Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
|
What are the general considerations for mood stabilizers?
|
- Kindling
- Sedation at first - Toxicity |
|
|
Name 6 mood stabilizers
|
- Lithium
- Tegretol - Depakote - Neurontin - Topamax - Lamictal |
|
|
What are the side effects of Lithium?
|
- Metallic taste in mouth
- GI upset - Fine temors - Weight gain |
|
|
What is the therapeutic range for Lithium?
|
0.5- 1.2 mEg/L
|
|
|
Moderate toxicity is considered above what level for Lithium? What would you see in a patient with this?
|
> 1.5
- increased GI upset, confusion, ataxia, tinnitus |
|
|
Severe toxicity is considered above what level for Lithium? What would you see in a patient with this?
|
>2.5
- ataxia, seizures, coma, death |
|
|
Can a patient have normal levels of Lithium and still be toxic?
|
Yes
|
|
|
What would cause an increase in Lithium levels?
|
- Low sodium in body
- Sweating - Dehydration - Alcohol intake, high |
|
|
What would cause a decrease in Lithium levels?
|
- Increased salt, SSRIs, channel blockers
|
|
|
True or False
Lithium and salt have an inverse relationship. |
True
|
|
|
What do you teach a patient that is on Lithium?
|
- Adequate hydration
- Normal salt intake - S/S of toxicity - Importance of getting level drawn q 2 months |
|
|
How does Tegretol work?
|
Inhances GABA
|
|
|
What are the common side effects of Tegretol?
|
- Sedation
- GI upset - Dizziness |
|
|
What do you need a baseline of when giving Tegretol and Depakote?
|
Liver function test
|
|
|
What is the adverse effect of Tegretol?
|
Agranulocytosis
|
|
|
True or False
Tegretol and Depakote are not helpful in patients with rapid cycling? |
False, they are very helpful in patients with rapid cycling
|
|
|
What is the therapeutic range for Tegretol? What would be some s/s of toxicity?
|
- 4-12 ug/mL
- Ataxia and diplopia |
|
|
How does Depakote work?
|
Slows the brain's conductivity which in turn stabilizes mood.
|
|
|
What is the therapeutic range for Depakote?
|
50- 100 ug/mL
|
|
|
What are common side effects for Depakote?
|
- GI upset
- Anorexia - Dyspepsia - Dizziness - Weight gain |
|
|
What are adverse reactions to Depakote?
|
- Hair loss
- Leukopenia - Thrombocytopenia |
|
|
What levels need to be monitored with Depakote?
|
Liver enyzmes q 6-12 months
|
|
|
Neurotin has similar side effects to?
|
Lithium
|
|
|
What main side effect of Topamax differs from the other drugs?
|
Weight loss
|
|
|
Neurotin is helpful with?
|
Anxiety and agitation accompanying BMD
|
|
|
Lamictal is often used in what treatment for BMD?
|
Refractory
|
|
|
What is the adverse reaction of Lamictal? What would you monitor for?
|
- Stevens Johnson Syndrome
- Rash |
|
|
How are mood stabilizers different from antipsychotics?
|
- Levels are monitored with mood stabilizers
|
