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Psych > WK2 - Bipolar medications > Flashcards

WK2 - Bipolar medications Flashcards

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1
Q

mood stabilzers

A

lithium plus an antipsychotic

divaalproex plus an antipsychotic

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2
Q

Atypical Antipsychotics

A

risperidone
quetiapine
aripiprazole
olanzapine

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3
Q

Benzodiazepines

A

diazepam
lorazepam
clonazepam

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4
Q

Anticonvulsant Mood Stabilizers

A

valproate
carbamazepine
lamotrigine
gabapentin

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5
Q

Second-Generation Antipsychotics

A 
olanzapine
risperidone
aripiprazole
lurasidone
quetiapine 
ziprasidone
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6
Q

combination mood stabilzation medication

A

Symbax: (olanzapine & fluoxetine)

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7
Q

indication of Lithium Carbonate

A

acute maniaa and maintenance treatment

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8
Q

therapeutic and toxic levels of Lithium Carbonate

A

therapeutic level = 0.6-1.4

toxic = >= 1.5

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9
Q

contraindications of lithium carbonate

A

cardiovascular disease, renal disease, brain damage, thyroid disease, pregnant or breast-feeding mothers.

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10
Q

Early signs of Lithium toxicity

A 
GI upset
Coarse hand tremor
confusion
hyperirritability of muscles
ECG changes
Sedation
incoordination
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11
Q

Advanced signs of Lithium Toxicity

A 
Ataxia
giddiniess
Serious ECG changes
Blurred Vision
Clonic Movements
Increased urine output
seizures
stupor
severe hypotension
coma
death is usallually secondary to pulmonary complications
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12
Q

severe signs of lithium toxicity

A

convulsions
oliguria
death

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13
Q

expected side effects of lithium

A 
NVD
polydypsea
polyurea
lethargy
sedation
fine hand tremor
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14
Q

most widely used mood stabilizer

A

Lithium Carbonate

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15
Q

onset of lithium carbonate

A

5-7 days, may take upto 2 weeks

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16
Q

monitoring with lithium carbonate

A

creatinine concentrations, thyroid hormones, & CBC every 6 months

 * **Kidney damage may be a risk
 * **Thyroid function may decrease, usually after 6-18 months; observe for dry skin, hair loss, constipation, bradycardia, and cold intolerance

Psych (12 decks)

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