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NURS 663 EXAM 1 EXAM NEWEST 2024-2025
ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
what are the indications of lamotrigine? - CORRECT ANSWER-bipolar, depression can help with chronic pain
what is the starting dose of lamotrigine? - CORRECT ANSWER-25 mg/day for 1 and 2 weeks, then 50 mg/day for 3 and 4 weeks, then 100 mg/day for 5 week, then 200 mg/day for
- week, and beyond
what lab test to complete with lamotrigine? - CORRECT ANSWER-liver
what is most concerning side effect of lamotrigine? - CORRECT ANSWER-steven johnson syndrome
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what are the most common side effects of lamotrigine? - CORRECT ANSWER -GI upset, sedation
how do lamotrigine and valproic acid interact? - CORRECT ANSWER-valproic acid increases lamotrigine levels lamotrigine decreases valproic acid levels
what antipsychotics might help with mania? - CORRECT ANSWER-"AZROQ"
aripirazole (abilify) ziprasidone (Geodon) risperidone (risperdal) olanzapine (zyprexa) quetiapine (seroquel)
what antipsychotics are best for bipolar maitenance? - CORRECT ANSWER -ziprasidone olanzapine quetiapine
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what antipsychotic might best help depressive symptoms of bipolar? - CORRECT ANSWER -quetiapine XR
what drugs have the highest risk of steven johnson syndrome? - CORRECT ANSWER -valproic acid lamotrigine carbamazepine oxcarbazepine
what 4 domains should be evaluated when deciding how to treat bipolar disorder? - CORRECT ANSWER -- acute mania
- acute depression
- prophylaxis against mania
- prophylaxis against depression
what 3 medications are best for acute mania? - CORRECT ANSWER-valproic acid (1000mg/day acute mania; can dose at 250mg TID) lithium (300mg TID) olanzapine (10mg/day)
what medication isnt very good for acute mania? - CORRECT ANSWER-lamotrigine (slow titration) 3 / 4
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what is the loading dose regimen for valproic acid? - CORRECT ANSWER-30mg/kg/day x 3 days; then 20mg/kg/day
what medication is best for mania prophylaxis? and what other medications help? - CORRECT ANSWER -**lithium atypical antipsychotics valproic acid carbamazapine
what medications help treat acute bipolar depression? - CORRECT ANSWER -**atypical antipsychotics -- quetiapine, olanzapine, lurasidone lithium lamotrigine
what medications help with bipolar depression prophylaxis? - CORRECT ANSWER -lamotrigine atypical antipsychotics lithium
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