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20 Cards in this Set
- Front
- Back
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Name the 4 mood stabilizers we are talking about in class?
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Lithium,
Depakote, Tegratol, Prolixin |
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What is the normal level for lithium?
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0.5-1.5
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What happens to the thyroid when using lithium? and the patient will have to take ? hormone for the rest of their lives.
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the thyroid gets fried,
thyroid |
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What are s/s of lithium toxicity?
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Dizziness/Drowsiness,
Hyponatremia, type 2 diabetes |
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What can cause the pt to become hypnatremic?
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sweating,
diarrhea, puking |
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How does lithium cause type 2 diabetes? With the type 2 diabetes we can expect what other problem?
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Lithium causes weight gain,
Metabolic syndrome |
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Lithium effects the production of TSH and this will cause the s/e of ?
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hypothyroidism
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We can check T3 and T4 levels to test for ?
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hyperthyroidism
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What lab test should be checked to determine kidney function when taking lithium?
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Bun/Creat
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What side effects of Bun/Creat should we watch for with a pt taking lithium?
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We should watch for cardiac/EKG problems
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What is another fast acting drug for mania besides lithium?
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Prolixin
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Lithium is the antimanic frug of choisce used as a mood stabilizer, partiuclarly it works to reduce ?
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mania
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An alternative is to inititate tx with lithium and ? to address insomnia and hyperactivity caused by mania.
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benzodiazipines
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What does the acronym L-I-T-H-I-U-M stand for?
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Level 0.5-1.5,
Increased urination, Tremors(fine), Hydration(2-3L per day), I & U increase in uwe(diarrhea), Mouth dry |
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There shouldn't be any over the type exercise becuase this will cause the pt to lose ?
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Na+
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lithium reduces ? while stabilizing ?
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anxiety,
mood |
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Dosage of ?-? 3times per daymay be needed to reach a maintanence level of 0.5-1.5.
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300-600
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Blood draws should be drawn in the ? 8-12 hrs after the last dose of lithium is taken.
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morning
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To control mania in adults the serum level shoudl be kept between ?-? and with elderly pts we should keep the level between ?-?
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1.0-1.5,
0.5-1.5 |
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lithium levels below 0.5 have no ? effect and levels above 1.5 can cause ?
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therapeutic,
s/e |
