This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with bipolar disorder, mania, relapsed after discontinuing lithium. The health care ... (Read 87 times)

jace

  • Hero Member
  • *****
  • Posts: 541
on: Jul 19, 2018
A patient with bipolar disorder, mania, relapsed after discontinuing lithium. The health care provider prescribes lithium 600 mg BID and olanzapine (Zyprexa) 10 mg BID.
 
  What is the rationale for addition of olanzapine to the lithium regime? It will: a. minimize the side effects of lithium.
  b. bring hyperactivity under rapid control.
  c. potentiate the antimanic action of lithium.
  d. be used for long-term control of hyperactivity.

Question 2

The client has frequent drug reactions to, and side effects from, his medications. He is 72 years old and lives alone. What should he be assessed for?
 
  a. Clarity of mind
  b. Suicidal wishes
  c. Concurrent substance use
  d. Using someone else's medications


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jordangronback

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jul 19, 2018
Answer to Question 1

B
Manic symptoms are controlled by lithium only after a therapeutic serum level is attained. Because this takes several days to accomplish, a drug with rapid onset is initially necessary to reduce the hyperactivity. Antipsychotic drugs neither enhance lithium's antimanic activity nor minimize the side effects. Lithium will be used for long-term control.

Answer to Question 2

C
More than 40 of all drug reactions occur in persons older than 65, which suggests the possibility of substance abuse.


jace

  • Member
  • Posts: 541
Reply 2 on: Jul 19, 2018
Thanks for the timely response, appreciate it

olderstudent

  • Member
  • Posts: 339
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

If all the neurons in the human body were lined up, they would stretch more than 600 miles.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

Closed urinary drainage system. Urine being measured after it leaves patient’s body via catheter. Closed urinary drainage system. Urine being measured after it leaves patient’s body via catheter.
A computerized patient registration form used by offices with electronic health records. A computerized patient registration form used by offices with electronic health records.
Common skin signs are often evidence of an illness or disorder. An erosion or ulcer is an eating or ... Common skin signs are often evidence of an illness or disorder. An erosion or ulcer is an eating or ...
Algorithm for assessing a patient at risk for self-directed violence. Algorithm for assessing a patient at risk for self-directed violence.
Drugs for Bipolar Disorder Drugs for Bipolar Disorder
Examples of endocrine disorders. (C) A patient with congenital hypothyroidism. Examples of endocrine disorders. (C) A patient with congenital hypothyroidism.
Video: Hormonal regulation of pregnancy - week 1

For a complete list of videos, visit our video library