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Mental Health: Test 2 > Bipolar Disorder > Flashcards

Bipolar Disorder Flashcards

0
Q

Bipolar

-Symptoms during manic episodes

A
  1. Grandiosity (mostly seen in Males)
  2. Rapid thoughts, actions, and speech
  3. Sleep disturbances
  4. Spending Sprees
  5. Hypersexuality
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1
Q

Bipolar

-Symptoms during depressive episodes

A
  1. Consistent with those of major depression
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2
Q

Bipolar

-Stats

A
  1. Affects 1% of US population 18 years and older
  2. Average age of 1st experience is 18-20 years old
  3. Earlier age onset is associated with worse outcomes
    - Rapid cycling in adulthood
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3
Q

Bipolar

-Etiology

A
  1. Combination of genetics and environment
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4
Q

Bipolar II

-Hypomania

A
  1. No psychotic features

2. Does not impair functioning to a level that necessitates hospitalization

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5
Q

Bipolar I

A
  1. Severe form of bipolar
  2. Includes one or more clinical manic episodes
  3. Usually alternates between major depressive episodes
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6
Q

Bipolar II

A
  1. Characterized by a major depressive episode (current or past) and at least one hypomanic (almost manic) episode
  2. Less severe than bipolar I
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7
Q

Cyclothymic Disorder

A
  1. Resembles bipolar I disorder
  2. Less severe symptoms
  3. Hypomanic manifestations with minor depressive episodes lasting at least 2 years
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8
Q

Bipolar W/ Rapid Cycling

A
  1. 4 or more manic episodes for at least 2 weeks in 1 year
  2. Episodes marked by partial or full remission for at least 2 months
  3. Associated w/ high risk of recurrence
  4. Resistant to conventional drugs
  5. Greater severity of illness
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9
Q

Bipolar

-Treatment

A
  1. Prognosis for clients w/ bipolar disorder who receive care is good since bipolar is VERY TREATABLE
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10
Q

Bipolar

-Treatment

A
  1. Lithium - Nephrotoxic (Depakote replaced lithium)
  2. Anti-convulsants ( mood stabilization)
  3. Antipsychotics ( Used to treat Manic Phase)
  4. Seroquil (Used for Sleep and psychotic thinking)
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11
Q

Bipolar

-Assessment

A
  1. Safety (One-to-One / Self-injurious behavior)**
  2. Mental status
  3. Physiologic, psychomotor, behavioral
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12
Q

Bipolar

-Contraindications

A
  1. Anti-depressants are contraindicated

2. Can send patient into Manic Phase

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13
Q

Desired Outcomes for Pt with Mania

A
  1. Impulse self-control
  2. Aggression self-control
  3. Self-care status
  4. Social interaction skills
  5. Concentration
  6. Compliance behavior
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14
Q

Medications Used to Treat Bipolar

A
  1. Mood-Stabilizer (Lithium)
  2. Anti-epileptic (Depakote)
  3. Atypical Antipsychotics
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15
Q

Bipolar Treatment

-Mood Stabilizers (Lithium)

A
  1. Controls episodes of acute mania
  2. Helps prevent return of mania or depression
  3. Decreases incidence of suicide
16
Q

Lithium

-Side Effects

A
  1. Weight Gain
  2. GI distress (N/V)
  3. Nephrotoxic (Renal toxicity)
17
Q

Lithium

-Blood Levels

A
  1. Initial Treatment of manic episode = 0.8-1.4 mEq/L

2. Maintenance level = 0.4-1.0 mEq/L

Mental Health: Test 2 (9 decks)

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