Term
| Anticonvulsant medication examples |
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Definition
Depakote - Valproic Acid
Tegretol - Carbamezepine
Lamictal - Lamotrigine
Trileptal - Oxcarbazepine |
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Term
| Atypical Antipsychotic medication examples |
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Definition
Abilify Aripiprazole
zyprexa - olanzapine
Seroquel - Quetiapine
Risperdal - Risperidone
Geodone - Ziprasidone |
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Term
| Antianxiety medication examples |
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Definition
Klonopin - clonazapam
Ativan - lorazepam |
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Term
| Lithium therapeutic range |
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Definition
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Term
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Definition
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Term
| lithium SEVERE toxicity range |
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Definition
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Term
| What to do if a patient becomes lithium toxic (1.5-2.0) |
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Definition
| withhold medication dosage, call doctor |
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Term
| what do do if a patient becomes severely lithium toxic (2.1+) |
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Definition
| withold dosage, call doctor, start gastric lavage and/or give mannitol/aminophyline |
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Term
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Definition
mannitol
aminophyline
gastric lavage |
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Term
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Definition
| valproate (Depakote) and an atypical antipsychotic such as olanzapine (Zyprexa) or risperidone (Risperdal) |
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Term
| lithium effectively reduces which symptoms? |
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Definition
• Elation, grandiosity, and expansiveness
• Flight of ideas
• Irritability and manipulation
• Anxiety
To a lesser extent, lithium controls:
• Insomnia
• Psychomotor agitation
• Threatening or assaultive behavior
• Distractibility
• Hypersexuality
• Paranoia |
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Term
| how long does it take to reach theraputic lithium levels |
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Definition
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Term
| what is normally given to the patient until lithium becomes theraputic |
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Definition
| An antipsychotic or benzodiazepine can be used to prevent exhaustion, coronary collapse, and death until lithium reaches therapeutic levels |
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Term
| lithium Maintenance Blood Levels |
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Definition
| The maintenance blood levels should range between 0.4 and 1.3 mEq/L. |
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Term
| how often do you measure lithium in the patient? |
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Definition
| Lithium levels should be measured at least 5 days after beginning lithium therapy and after any dosage change, until the therapeutic level has been reached (Perlis & Ostacher, 2008). After therapeutic levels have been reached, blood levels are determined every month. After 6 months to a year of stability, measurement of blood levels every 3 months may suffice. Blood should be drawn in the morning, 8 to 12 hours after the last dose of lithium is taken |
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Term
| lithium side effects at safe dosage levels |
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Definition
Fine hand tremor, polyuria, and mild thirst
Mild nausea and general discomfort
Weight gain |
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Term
| lithium side effects at early toxicity (1.5meq) |
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Definition
| Nausea, vomiting, diarrhea, thirst, polyuria, lethargy, slurred speech, muscle weakness, and fine hand tremor |
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Term
| lithium side effects at toxicity (1.5-2) |
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Definition
| Coarse hand tremor, persistent gastrointestinal upset, mental confusion, muscle hyperirritability, electroencephalographic changes, incoordination, sedation |
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Term
| lithium side effects at severe toxicity (2.1++) |
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Definition
| Ataxia, confusion, large output of dilute urine, serious electroencephalographic changes, blurred vision, clonic movements, seizures, stupor, severe hypotension, coma; death is usually secondary to pulmonary complications. Convulsions, oliguria, and death can occur. |
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Term
| Before administering lithium, what should the patient be tested for? |
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Definition
| renal function, thyroid function (thyroxine/ TSH), dementia. |
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Term
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Definition
• Superior for continuously cycling patients
• More effective when there is no family history of bipolar disease
• Effective at dampening affective swings in schizoaffective patients |
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Term
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Definition
| useful in the treatment of acute mania in some patients who are resistant to other treatments. These drugs are also effective in managing the psychomotor agitation seen in mania. They should be avoided, however, in patients with a history of substance abuse. |
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Term
| atypical antipsychotic drug uses |
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Definition
| help with insomnia, anxiety, agitation, mood-stabilizing properties, prevents mania relapse |
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