Bipolar Flashcards
1
Q
what is bipolar disorder?
A
alternating mood elevation and depression
2
Q
how long must an episode last for it to be classed as mania?
A
at least 1 week
3
Q
how long must an episode last for it to be hypomania?
A
at least 4 days
4
Q
features of mania?
A
restlessness reckless behaviour pressure of speech increased sexual energy distractibility decreased need for sleep flight of ideas loss of inhibition inflated self esteem
5
Q
features of hypomania?
A
restlessness reckless behaviour pressure of speech increased sexual energy distractibility decreased need for sleep
6
Q
what is bipolar 1?
A
manic episode (depressive not needed)
7
Q
what is bipolar 2?
A
hypomania and depressive episode
8
Q
Tx of bipolar?
A
Li and atypical antipsychotic/anticonvulsants
9
Q
monitoring for Li?
A
U+Es, TFT and ECG on starting
Li and U+Es every 3 mnths
TFTs every 6
10
Q
e.gs of atypical antipsychotics?
A
clozapine
risperidone
apriprazole
11
Q
monitoring for clozapine?
A
start on ECG (myocarditis)
FBC weekly for 6, fortnightly for 6, then monthly
12
Q
what anticonvulsants are good for what?
A
valporate - mania
lamotrigine - depression
