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NR 568 wk 7 & 8 || All Solutions are Accurate.

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NR 568 wk 7 & 8 || All Solutions are Accurate.


Drug classes used to treat Bipolar Disorder correct answers Mood stabolizers: Lithium,
Carbamazepine, Valproic Acid
Antipyschiotics: 2nd gen: olanzapine, risperidone (preferred), 1st gen: Haldol
Antidepressants: Bupropion, Venlafaxine, Prozac, Sertraline


Drugs that interact with Lithium correct answers ACE inhibitors & Diuretics


Lab work to monitor with Lithium (4) correct answers Serum levels
Renal/Liver function
Thyroid function (can cause damage)


Examples of SSRIs correct answers fluoxetine (Prozac)
sertraline (Zoloft)
paroxetine (Paxil)
fluvoxamine (Luvox)


Examples of SNRIs correct answers Venlafaxine (Effexor)
Duloxetine (Cymbalta)


Why should SSRIs and SNRIs not be stopped abruptly? correct answers Can cause withdrawal
symptoms or rebound anxiety


What type of patients would benefit from MAOIs or TCAs? correct answers Have not responded
to other antidepressants


Medications for SAD and PTSD correct answers SSRI: Paxil and Zoloft

, First line drug treatment for depression correct answers SSRIs (Paxil, Prozac, etc)
SNRI
Bupropion
Mirtazapine


When is suicide risk the highest when starting antidepressants? correct answers First month
and/or with dose changes


What are signs of serotonin syndrome and when does it begin? correct answers 2-72 hours of
starting treatment
s/s AMS, incoordination, diaphoresis, tremor, fever


Adverse reactions of SSRIs/SNRIs correct answers Serotonin syndrome, sexual dysfunction,
weight gain, teratogenic


Which SSRIs can cause QT prolongation in the elderly? correct answers Lexapro and
Citalopram
*cut dose in half


What increases the risk of Serotonin syndrome when combined with SSRIs/SNRIs? correct
answers MAOIs


Caution should be taken when combining diuretics with SNRIs because? correct answers
Hyponatremia


MAOIs should be withdrawn for how many days prior to starting SNRI/SSRI correct answers 7
days before/after

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