Mood Stabilizing Agents Flashcards

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1
Q

Mood Stabilizing ACTION

A

modulate effects of norepinephrine, serotonin, dopamine, glutamate, gaba = which contribute to bipolar

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2
Q

Mood Stabilizing INDICATIONs

A

prevention and treatment of manic episodes

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3
Q

Lithium Increased Potency interactions

A
thiazides 
NSAIDS
ACE inhibitors
Furosemide
Dehydration 
Elderly 
Renal illness
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4
Q

Lithium Decreased Potency Interactions

A
Mannitol
Theophyline
Caffeinated products
Pregnancy 
Acetazolamide
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5
Q

Mood Stabilizing Contra/Precautions

A
elderly
pregnant
lactating mothers
children <18
seizure disorders
head injuries
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6
Q

Lithium Carbonate Action

A

cross cellular membrane altering sodium transport

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7
Q

Lithium SA

A
increased thirst
metallic taste
increased urination
fine/head tremoring
mild diarrhea
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8
Q

Lithium Toxicity (SHOULD withhold dosage & contact PCP)

A

severe diarrhea
vomiting
drowsiness
muscular weakness

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9
Q

Blood lvl 1.5 - 2 mEq/L

A

Blurred vision, vomiting, diarrhea

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10
Q

2 - 3.5 mEq/L

A

tremors
sedation
confusion

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11
Q

> 3.5 mEq/L

A

delirium
seizure
coma
death

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12
Q

Anticonvulsants

A

Carbamazepine (Tegretol)
Gabapentin (Neurontin)
topiramate (Topamax)

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13
Q

Treat symptoms consistent with mania

A

Carbamazepine (Tegretol)

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14
Q

Drug of choice that feels of getting high

A

Gabapentin (Neurontin)

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15
Q

Medication of concern that causes GLAUCOMA

A

Topiramate (topamax)

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16
Q

Anticonvulsant SA

A
dizziness
drowsiness
tremor
visual disturbance
nausea
vomiting
17
Q

Carbamazepine (tegretol)

A
dizziness drowsiness
tremor 
visual disturbance
N/V
give with food !!!
weight gain
alopecia