NURS 663 Exam 1 Review – Detailed Verified Q&A

NURS 663 - EXAM 1 REVIEW; QUESTIONS
WITH DETAILED VERIFIED ANSWERS


1st choice med for Bipolar - correct answer- Lithium


2nd choice med for Bipolar - correct answer-
Anticonvulsants as mood stabilizers


Valproic acid
Lamotrigine
Carbamazepine


3rd choice med for Bipolar - correct answer-
Antipsychotics


Antidepressant - classes - correct answer- 1st line - SSRI
2nd line - SNRI
3rd & 4th - MAOIs and TCAs (lots of side effects, avoid when
able)

,Big things to know with mood stabilizers - correct answer-
Indicated for: bipolar, cyclothymia, schizoaffective, impulse
control, intermittent explosive disorders


-Check pregnancy test for all!
-Lab work for levels of most of the meds
-Steven Johnson's syndrome common side effect
-Tremors common side effect
-Liver or kidney toxicity (depending which med)


Bipolar - Rapid Cycling - correct answer- 4 or more mood
episodes in a year


Bipolar Type 1 - correct answer- At least 1 manic episode
(can have a major depressive episode but not required)


Bipolar Type 2 - correct answer- At least 1 hypomanic
episode, and at least 1 major depressive episode
-NO manic episodes ever

, Bupropion (Wellbutrin) - Patient education - correct answer-
Do not give to patient with history of seizures or head injury -
lowers seizure threshold


Bupropion (Wellbutrin) - Starting dose - correct answer-
XL - 150mg daily


Buproprion (Wellbutrin) - Indications - correct answer-
MDD
SAD
Nicotine Addiction


Good for:
Fatigue
Weight loss
Combat sexual dysfunction
Good augmenting med for SSRIs


Buproprion (Wellbutrin) - MOA - correct answer- NDRI -
norepinephrine dopamine reuptake inhibitor