medications for bipolar anticonvulsants/mood stablizer Flashcards
lithium is used for
acute mania
acute bipolar depression
maintenance
lithium has significant effects on
SI
how long does it take lithium to fully kick in
3-6 weeks
theraputic level of lithium
0.5-1.2
early lithium toxicity
1.2-1.5
advanced lithium toxicity
1.5-2
severe lithium toxicity
2+
common ade of lithium 6
- fine hand tremors
- weight gain
- sedation
- polyuria
5, acne
- nausea
early lithium toxicity s/s 3
- NVD
- slurred speech
- muscle weakness
advanced lithium toxivity s/s 6
- course hand tremors
- GI upset
- confusion
- muscle hyperirratability
- EEG changes (seizures)
- inccordination
severe lithium toxicity s/s 4
- ataxia
- blurred vision
- tinnitus
- jerking movements
- sezuries
what to do for advanced lithium toxicity
diurretics
what to do for severe lithium toxicity
dialysis
valproic acid used for
- mania
- hypomania
- rapid cycling
- mixed states
when are anticonvolsents best given
at night
theraputic range for valproic acid
85-125
common ade for valproic acid 8
- tremors
- weight gain
- gi pain
- hair loss
- blood dyscrasias
- sedation
- heptatotoxicity
- pancratitis
toxic s/s of valporic acid 4
- ataxia
- confusion
- coma
- somnolenece
all anticonvulsants have a major risk for
increased SI
carbamazepine used for
- mania
- rapid cycling
- mixed states
- mantanice
what to monitor for for carbamazepine
monitor for liver enzymes first 8 weeks
common ade for carbaazapine 6
- hyponatremia
- fluid over load
- blood dyscracias
- rash
- decreaed BC pill
- hepatic disease
toxic ss of carbamazapine 5
- fatigue
- nausea
- diplopia
- blurry vision
- ataxia
lamotrigine used for
bipolar depression (acute and maintenance)
ade for lamotrigine 3
- steven johnsons syndrome (rash)
- aseptic menigitis
- lower BC pills
second gen antipsychotics used for
- acute mania
- bipolar depression
- prevention of replase