Exam (elaborations)
NSG322 Bipolar Disorder Meds: Questions With Complete Solutions
- Course
- Institution
NSG322 Bipolar Disorder Meds: Questions With Complete Solutions
[Show more]
Content preview
NSG322 Bipolar Disorder Meds: Questions WithComplete Solutions
What are the first-line treatments for bipolar disorder? Right Ans - -
Lithium
- Anticonvulsants: Valproate, lamotrigine, carbamazepine
What meds can treat agitation associated with bipolar disorder? Right Ans
- - Lithium, divalproex, olanzapine, risperidone
- Benzodiazepines (clonazepam, lorazepam) for short-term agitation caused
by acute mania
What med can be used for mood stabilization in patients with bipolar
disorder? Right Ans - Lithium - GOLD STANDARD FOR MANIA, FIRST-LINE
TREATMENT
Lithium (MOA) Right Ans - - Interact with sodium and potassium to
stabilize electrical activity
- Reduce glutamate activity - Antimanic effect
- Antidepressant properties
- Antisuicidal properties
Lithium (indications) Right Ans - FDA approved for acute mania and
maintenance treatment of bipolar disorder
Lithium is particularly effective in reducing Right Ans - - Elation,
grandiosity, expansiveness
- Flights of ideas
- Irritability and manipulation
- Anxiety
- Self-injurious behavior
Lithium (onset) Right Ans - 10-21 days; supplement in early phases with
second-generation antipsychotics, anticonvulsants, & antianxieties until reach
full therapeutic effect
Lithium (therapeutic index) Right Ans - - Narrow therapeutic index
, - Must reach therapeutic blood levels to be effective (7-14 days or longer to
reach)
- Target 12-hr serum trough level is 0.8-1.2
- Clinical benefit level for acute mania is 1.0-1.2
- Maintenance level is 0.6-0.8
=> FREQUENT MONITORING OF LABS IS CRUCIAL (TOXICITY &
THERAPEUTIC EFFECT)
When should the first lithium level be drawn? Right Ans - Every 2 to 3 days
after begin therapy and after any dosage change until therapeutic level has
been reached
How often should blood levels be checked after therapeutic level has been
reached? Right Ans - Every 3-6 months
What should the nurse teach older patients on lithium? Right Ans - Start
low and go slow
What should be done before administering lithium? Right Ans - Baseline
assessment of renal function, thyroid status (thyroxine and TSH levels), labs,
ECG
Lithium (contraindications) Right Ans - CVD, brain damage, renal disease,
thyroid disease, myasthenia gravis, pregnancy, breast-feeding, children <12yo
Lithium (adverse effects) Right Ans - - Skin: acne, alopecia, psoriasis
- GI: N/V, DIARRHEA
- Endocrine: HYPOTHYROIDISM, WEIGHT GAIN
- Fluid and electrolyte: edema, POLYDIPSIA, POLYURIA
- Nervous and musculoskeletal: ATAXIA, SEDATION, FINE TREMOR
Lithium serum level <1.5 (signs of toxicity) Right Ans - - N/V, DIARRHEA,
thirst, POLYURIA, lethargy, sedation, FINE HAND TREMOR
- Renal toxicity, goiter, and hypothyroidism may occur with long-term use
Lithium serum level <1.5 (interventions) Right Ans - - Symptoms often
subside during treatment.
- DOSES SHOULD BE KEPT LOW.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now