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Pharmacology Exam III
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Mood Stabilizers

Mood Stabilizers

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140 Must Know Meds (Book)
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Outline

Overview

  1. Enhances serotonin and/or GABA function.

Nursing Points

General

  1. Most commonly used = Lithium  
    1. Increases serotonin and decreases norepinephrine
    2. Used for Bipolar Disorder

Nursing Considerations

  1. Lithium
    1. Monitor therapeutic level
      1. 0.6-1.2 mEq/L
      2. Frequency per protocol
        1. More often after initiation
        2. Then monthly
      3. Best drawn in morning, approximately 12 hours since last dose
    2. Caution in Pregnancy
    3. Things that can cause toxicity:
      1. Dehydration
      2. ETOH
      3. Caffeine
      4. Diuretics
    4. Promote appropriate fluid balance

Toxicity

  1. Lithium toxicity
    1. Can be mild, moderate, or severe
    2. Kidneys cannot excrete it; builds up
    3. Usually when serum levels are 1.5 – 2 mEq/L
    4. Know symptoms
      1. N/V/D
      2. Weakness
      3. Tremor
      4. Seizures
      5. Hallucinations
    5. Interventions
      1. Assess patient
        1. Full set of VS
        2. EKG
        3. LOC
      2. Hold dose, notify Provider
      3. Obtain labs: CBC, lithium level, CMP/BMP
      4. Initiate suicide precautions
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Pharmacology Exam III

Concepts Covered:

  • Oncology Disorders
  • Concepts of Pharmacology
  • Medication Administration
  • Nervous System
  • Adulthood Growth and Development
  • Bipolar Disorders
  • Substance Abuse Disorders
  • Depressive Disorders
  • Disorders of Pancreas
  • Intraoperative Nursing
  • Anxiety Disorders
  • Disorders of the Adrenal Gland
  • Central Nervous System Disorders – Brain
  • Hematologic Disorders
  • Respiratory Disorders
  • Cardiac Disorders
  • Immunological Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Cardiovascular Disorders
  • Urinary System
  • Personality Disorders
  • Psychotic Disorders
  • Peripheral Nervous System Disorders
  • Urinary Disorders
  • Pregnancy Risks
  • Female Reproductive Disorders
  • Neurologic and Cognitive Disorders
  • Noninfectious Respiratory Disorder
  • Learning Pharmacology

Study Plan Lessons

Antineoplastics
Pharmacokinetics
Pharmacodynamics
Parasympathomimetics (Cholinergics) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Mood Stabilizers
Methadone (Methadose) Nursing Considerations
MAOIs
Interactive Pharmacology Practice
Insulin Mixing
Insulin Drips
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin
Glipizide (Glucotrol) Nursing Considerations
Barbiturates
Antidepressants
Antianxiety Meds
Addisons Assessment Nursing Mnemonic (STEROID)
Anticonvulsants
Antianxiety Meds
Barbiturates
MAOIs
Phenobarbital (Luminal) Nursing Considerations
TCAs
Anti Tumor Antibiotics
Alkylating Agents
Sedatives-Hypnotics
Lithium (Lithonate) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Corticosteroids
Antidiabetic Agents
Sympatholytics (Alpha & Beta Blockers)
Epoetin Alfa
Cyclosporine (Sandimmune) Nursing Considerations
Iodine Nursing Considerations
Levothyroxine (Synthroid)
Propylthiouracil (PTU) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
Histamine 2 Receptor Blockers
Histamine 1 Receptor Blockers
Cardiac Glycosides
Calcium Channel Blockers
ACE (angiotensin-converting enzyme) Inhibitors
Metoprolol (Toprol XL) Nursing Considerations
Renin Angiotensin Aldosterone System
Atypical Antipsychotics
Chlorpromazine (Thorazine) Nursing Considerations
Antipsychotics
Haloperidol (Haldol) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Neostigmine (Prostigmin) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Autonomic Nervous System (ANS)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Proton Pump Inhibitors
Ondansetron (Zofran) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Sertraline (Zoloft) Nursing Considerations
Paroxetine (Paxil) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Escitalopram (Lexapro) Nursing Considerations
SSRIs
Bupropion (Wellbutrin) Nursing Considerations
Antidepressants
Phenytoin (Dilantin) Nursing Considerations
Levetiracetam (Keppra) Nursing Considerations
Lamotrigine (Lamictal) Nursing Considerations
Gabapentin (Neurontin) Nursing Considerations
Carbamazepine (Tegretol) Nursing Considerations
Antianxiety Meds
Buspirone (Buspar) Nursing Considerations
Diazepam (Valium) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Lorazepam (Ativan) Nursing Considerations
Alprazolam (Xanax) Nursing Considerations
Benzodiazepines
Disease Specific Medications
Pharmacology Course Introduction
The SOCK Method – Overview