Bi-Polar

Question 1

Bi-Polar

Answer 1

mood fluctuations between extreme mania and depression
effects 1.2% of us adult population
mean age early onset early 20’s and common in adolescent years

Question 2

Bi-Polar medicatoins

Answer 2

Mood stabilizers

Lithium and Anticonvulsant agents

Question 3

Lithium Carbonate

Answer 3

Gold standard
narrow therapeutic window
must monitor levels
SE: weight gain, thyroid dysfunction, mental cloudiness, fatique, diabetes, GI problems, etc.

Question 4

AED’s

Answer 4

Most popular -valproic acid (Depakote), Lamicatal and Topramax
SE: common: somnolence, nausea, HA, GI, etc.
Rare: anemia, rashes that are life-threatening, glaucoma, etc

Question 5

Bi-polar

Answer 5

Need a good history. If you mis-diagnose, the client hca get hypomania or mania . High incidence of suicide in bi-polar people

Question 6

Lithium-not metabolized by the liver

Answer 6

All through the renal system

East to get toxic is sodium depleted.

Question 7

Lithium in pregnancy

Answer 7

Category D. Needs to really outweigh the risks
cardio defects and toxic for mother in labor. May be discontinued until postpartum period
Would need to monitor baby as well if mother is breastfeeding. Not recommended.