medications for bipolar anticonvulsants/mood stablizer Flashcards

1
Q

lithium is used for

A

acute mania

acute bipolar depression

maintenance

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2
Q

lithium has significant effects on

A

SI

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3
Q

how long does it take lithium to fully kick in

A

3-6 weeks

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4
Q

theraputic level of lithium

A

0.5-1.2

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5
Q

early lithium toxicity

A

1.2-1.5

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6
Q

advanced lithium toxicity

A

1.5-2

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7
Q

severe lithium toxicity

A

2+

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8
Q

common ade of lithium 6

A
  1. fine hand tremors
  2. weight gain
  3. sedation
  4. polyuria

5, acne

  1. nausea
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9
Q

early lithium toxicity s/s 3

A
  1. NVD
  2. slurred speech
  3. muscle weakness
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10
Q

advanced lithium toxivity s/s 6

A
  1. course hand tremors
  2. GI upset
  3. confusion
  4. muscle hyperirratability
  5. EEG changes (seizures)
  6. inccordination
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11
Q

severe lithium toxicity s/s 4

A
  1. ataxia
  2. blurred vision
  3. tinnitus
  4. jerking movements
  5. sezuries
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12
Q

what to do for advanced lithium toxicity

A

diurretics

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13
Q

what to do for severe lithium toxicity

A

dialysis

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14
Q

valproic acid used for

A
  1. mania
  2. hypomania
  3. rapid cycling
  4. mixed states
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15
Q

when are anticonvolsents best given

A

at night

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16
Q

theraputic range for valproic acid

A

85-125

17
Q

common ade for valproic acid 8

A
  1. tremors
  2. weight gain
  3. gi pain
  4. hair loss
  5. blood dyscrasias
  6. sedation
  7. heptatotoxicity
  8. pancratitis
18
Q

toxic s/s of valporic acid 4

A
  1. ataxia
  2. confusion
  3. coma
  4. somnolenece
19
Q

all anticonvulsants have a major risk for

A

increased SI

20
Q

carbamazepine used for

A
  1. mania
  2. rapid cycling
  3. mixed states
  4. mantanice
21
Q

what to monitor for for carbamazepine

A

monitor for liver enzymes first 8 weeks

22
Q

common ade for carbaazapine 6

A
  1. hyponatremia
  2. fluid over load
  3. blood dyscracias
  4. rash
  5. decreaed BC pill
  6. hepatic disease
23
Q

toxic ss of carbamazapine 5

A
  1. fatigue
  2. nausea
  3. diplopia
  4. blurry vision
  5. ataxia
24
Q

lamotrigine used for

A

bipolar depression (acute and maintenance)

25
Q

ade for lamotrigine 3

A
  1. steven johnsons syndrome (rash)
  2. aseptic menigitis
  3. lower BC pills
26
Q

second gen antipsychotics used for

A
  1. acute mania
  2. bipolar depression
  3. prevention of replase