Bipolar

Question 1

bipolar disorder

Answer 1

main drugs: lithium & valproic acid

Question 2

drug therapy includes:

Answer 2

mood stabilizers, antipsychotics, & antidepressants

Question 3

non drug

Answer 3

education, psychotherapy, ECT

Question 4

Lithium levels

Answer 4

monitor every 2-3 days, then every 3-6 mo

therapeutic: 0.6-1.2 mEq/L

Question 5

side effects of lithium

Answer 5

tremor, goiter, polyuria

can be teratogenic

Question 6

should patients increase or decrease their sodium levels?

Answer 6

maintain

Question 7

lithium toxicity

Answer 7

vomiting, diarrhea, slurred speech, twitching

Question 8

diuretics and lithium

Answer 8

diuretics can decrease lithium excretion, thereby causing toxicity

Question 9

drug interactions w/ lithium

Answer 9

diuretics, non-steroidal anti inflame drugs, anticholinergic

Question 10

tolerance for lithium

Answer 10

tolerance for lithium is high in acute phase of mania and decreases as mania subsides.

Question 11

Antiepileptic Drugs

Answer 11

Suppress mania and/or depression and stabilize mood in patients with BPD

drug: Divalproex sodium

Question 12

valproate

Answer 12

has become a first-line treatment for BPD

Question 13

valproate toxicity

Answer 13

thrombocytopenia, pancreatitis, and liver failure