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Mr. D Pharmacology Final

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Term
Definition
Thioridazine   Mellaril  
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Clonazapam   Klonopin  
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Clozapine   Clozaril  
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Risperidone   Risperdal  
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Quetiapine   Seroquel  
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Antimanics are used in the treatment of   mania (mood disorders)  
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What will you see in mania?   excitement, hyperactivity, elevation of mood, very talkative (possible hallucinations)  
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What is the most commonly used drug for the treatment of mania?   Lithium  
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What is the most common mood stabilizer?   Lithium  
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State board exams always ask at least ___ question regarding Lithium.   1  
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Does lithium speed up or slows down neuronal activity?   Slows down brain activity.  
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Lithium is similar to   sodium  
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Sodium is required for   the conduction of nerve impulses  
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Lithium interferes with   nerve conduction  
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Lithium's interference with nerve conduction has what affect on the individual?   Calming  
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Lithium is used to treat   Mania in BP1 and BP2  
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Sodium causes   neurotransmitters to jump the synaptic cleft  
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Lithium can become   toxic if over dose  
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Lithium increases the reuptake of   norepinephrine and dopamine  
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How long does lithium take to work?   1 to 2 weeks  
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Therapeutic blood levels of lithium range from   0.5 to 1.5 mEq/L  
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Maintenance dosage for Lithium   900-1200mg  
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Lithium side effects   Mild to Moderate: Nausea, Tremors, Increased thirst, Increased urination  
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Lithium toxicity causes   heart and kidney damage  
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Lithium signs of overdose   vomiting, diarrhea, drowsiness, loss of equilibrium, ringing in ears(tinnitus), excessive thirst, excessive urination(wetting pants)  
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Lithium drug interactions with   Ibuprofen, Naproxen, Diuretics, SSRI antidressant  
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2nd best choice for mania mood stabilization   anticonvulsants  
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Name anticonvulsants   Depakote, Gabapentin, Carbamazepine, Lamotrigine, Topiramate, Oxcarbazepine, Tiagabine  
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3rd best choice for mania   Propranolol  
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How do anticonvulsants work?   They increase the inhibitory actions of GABA  
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Anticonvulsant side effects   dizziness, drowsiness, fatigue, nausea, tremors, rash, and weight gain  
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Anticonvulsant side effects increase or decrease with time?   side effects lessen with time  
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Should pregnant women take anticonvulsants?   no  
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Anticonvulsants can cause problems with what organ over time?   liver  
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Propranolol is a   Non-selective Beta blocker  
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Propranolol can be used for   anticipatory performance issues to calm down without sedation. Lowers blood pressure  
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Student used propranolol to pass   physical agility test  
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Propranolol only given if pulse rate is above   > 60 beats per minute  
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Propranolol only give if blood pressure is above   > 90/60 blood pressure  
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Mood stabilizers ok to give for   schizo affective disorder  
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Lithium works best when it is the primary medication because   it does not mix well with other drugs (Ibuprofen, Naproxen, Diuretics, SSRI antidressant)  
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fluoxetine (Prozac) daily dosage   20-40 mg  
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