Mood stabilizer

Question 1

Which mood stabilizer is used as the first line of tx?

Answer 1

lithium

Question 2

What is lithium effective in tx of?

Answer 2

1. acute mania
2. acute Bipolar depression
3. Prevention of manic episodes

Question 3

How long does it take for lithium to have a full response?

Answer 3

3-6 weeks

Question 4

Are NSAIDS contraindicated with lithium?

Answer 4

duh

Question 5

What is the therapeutic level of lithium?

Answer 5

0.5-1.2

Question 6

what therapeutic level shows signs of early lithium toxicity?

Answer 6

1.2-1.5

Question 7

What therapeutic level shows signs of advanced lithium toxicity?

Answer 7

1.5-2

Question 8

What therapeutic level shows signs of severe lithium toxicity?

Answer 8

2+

Question 9

What are COMMON EXPECTED side effects of lithium?

Answer 9

1. fine hand tremors
2. polyuria, mild thirst
3. nausea
4. weight gain
5. sedation
6. acne

Question 10

Signs of early lithium toxicity

Answer 10

1. N/V/D
2. slurred speech
3. Muscle weakness

Question 11

signs of advanced lithium toxicity

Answer 11

1. Coarse hand tremor
2. GI upset
3. Mental confusion
4. Muscle hyper irritability
5. EEG changes
6. incoordination

Question 12

what is the tx for someone experiencing advanced signs of lithium toxicity?

Answer 12

saline bolus

Question 13

signs of severe lithium toxicity

Answer 13

1. ataxia
2. serious EEG changes
3. Blurred vision
4. Clonic movements, seizures
5. Stupor
6. Coma/Death

Question 14

Long term side effects of lithium

Answer 14

HYPOthyroidism
Kidney dysfunction