NURSING > STUDY GUIDE > NURSING CORE NURS 222 Quiz 4 Mental Health Pointers. (LATEST SOLUTION 2020)100% (All)

NURSING CORE NURS 222 Quiz 4 Mental Health Pointers. (LATEST SOLUTION 2020)100%

Document Content and Description Below

❖ Mood stabilizer ➢ Anticonvulsant (Seizure) Drugs –Mood Stabilizers ■ Valproate (Depakote) ● Depakote – given to bipolar patients ◆ Antiseizure and anticonvulsive medication ◆ Enteric coated – can’t crush, cut, or chew medication ● Useful agent in ◆ rapid cycling, ◆ substance abuse, ◆ aggression, ◆ intermittent explosive disorder ● Divalproex Sodium - Depakote® - (enteric coated) ● Valproic Acid Syrup – Depakene® syrup ● Valproic Acid – Depakene® (250 - 1,500 mg/d) ● Therapeutic Range: (50 – 80 µg/mL) for Mania (80 – 125) depression ● Client complain swallowing tablet: ◆ Call provider and change to syrup ● Can be syrup or dissolving tablet ● Side effects: ◆ GI distress N/V/D - give with food ◆ Drowsiness -give at bedtime ◆ Tremors – Propranolol ◆ Alopecia – zinc, multivitamin with B complex and selenium supplements ◆ Weight gain - diet and regular exercise ◆ Increase plasma ammonia – neurotoxic = blunted, drunk feeling, delirium ◆ Black box warnings: Hepatotoxicity, pancreatitis, teratogenicity (Category X). Contraindicated for child bearing women ● PANELS ◆ Valproic Acid Level ➢ VPA > 80 for Depression ➢ VPA < 80 for Mania / Hypomania ◆ CBC no diff ◆ ALT, serum, AST, LDH ➢ Labs that should be monitored regularly when on VPA ◆ 12 hours blood draw after the last dose ◆ ■ Carbamazepine (Tegretol) ● Therapeutic Range: (4 – 12 mL) ● Look at liver function ● Should know the levels should be done weekly for the first 8 weeks of treatment ● Anticonvulsant, bipolar disorder, trigeminal neuralgia, severely paranoid ● Side effects: ◆ sedation, ◆ dizziness, ◆ anticholinergic, ◆ rash, ◆ less weight gain, ◆ hepatic dysfunction, ◆ leukopenia (rare), ◆ WBC suppression/platelets ● labs ◆ liver function test ◆ platelet test ◆ first 8 weeks of treatment ■ Lamotrigine (Lamictal) ● A patient is at risk for steven-johnson syndrome ● Will be a rash, typically on the chest, back or lip area (if lips, will appear as blisters) ◆ It’s a medical emergency ◆ Tell patient to stop taking and to go to the ER ● Slow titration process: ◆ (25 mg for 2 weeks, then 50 mg for 2 weeks, then 100 mg for 2 weeks) ◆ Generally effective at 100 to 200 mg up to 400 mg ◆ Takes MONTHS to get to therapeutic levels, so take with other anticonvulsant ● Side effects: ◆ Rash/blisters (Stevens Johnsons) = on lips, or chest ➢ organ failure ➢ death ➢ dizziness, ➢ headache, ➢ sedation ◆ Weight =neutral ■ Oxcarbazepine - Trileptal® (600 - 2,400 mg/d) ● Side effects: sedation, dizziness, headache, nausea and vomiting ■ Other meds professor sees often ● Depakote ● Gabapentin ◆ Detox of alcohol ◆ Pain ◆ Anticonvulsant ◆ Mood stabilizer

[Show More]

Last updated: 3 years ago

Preview 1 out of 7 pages

Buy Now

Instant download