Medication knowledge

Question 1

Clozapine (Clozaril)

Answer 1

a medication used to treat mood disorders such as schizophrenia and schizoaffective disorder. A last resort medication.

Question 2

Clozapine uses

Answer 2

Used to treat positive symptoms, mood, and lowers risk of suicide

Question 3

Side effects of Clozapine

Answer 3

less chance of developing EPS but high chance of agranulocytosis.

Question 4

Labs to monitor

Answer 4

WBC, ANC. Monitor weekly for the first six months, bi-weekly for the 6 months remaining, and then monthly for the following

Question 5

Lithium

Answer 5

a medication used to treat mood disorders. (mood stabilizer)

Question 6

Ranges for lithium

Answer 6

1-1.5 (acute manic phase)

0. 6-1.2 (long term maintenance)
1. 4-0.6 elderly

Question 7

Lithium toxicity ranges for mild-moderate

Answer 7

1.5-2

Question 8

Lithium toxicity ranges for moderate-severe

Answer 8

2+

Question 9

Most severe adverse reaction to Lithium

Answer 9

cardiac dysrhythmias

Question 10

Prior to lithium which levels do you need to obtain

Answer 10

renal, cardiac, and thyroid function

Question 11

Where is lithium excreted

Answer 11

kidneys and the liver does not play a role

Question 12

Antiparkinsonian agents

Answer 12

levodopa carbidopa (dopamine agonist), MAOI (seligence), COMT inhibitors (entacapome), Benzotropine (cogentin), antiviral (amantadine), bendaryl (anthistamine)

Question 13

Anitdepressant education

Answer 13

• avoid alcohol use an illicit substances as they can interact with meds
• if you miss a dose, don’t double up on next does
• don’t suddenly stop drugs b/c you may experience withdrawal symptoms
• avoid alertness activities at first
• check with prescriber before taking any OTC meds
• be alert for signs of depression and suicide
• keep appointments for follow-up care and lab testing that’s scheduled
• be aware of support groups
• take meds exactly as prescribed