bipolar disorders

antiepileptics for bipolar common suffix

-azepine

other med classes for bipolar (3)

antipsychotics, antidepressants, and anxiolytics

mood stabilizer prototype

lithium

lithium adverse effects (9)

tremors, polyuria, thirst, weight gain, hypothyroidism, goiter, bradydysrhythmias, hypotension, and electrolyte imbalances

lithium toxicity common adverse effects level

<1.5 mEq/L

lithium toxicity common adverse effects (8)

N/V/D, polyuria, thirst, polyuria, tremors, slurred speech, lethargy, and muscle weakness

lithium toxicity early adverse effects (3)

mental confusion, poor coordination, and sedation

lithium toxicity advanced adverse effects (9)

tinnitus, involuntary movements, blurred vision, ataxia, seizures, hypotension, coma, death, and oliguria

lithium toxicity early adverse effects level

1.5-2.0 mEq/L

lithium toxicity advanced adverse effects level

2.0-2.5 mEq/L

lithium toxicity severe adverse effects level

>2.5 mEq/L

is lithium teratogenic?

yes

lithium interacts with what 2 kinds of drugs?

lithium and anticholinergics

who requires more monitoring for toxicity with lithium use?

older adults

stress the importance of adequate ______ and _____ intake in lithium use

sodium; fluid

3 mood-stabilizing antiepileptic select prototype medications

carbamazepine, valproic acid, and lamotrigine

mood-stabilizing antiepileptic select prototype adverse effects (8)

CNS effects, blood dyscrasias, teratogenic, fluid overload, skin disorders, weight gain, pancreatitis, and double/blurred vision

carbamazepine is contraindicated in… (3)

bone marrow suppression, bleeding disorders, and breastfeeding

antipsychotics common suffixes

-idone/apine