NUR 322 EXAM 3 Questions & 100% Correct
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What are 4 antiepileptic medications used for bipolar disorder?
✓ -:- -valproic acid
✓ -carbamazepine
✓ -lamotrigine
✓ -oxcarbazepine
✓ -topiramate
What are 3 other classes of medications used for bipolar disorder?
✓ -:- -antipsychotics
✓ -anxiolytics
✓ -antidepressants
____ replaces sodium - when sodium decreases, ___ increases
✓ -:- -Lithium
-lithium
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______ (for manic episodes)
✓ -:- LITHIUM CARBONATE
What are 7 complications of Lithium?
✓ -:- -GI distress
-fine hand tremors
-polyuria, mild thirst
-weight gain
-renal toxicity
-goiter and hypothyroidism
-bradydysrhythmias, hypotension, electrolyte imbalance
-lithium toxicity
*lithium level: less than 1.5 mEq/L
-diarrhea
-nausea
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-vomiting
-thirst
-polyuria
-muscle weakness
-fine hand tremor
-slurred speech
-lethargy
✓ -:- symptoms of early Lithium toxicity?
What assessment findings would you expect to see in a patient with a Lithium level of 1.8
✓ -:- -mental confusion
-sedation
-poor coordination
-coarse tremors
-GI distress (N,V,D)
What assessment findings would you see in a patient with a Lithium level of 2.3?
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✓ -:- Rapid progression of manifestations leading to coma and death
contraindications/precautions of Lithium?
✓ -:- -Category D (especially in first trimester)
-No brestfeeding
-Contraindicated in hepatic, renal, cardiac disease; hypovolemia; schizophrenia
-caution in older adults, thyroid disease, seizure disorder, diabetes
interactions
-Diuretics: sodium is excreted with this; less excretion of lithium leading to toxicity
-NSAIDS: increased renal absorption leading to toxicity
-antihistamines/tricyclic antidepressants: abdominal discomfort from urinary retention and
polyuria
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