medications for bipolar anticonvulsants/mood stablizer Flashcards
(26 cards)
lithium is used for
acute mania
acute bipolar depression
maintenance
lithium has significant effects on
SI
how long does it take lithium to fully kick in
3-6 weeks
theraputic level of lithium
0.5-1.2
early lithium toxicity
1.2-1.5
advanced lithium toxicity
1.5-2
severe lithium toxicity
2+
common ade of lithium 6
- fine hand tremors
- weight gain
- sedation
- polyuria
5, acne
- nausea
early lithium toxicity s/s 3
- NVD
- slurred speech
- muscle weakness
advanced lithium toxivity s/s 6
- course hand tremors
- GI upset
- confusion
- muscle hyperirratability
- EEG changes (seizures)
- inccordination
severe lithium toxicity s/s 4
- ataxia
- blurred vision
- tinnitus
- jerking movements
- sezuries
what to do for advanced lithium toxicity
diurretics
what to do for severe lithium toxicity
dialysis
valproic acid used for
- mania
- hypomania
- rapid cycling
- mixed states
when are anticonvolsents best given
at night
theraputic range for valproic acid
85-125
common ade for valproic acid 8
- tremors
- weight gain
- gi pain
- hair loss
- blood dyscrasias
- sedation
- heptatotoxicity
- pancratitis
toxic s/s of valporic acid 4
- ataxia
- confusion
- coma
- somnolenece
all anticonvulsants have a major risk for
increased SI
carbamazepine used for
- mania
- rapid cycling
- mixed states
- mantanice
what to monitor for for carbamazepine
monitor for liver enzymes first 8 weeks
common ade for carbaazapine 6
- hyponatremia
- fluid over load
- blood dyscracias
- rash
- decreaed BC pill
- hepatic disease
toxic ss of carbamazapine 5
- fatigue
- nausea
- diplopia
- blurry vision
- ataxia
lamotrigine used for
bipolar depression (acute and maintenance)