Psychiatry Questions

Lithobid toxicity > ______ mEq/L may cause CNS depression, arrythmia, seizure, coma

______ can help stabilize the mood when mania occurs with psychosis

lithium therapeutic trough range for bipolar depression

What mood stabilizer should be used in pregnancy to treat bipolar depression?

(Increased/decreased) ______ ______ will reduce lithium levels

lithium levels increase with (increased/decreased) ______ ______ and with ______, ______, NSAIDs and ______ ______

______ requires slow titration due to the risk of severe rash and should not be used in acute mania

Lithium has many DDIs and can cause ______ ______ in many patients

Lithim toxicity > ______ mEq/L may cause ataxia, hand tremors, vomiting

Acute treatment for mania episode:1. ______ 2. Lithium or valproateIf severe acute treatment needed, use a ______ of an ______ + lithium or valproate

______ can induce or exacerbate a ______ episode when used as monotherapy so they should be used in combination with a ______ ______

Lithium may induce the following side effects within therapeutic levels:- GI upset- cognitive effects- cogwheel rigidity- tremor- thirst- polyuria/polydipsia- weight gain- hypothyroidism

The goal of treatment with bipolar depression is to ______ the mood without inducing either state

Bipolar disorder is characterized by fluctuations in ______ from extremely sad or hopeless to an abnormal elevated, overexcited or irritable mood

Lithium should be avoided in what patient population?

Lithium citrate syrup concentration = ______ mEq/______ mL

Mania symptoms include:- Inflated self-esteem- Needs less sleep- more talkative than normal- jumping from topic to topic- easily distracted- high-risk pleasurable activities

______ is associated with significant impairment in social/work functioning, psychosis/delusions or requires hospitalization

To be diagnosed with mania, more than ______ ______ should be present

______ ______ disorder is at least one episode of mania.