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Exam Week 4: NR668 / NR 668 (Latest 2024 / 2025) Psychiatric-Mental Health Capstone Practicum & Intensive | Review Questions and Answers | 100% Correct | Grade A - Chamberlain $7.99
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Exam Week 4: NR668 / NR 668 (Latest 2024 / 2025) Psychiatric-Mental Health Capstone Practicum & Intensive | Review Questions and Answers | 100% Correct | Grade A - Chamberlain
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Exam Week 4: NR668 / NR 668 (Latest 2024 / 2025) Psychiatric-Mental Health Capstone Practicum & Intensive | Review Questions and Answers | 100% Correct | Grade A - Chamberlain Question: Mood Stabilizers Answer: -Lithium -Lamotrigine -Carbamazepine -Valproate Question: Lithium An...

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  • October 12, 2024
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  • 2024/2025
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Exam Week 4: NR668 / NR 668
(Latest ) Psychiatric-
Mental Health Capstone Practicum
& Intensive | Review Questions and
Answers | 100% Correct | Grade A -
Chamberlain


Question:
Mood Stabilizers
Answer:
-Lithium
-Lamotrigine
-Carbamazepine
-Valproate




Question:
Lithium
Answer:
-Mood stabilizer
-Works equal or better than Valproate in Bipolar d/o

,-Decreases SI in Bipolar d/o
-Not great for rapid cycling (> 4 X per year).
-not protein bound & is renally excreted
• Elderly have more difficulty with this drug given their decreased renal
function
-Monitor:
• CR, TSH, CBC, EKG, Li levels
-Know baseline:
• thyroid function & renal function prior to use.
• Pregnancy test prior to initiation
-Avoid breast feeding with use.
-Side Effects:
• Weight gain
• tremor
• hair loss
• decreased cognition
-Narrow therapeutic window
• Maintenance at 0.6 - 1.0
• Early signs of toxicity over 1.5

➣Symptoms may include tremor, N/D, blurred vision, confusion

,Question:
Lamotrigine
Answer:
-Anticonvulsant
-Mood stabilizer
-Helps with Bipolar Depression
• is an off label use
-Rare but deadly side effect of Steven-Johnson Syndrome




Question:
Carbamazepine
Answer:
-Anticonvulsant
-Mood stabilizer
-Induces its own metabolism
-Steven-Johnson syndrome risk elevated in patients of Asian decent
• Genetic screening recommended
-Notable CYP3A4 inducer

, Question:
Valproate
Answer:
-Anticonvulsant
-Mood stabilizer
-Contraindicated in pregnancy
• associated with neural tube defects
-Side effects:
• potential hepatotoxicity
• pancreatitis
• weight gain
• dose dependent thrombocytopenia
-Highly protein bound
-Therapeutic range for mania= 50 - 125 mcg/mcl with a target of 80 mcg/ml
-Monitoring:
• LFTs, CBC with platelets, Serum Ammonia with MS change, serum valproate
level




Question:
Antipsychotics: 1st generation
Answer:
-D2 antagonism
• MOA & reason for many of the side effects
-Result of D2 receptors being blocked in pathways:

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