bipolar Flashcards
shortterm treatment of bipolar of a manic episode
quetiapine
differnce between bipolar 1 and bipolar 2
bipolar 1 is a manic episode followed by a period of depression
manic episodes need to last over a week
they can cannot carry on with daily actvties
bipolar 2 is episodes of hypomania and depression - 4 days presetn
what is the differnce between mania and hypomania
a condition in which you have a period of abnormally elevated, extreme changes in your mood or emotions, energy level or activity leve
mania is over a week , hypomania episodes ( lesser version so lesser days) need to last for at least 4 consecutive days
mania causes a more severe impact on social work and school fucntioning where as hypomania does not norally stop these
sx of mania
Elevated self-esteem
Reduced need for sleep
Increased rate of speech
Flight of ideas
Easily distracted
An increased interest in goals or activities
Psychomotor agitation (pacing, hand wringing etc.)
Increased pursuit of activities with a high risk of dange
spending habits
mania without agitation is antip without agitation what do you give
benzo
gold standard mood stabalsier
lithium
valporate can be used too
antip and anti-convulsants can be used too
extreme thirst , tired, put weight on , irregualr menstrual cycles
sweating and tendon relfexes dimisnhed
what is the drug cause
hypothyrodiism and DI
anitcholinergic effects
lithium
if someone on an SSRI such as citalopram and then they experience mania what do you do
stop SSRI due to exacerbating of mood distrubance and start oral p
as a baseline for lithium therpy what should you take prior
LFT , Uand E , calcium adn eGFR and FBC
cyclothymia
periods of feeling low followed by periods of extreme happiness and excitement (called hypomania) when you do not need much sleep and feel that you have a lot of energy. The periods of low mood do not last long enough and are not severe enough to be diagnosed as clinical depression.
what does lithium cause in the first trimester
EBsteins abnormality - leaflets of the tricuspid valve are discpalced resulting in a large right atrium and a small right ventricle
triggers for a mania episode
Triggers for manic episodes can include stressful life events, physical illness or illicit substance misuse. A ‘manic switch’ can sometimes be induced by someone with Bipolar Affective Disorder taking antidepressants to treat a depressive episode.
