Bipolar Disorder Flashcards
When administering valproic acid to a patient, what are the labs that need to be consistently monitored?
AST ALT LDH levels
If a patient is taking lamotrigine, what side effect requires immediate intervention?
Back red and itchy, Steven-Johnson’s syndrome
When a patient is exhibiting mania, what diet are they supposed to be restricted to?
Finger foods: nuggets, cheeseburger, fries, string cheese, crackers
When would you do a blood draw on a patient that is taking lithium?
Lithium blood draw is only during the morning 10-12 hours after administration: 9am
What are the therapeutic levels for lithium?
0.8-1.4 (If above hold medication)
If a patient with bipolar disorder is offering you a gift, how would you respond?
You cannot accept gifts from a patient exhibiting mania
What is the safety priority for patients exhibiting extreme mania?
Hyperactivity leads to exhaustion
A patient is taking Cover VPA. If the patient cannot swallow the enteric-coated tablets, what is the nurse’s priority?
Request provider to change to syrup form
A client claims that objects are far away and becoming small. The nurse should identify this as?
Derealization
If a patient says they are having constant nightmares, what should the nurse anticipate administering?
Prazosin (Minipres) or Topamax topirimate
If a patient is on buspirone and states that they do not feel any change, how should the nurse respond?
Buspirone takes 2-4 weeks to be fully therapeutic
What are some signs that a patient is experiencing HIGH levels of lithium toxicity?
Ataxia, AOL, coma, seizure
What are some expected side effects of a patient taking lithium?
Hand tremors, nausea, mild thirst, and GI upset
What are some commonly used anti-anxiety medications?
Wellbutrin, Lyrica, Buspar, Vistaril
What are some common signs of ASD (Acute Stress Disorder)?
Avoiding people, hypervigilance, irritability and anger
A patient is found to be copying another patient’s mannerisms. What would the nurse document this as?
Identification
What level of anxiety would you classify a nervous student?
MILD anxiety
How should a nurse intervene with a patient who has rigorous rituals due to their OCD?
Plan around the patient’s rituals
If a patient is agoraphobic, what are some interventions that should be done to help improve the patients fears?
Promote ADL and be independent
A patient is seen having a respiration rate of 30, and their heart rate is going up. How should the nurse identify their level of anxiety?
MODERATE anxiety
A patient is found standing on a table fully nude. How should the nurse respond to this situation?
Bring them down and cover them
What are some common signs and symptoms of PTSD?
Poor self image, difficult concentration, and recurring nightmares
A patient is diagnosed with GAD (generalized anxiety disorder) and is pacing back and forth. How should the nurse intervene
Walk with the pt to slow down the pace
A coworker is known to hate another coworker but still gives them gifts and is very helpful to them. What would this identify as?
Reaction formation
