NURS 663 EXAM 2
Lithium labs (Ans- level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH
bipolar meds: depression
(Ans- lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
bipolar acute and mixed mania (Ans- aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+)
classic mood stabilizers (Ans- 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 (Ans- class not used w/bipolar disorder
lithium (Ans- Anti-manic, antidepressant, anti-suicidal
Lithium side effects (Ans- Frequent urination, increased thirst, weight gain, sedation
lithium toxicity (Ans- 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 (Ans- 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 1 / 3
Tourette's d/o (Ans- 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 (Ans- habit reversal training can be used to manage tics
Tics tx (Ans- Alpha agonists (clonidine, guanfacine); Haldol is not the first-line txt
Developmental Coordination Disorder (Ans- a motor disorder characterized by marked impairment in the development of motor coordination; movement isn't consistent w/age
Stereotypic Movement Disorder (Ans- 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 (Ans- 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
Anorexia nervosa (Ans- an eating disorder in which an irrational fear of weight gain leads people to starve themselves; restrictive or binge/purge/exercise
Bulimia nervosa (Ans- an eating disorder characterized by episodes of overeating, usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive exercise
- / 3
Binge-eating disorder (Ans- significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
Avoidant/restrictive eating disorder (Ans- avoiding or restricting foods in childhood. significantly low BMI; no distortion of body image or fear of gaining wt. r/o delusions around food
Pica (Ans- an abnormal craving or appetite for nonfood substances, such as dirt, paint, or clay that lasts for at least 1 month; decrs incidence with incr age
Feeding and Eating Disorders tx (Ans- Talk therapy (counseling is needed for the distress) (intensive outpatient, partial inpatient or actual inpatient admission may be needed); most have associated depression and/or anxiety
Feeding and Eating Disorders meds (Ans- fluoxetine help but not direct tx Vyvanse approved for binge eating but not because of stimulant effects
Encopresis (Ans- a childhood disorder characterized by repeated defecating in inappropriate places, such as one's clothing
Enuresis (Ans- involuntary urination
Encopresis Treatment
(Ans- Behavior management: toilet refusal behavior, scheduled toileting
time, incentives.Prevention of constipation Counseling
- / 3