bipolar Flashcards

1
Q

nmnemonic for mania

A
GSTPAID
Grandiosity
Sleep
Talkative
Painful activities
Activity
Ideas - flight of
Distractability
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2
Q

what is hypomanic espisode

A
  • lasts 4 days

- not severe enough to cause dysfunction

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3
Q

where is most time spent in bipolar

A

1- asymptomtic, then depressed

2- depressed

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4
Q

what is course of BPD

A

80-90% recur

average have 9 episodes

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5
Q

what is suicide rate in BPD

A

highest among any treated patients

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6
Q

what is effect of psycho interventions

A

are useful as an adjunct to therapy

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7
Q

what are important investigations for BPD

A
  • waist circumferance
  • BP
  • blood work
    because treatment can have negative effects
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8
Q

first line therapy for BPD depression

A
  1. litium

2. lamotragine

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9
Q

firstline therapy for mania

A

lithium

divaloprex -antipsychotic

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10
Q

therapy for maintenamce

A

litium
divaloprex
lamotragine

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11
Q

what is caution with litium

A

narrow therapeutic index - monitor well

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12
Q

when is divloprex used

A

mania and maintenance

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13
Q

when is lamotragine used

A

depresion

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14
Q

what is caution with lamotragine

A

steven johnosons

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15
Q

when are atypical antipyshcs

A

all 3 phases

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