Somatic Therapies 3

Question 1

Which meds are effective for the Depressive phase of Bipolar disease?

Answer 1

Olanzapine
Quietapine
Lurasidone

Question 2

What kinetics are seen in lithium metabolism?

Answer 2

Linear

Question 3

What are the renal effects of Lithium?

Answer 3

Reabs in prox tubule w/ Na
Na depleting diuretics should be avoided => Inc Lith levels
Risk of Nephrogenic DI

Question 4

What are the signs of Lithium toxicity?

Answer 4

MSChange, Ataxia, dehydration, hyponatremia

Severe Tx: Dialysis

Question 5

What is the effect of Carbamazepine?

Answer 5

Acute mania and bipolar prophylaxis (Rapid cycling)

Question 6

What are the SA of Carbamazepine?

Answer 6

Skin rash, Leukopenia, Ataxia, drowsiness

Question 7

What drugs are 1st line for Bipolar?

Answer 7

Lithium, valproate, lmotrigine

Anticonvulsant + Li

Question 8

What are the indictions for ECT?

Answer 8

Med refractory depression
Depr + Suicidal
Depr + Won't eat
Dep/Mania in preggo
Hx of pos response
Catatonic Schiz

Question 9

What is the Procedure of ECT?

Answer 9

NPO after midnight
Anesthitized + O2
Atropine => Red secretions
Succinylcholine => Relax musc
EKG and EEG

Question 10

What are the SA of Stimulants used in ADHD?

Answer 10

Anorexia
Sleep disturbances
Headache/Nausea
Emotional Lability
Tics
Inc HR