Bipolar Flashcards
Define manic episode
A distinct period of abnormal and persistent elevated expansive or irritable mood lasting at least 1 week
Hypomania
3 symptoms of mania lasting for 4 days. Doesn’t cause any disruption in functionality but must be observed by others
What is the characteristics for rapid cycling in bipolar disorder?
4 or more cycles of mania and depression in one year
Priority of bipolar
Safety, nutrition, no demands, no punishment, no responsibility
Three organ systems affected by lithium
Thyroid: hypothyroidism, kidneys: decreased concentration ability, and nervous system: tremor and decreased motor coordination
A client with bipolar disorder has been receiving lithium for 2 weeks. What are signs that indicate lithium toxicity?
hypotonic reflexes with muscles weakness, fever, confusion, decreased BP, decreased urine output, irregular pulse
A client came to the psych unit 2 days ago. She has a history of bipolar disorder, is in the manic phase and stopped taking lithium 2 weeks ago. What would the nurse LEAST likely see and why?
Increased appetite. Manic clients are usually unwilling or unable to slow down enough to eat
What communication guidelines should a nurse use when talking with a manic client?
Focus and redirect the conversation as necessary. This decreases stimulation.
A client who just had electroconvulsive therapy asks for a drink. What is the priority assessment with this request?
Monitor for gag reflex. ETC can reduce gag reflex.
What are some adverse effects of Electroconvulsive therapy?
Respiratory arrest and short term memory loss
A client with bipolar disorder who complains of headaches, agitation, and indigestion most likely is experiencing what problem?
hypomania
What high risk behavior should a nurse assess for in a client with bipolar disorder who abruptly stopped taking prescribed medication?
Thoughtless spending
What intervention is important to teach a client with bipolar disorder to maintain adequate nutrition?
Give the client food to be eaten while he’s active
What is important to teach a client with bipolar disorder who is pregnant and taking lithium?
Use of lithium usually results in serious congenital problems
What is a short term goal for a client with bipolar disorder who is having difficulty sleeping?
Develop a sleep ritual
Why is it necessary to take frequent blood work while on lithium?
To determine if the client’s dosage is therapeutic and to prevent lithium toxicity
What should be discussed with the family of a client who has manic behavior?
Ways to protect self from client’s behavior
When selecting a room for a client that is hyperactive and talking nonstop, the most important factor would be:
an atmosphere be quiet and restful, non stimulating
Initial nursing care plan for bipolar I disorder should include what?
Provide food, fluids, rest, and a structured environment
The environment of client is type II bipolar disorder with hypomanic episodes should include:
A private rom to provide a quiet atmosphere
A bipolar patient becomes loud, vulgar, and disturbs other clients. The nurse should:
Segregate the client until this phase of her illness passes
what risk increases with substance abuse of manic patients?
Risk of suicide
