A.T Maryville NURS 663 Exam 2

Lithium labs - level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH bipolar meds: depression - lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax) bipolar acute and mixed mania - aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+) classic mood stabilizers - 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 - class not used w/bipolar disorder lithium - Anti-manic, antidepressant, anti-suicidal Lithium side effects - Frequent urination, increased thirst, weight gain, sedation lithium toxicity - sudden onset tremors, N/V/D, muscle weakness, slurred speech, confusion, seizures (slowing down, feel really out of it) Persistent Motor or Vocal Tic Disorder - pt in front of you only has one or the other but not both—they usually don't even know it is a tic, it is only meaningful if it's affecting their quality of life Tourette's d/o - Multiple motor and at least one vocal tic (some tics come and go, they don't have them all at the same time to receive the diagnosis) HRT - habit reversal training can be used to manage tics Tics tx - Alpha agonists (clonidine, guanfacine); Haldol is not the first-line txt Developmental Coordination Disorder - a motor disorder characterized by marked