QUESTION
when should we complete blood testing with use of lithium?
Answer:
early in therapy- every 2-3 days, until a therapeutic dose has been established, then long term-
every 3 to 6 months
QUESTION
therapeutic level of lithium
,Answer:
0.8-1.4 mEq/L
QUESTION
toxic level of lithium
Answer:
greater than 1.5 mEq/L
QUESTION
when can we start to see side effects of lithium?
Answer:
when the drug is at a therapeutic level. they are expected.
QUESTION
what are the side effects of lithium (therapeutic level)?
Answer:
GI effects, tremors, polyuria, renal toxicity, goiter, hypothyroidism, teratogenesis.
QUESTION
what will happen to side effects when one has a toxic level of lithium?
Answer:
the effects will be much worse and possibly life threatening i.e. tremor that becomes larger with
muscle incoordination
QUESTION
what medications can we use to treat the cyclic effects of bipolar (mood-depression- psychosis)?
, Answer:
mood stabilizer (lithium)= control mood
antidepressant (SSRI,TCA,MAOI)= control depression
antipsychotic (Ist/2nd generation)= control the psychosis
QUESTION
how does a benzodiazepine help with ETOH withdrawal?
Answer:
it will decrease the withdrawal manifestations and intensity, while making one sleepy and having
CNS depression. plus, it is easy to give IM and will work quickly.
QUESTION
what is a popular benzodiazepine that is used to treat anxiety?
Answer:
alprazolam (think A-anxiety)
QUESTION
how does alprazolam work to reduce anxiety?
Answer:
it inhibits GABA in the CNS, depressing the CNS.
QUESTION
what are the side effects of alprazolam use?
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