Bipolar Flashcards
bipolar main symptoms
depression + mania/hypomania
Features of mania
abnormally elevated mood
irritability
lots of energy
little sleep
grandiosity
disinhibition
flight of ideas
pressured speech
psychosis
features of hypomania
Happy, euphoric or a sense of wellbeing
Very excited, like you can’t get your words out fast enough
Irritable and agitated
Increased sexual energy
Easily distracted, like your thoughts are racing, or you can’t concentrate
Increased self-esteem or self-confidence
acute manic treatment
antipsychotic - olanzapine, risperidone
stop antidepressant
lithium, sodium valproate
acute depressive episode treatment
olanzapine + fluoxetine
lamotragine
long term management of Bipolar
lithium
if not sodium valproate
lithium monitoring
1 weekly 12 h after dose, until stable
3 monthly
0.6-0.8
lithium side effects
fine tremor
weight gain
CKD
hypothyroid
hypercalcaemia
