maryville nurs 663 exam 1 with questions and answers

Lithium labs - ans ---level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH bipolar meds: depression - ans ---lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax) bipolar acute and mixed mania - ans ---aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+) classic mood stabilizers - ans ---Lamotrigine (excellent medication to use), lithium, Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no evidence for true Bipolar disorder) anti-depressants - ans ---class not used w/bipolar disorder lithium - ans ---Anti-manic, antidepressant, anti-suicidal Lithium side effects - ans ---Frequent urination, increased thirst, weight gain, sedation lithium toxicity - ans ---sudden onset tremors, N/V/D, muscle weakness, slurred speech, confusion, seizures (slowing down, feel really out of it) Major Depressive Disorder Dx - ans ---5+ for at least a 2-week period; either #1 or 2 req 1. Depressed mood most of the day, nearly every day (can be irritability in children & adolescents) 2. Diminished interest or pleasure in all, or almost all, activities 3. Change appetite/weight; kids not wt goals Insomnia or hypersomnia nearly every day 4. Up or down Psychomotor 5. Fatigue or loss of energy 6. Worthlessness/excessive or inappropriate guilt 7. Diminished ability to think or concentrate, or indecisiveness (don't confuse with ADHD, address mood first)