Maryville nurs 663 Exam 2 Questions and Answers 2023

Maryville nurs 663 Exam 2 Questions and Answers 2023 Lithium labs - ANSWER level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH bipolar meds: depression - ANSWER lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax) bipolar acute and mixed mania - ANSWER aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+) classic mood stabilizers - ANSWER 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 - ANSWER class not used w/bipolar disorder lithium - ANSWER Anti-manic, antidepressant, anti-suicidal Lithium side effects - ANSWER Frequent urination, increased thirst, weight gain, sedation lithium toxicity - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER habit reversal training can be used to manage tics Tics tx - ANSWER Alpha agonists (clonidine, guanfacine); Haldol is not the first-line txt Developmental Coordination Disorder - ANSWER a motor disorder characterized by marked impairment in the development of motor coordination; movement isn't consistent w/age Stereotypic Movement Disorder - ANSWER a motor disorder characterized by repetitive, seemingly driven, and apparently purposeless motor behavior, such as hand waving or head banging, but not include ASD sx Specific Learning Disorders - ANSWER difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities; dx by other professionals w/specialized training; NP tx comorbid d/o