Bipolar/Schizo

Question 1

S/S of bipolar disorder include: pressured ___, engaging in ___ behavior, investing ___.

Answer 1

speech, risky, money

Question 2

A screening tool for bipolar/schizo is the ___ ___ scale.

Answer 2

mood disorder

Question 3

Risk factors for more unstable bipolar disorder are: co-occurring ___ ___, ___ disorders, childhood ___, poor ___ ___ and multiple ___.

Answer 3

substance abuse, anxiety, vulnerability, coping skills, stressors

Question 4

Lamotrigine is an ___ that is indicated for the tx of ___ ___.

Answer 4

anticonvulsant, bipolar depression

Question 5

Anticonvulsants have s/e of ___ and ___-___ syndrome. This can occur in the medication ___.

Answer 5

leukopenia, stevens-johnson, lamotrigine

Question 6

Aripiprazole (aka ___), as an atypical ___ indicated for bipolar disorder. S/E are increased ___ and ___. Need to monitor fasting ___ and ___ and for ___ disorders.

Answer 6

Abilify, antipysch, anxiety, insomnia, glucose, lipids, movement

Question 7

Anxioloytics include:

Answer 7

SSRI’s, alprazolam/Xanax, lorazepam/Ativan, buspirone/Buspar

Question 8

S/E of antipsych meds include: ___, ___ gait, ___, and ___ that occurs 5-90 days of starting med.

Answer 8

parkinsonian, shuffling, stiffness, stooping

Question 9

Acute ___ can often occur in men and younger pt’s d/t antipsych meds and is characterized by contraction of ___ resulting in abnormal ___ or ___.

Answer 9

dystonia, muscles, movement, posture

Question 10

___ is a s/e of antipsych meds and is a feeling of restlessness. The medication ___ often causes this, especially at ___ doses. A ___-___ antagonist will be helpful for this s/e.

Answer 10

Akathisia, aripiprazole, higher, beta-adrenergic

Question 11

Anticonvulsants approved to tx bipolar disorder include: ___, ___, ___, and ___.

Answer 11

lithium, valproate (Depakote), carbamazepine (Tegretal), oxcarbazepine (Trileptal)

Question 12

For lithium, it is important to monitor: ___ functioning, ___ > 50 yrs, ___ levels (pt’s can develop hypothyroidism)

Answer 12

kidney, ECG, thyroid

Question 13

For valproate (Depakote), monitor ___ functioning and ___ count. Some concern for causing ___ and ___ ovaries.

Answer 13

liver, platelets, pancreatitis, polycystic

Question 14

For carbamazepine (Tegretal) and oxcarbazepine (Trileptal), monitor ___. Lots of ___-___ interactions. Decreases ___ levels of oral ___.

Answer 14

WBC’s, drug-drug, hormonal, contraceptives

Question 15

1st generation antipsych’s include: ___

Answer 15

haloperidol (Haldol)

Question 16

2nd generation antipsych’s include: ___

Answer 16

risperidone (Risperdal), olanzapine (Zyprexia), quietiapine (Seroquel), ziprasidone (Geodon), aripiprazole (Abilify), asenapine (Saphiris)

Question 17

___ ___ is a big s/e w/1st generation antipsych’s.

Answer 17

weight gain

Question 18

Early onset s/e of antipsych’s include: ___, ___, and ___. Late onset is ___ ___.

Answer 18

parkinsonian, acute dystonia, akathisia, tardive dyskinesia

Question 19

Tardive dyskinesia may not ___ even after medication is d/c’ed.

Answer 19

remit

Question 20

Guidelines for monitoring for the s/e of tardive dyskinesia in antipsych’s are to monitor every ___ months w/the ___ scale or ___ scale.

Answer 20

6, AIMS, DISCUS