exam 2

Question 1

what are antipsychotics used for

Answer 1

psychotic disorders
schizophrenia
bipolar disorders

Question 2

neuroleptic malignant syndrome

Answer 2

adverse reaction to antipsychotics
- CNS hyperactivity
- HTN, fever, sweating, lead pipe muscle rigidity

Question 3

what class of medications cause EPS?

Answer 3

antipsychotics, more so in typical than atypical

Question 4

EPS symptoms and treatment

Answer 4

• acute dystonia, tardive dyskinesia, pseudoparkinsonism, akathisia
• benztropine!!

Question 5

medication that causes agranulocytosis

Answer 5

clozapine- atypical antipsychotic

Question 6

very common side effect of antipsychotics

Answer 6

weight gain

Question 7

what are mood stabilizers used for

Answer 7

bipolar disorders

Question 8

gold standard for bipolar treatment

Answer 8

lithium

Question 9

lithium patient teaching

Answer 9

patients needs adequate hydration & sodium

Question 10

mood stabilizers that require bloodwork while using

Answer 10

• lithium
• divalproex sodium/valproic acid
• carbamazepine (tegretol)

Question 11

medication to monitor for a rash & stevens-johnson syndrome

Answer 11

lamotrigine (lamictal)- anticonvulsant

Question 12

major side effect of lithium

Answer 12

metallic taste

Question 13

lithium toxicity

Answer 13

> 1.5 mEq/L
- n/v
- diarrhea
-ataxia
- hyperreflexia
- nystagmus
- vision changes

Question 14

lithium therapeutic range

Answer 14

0.6-1.2 mEq/L

Question 15

tegretol therapeutic range

Answer 15

4-12 mg/L

Question 16

divlproex sodium/valproic acid therapeutic range

Answer 16

50-100 mcg/mL

Question 17

what should patients avoid while using anticonvulsants

Answer 17

heavy alcohol use

Question 18

first line treatment for depression

Answer 18

SSRIs & SNRIs

Question 19

serotonin syndrome

Answer 19

CNS hyperactivity
- HTN
- sweating
- increased fever
- agitation
- disorientation
- myoclonus: sudden involuntary twitching
- hyperreflexia

Question 20

which drug class has a risk of overdose

Answer 20

TCAs- antidepressant

Question 21

which drug. class has risk for hypertensive crisis when eating tyramine-rich foods

Answer 21

MAIOs

Question 22

buproprion black box warnings

Answer 22

• decreased seizure threshold
• risk of suicidal thoughts

Question 23

typical antipsychotic MOA

Answer 23

blocks dopamine

Question 24

atypical antipsychotic MOA

Answer 24

blocks dopamine & serotonin