Bipolar

Question 1

Anti-manic agent and dose

Answer 1

Lithium 900-1200 mg/day in 3-4 doses

Question 2

How long does it take to reach therapeutic levels when taking Lithium?

Answer 2

1-3 weeks

Question 3

What symptoms does Lithium reduce?

Answer 3

elation, flight of ideas, anxiety, irritability & manipulativeness

Question 4

What medication is given with Lithium to calm the patient down until the lithium kicks in?

Answer 4

Risperdol

Question 5

Lithium therapeutic levels

Answer 5

0.5-1.2 mEq/L

Question 6

Toxic Lithium level begins at

Answer 6

1.5 mEq/L

Question 7

When a patient is on Lithium, what test is required?

Answer 7

blood level testing

Question 8

Lithium side effects

Answer 8

Nausea, fatigue, tremor, thirst, edema, weight gain

Question 9

Early signs of Lithium poisoning (1.5-2 mEq/L)

Answer 9

N, V, severe diarrhea, lethargy, muscle twitching, progress to ataxia, slurred speech

Question 10

S/s of Lithium poisoning when level is 2.0-3.5 mEq/L

Answer 10

Excessive output of dilute urine, increasing tremors, muscular irritability, psychomotor retardation, mental confusion, giddiness. This could be overlooked as manic behavior

Question 11

s/s of Lithium poisoning when level is above 3.5 mEq/L

Answer 11

Impaired consciousness, Nystagmus,seizures, coma, oliguria, anuria, arrhythmias, MI, Myocardial collapse, death

Question 12

Bipolar disorder

Answer 12

extreme mood swings from mania to depression, onset usually in early 20s, manic episodes begin suddenly

Question 13

chromosome that is effected by bipolar

Answer 13

18-21

Question 14

Agents that are helpful in reducing manic behavoir and protect against bipolar depressive cycles

Answer 14

Olanzapine (Zyprexa) & Quetiapine (Seroquel)

Question 15

Psychotherapy is only useful when?

Answer 15

in mildly depressed or normal portion of bipolar cycle. Its not useful during manic behavior

Question 16

Cyclothymic disorder

Answer 16

mild mood swings between hypomania & depression without loss of social or occupational functionaing

Question 17

Dysthymic disorder

Answer 17

chronic mood disturbance