSANT Flashcards

1
Q

Lithium Indication

A

Bipolar
flight of ideas
suicide

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2
Q

Lithium- Contraindication

A

thyroid disease
renal disease
kids <12
dehydration
hyponatremia

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3
Q

Lithium- AE

A

D, N, V
fine tremors
polyuria
polydipsia
ataxia
weight gain
dry mouth
hypothyroidism

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4
Q

Lithium Range

A

0.8-1.2mEq/L

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5
Q

What increases Li+ levels

A

NSAIDS
ACE

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6
Q

What decreases Li+ levels

A

coffee

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7
Q

Patient Teaching with Li+

A

maintain fluid & Na intake (no need to change)
take with food
decrease diuretics- gets rid of Na & H2O
No NSAIDS- hard on kidneys

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8
Q

Li+ onset

A

10-21 days

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9
Q

Valproate/Valproic Acid Indication

A

Bipolar
seizures
migraine prophylaxis

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10
Q

Valproate/Valproic Acid- Contraindication

A

pregnancy- defects
< 2 years

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11
Q

Valproate/Valproic Acid- AE

A

Sedation
weight gain
tremors
dizziness

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12
Q

Valproate/Valproic Acid- Monitor

A

Liver- ALT, ASL, bilirubin
CBC
Coagulation
Pregnancy- rule out

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13
Q

Valproate/Valproic Acid- Teaching

A

w/ food, do not chew- absorbed in the GI
abdominal pain- pancreatitis
bleeding- decrease in platelets

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14
Q

Carbamazepine- Indication

A

acute mania
*second-line treatment

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15
Q

Carbamazepine- AE

A

dizziness
dry mouth
ataxia
N, C
blurred vision
speech problems
hyponatremia

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16
Q

Carbamazepine- NI

A

Monitor- liver, CBC, Na
pregnancy test

17
Q

Carbamazepine- Patient Teaching

A

w/ food
report unusual bleeding
report rash

18
Q

Lamotrigine- Indication

A

Maintenance therapy for Bipolar

19
Q

Lamotrigine- AE

A

dizziness
weight gain
blurred vision
ataxia
rhinitis

20
Q

Lamotrigine- BBW

A

Rash

21
Q

Carbamazepine- BBW

A

BBW- leukopenia, anemia, rash (S&J syndrome)

22
Q

Valproate/Valproic Acid- BBW

A

BBW- thrombocytopenia, hepatotoxic, pancreatitis

23
Q

Lamotrigine- NI

A

d/c if rash appears

24
Q

Lamotrigine- Patient Teaching

A

report rash

25
Q

Gabapentin- Indication

A

Bipolar
seizures
nerve pain- shingles

26
Q

Gabapentin- AE

A

dizziness
ataxia
blurred vision
weight gain
dry mouth
sedation

PSYCHIATRIC (5 decks)

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