Bipolar Disorder Flashcards

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1
Q

What is bipolar disorder?

A

A mood disorder with recurrent episodes of depression and mania.

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2
Q

What is mania?

A

An exaggerated, elevated mood with an increase in activity/energy.

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3
Q

What is hypomania?

A

Lower intensity of mania.

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4
Q

What are mixed episodes?

A

Severe symptoms of both mania and depression within the same week.

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5
Q

What is Bipolar I Disorder?

A

At least one manic episode with impairment in social and occupational functioning; psychosis can happen and possible hospitalization.

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6
Q

What is Bipolar II Disorder?

A

Hypomania and more severe depressive episodes.

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7
Q

What is rapid cycling?

A

Four or more mood episodes in a year.

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8
Q

What characterizes a manic episode?

A

Feelings of euphoria, impulsivity, high-risk behavior, decreased sleep, grandiosity, and talkative.

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9
Q

What is cyclothymic disorder?

A

Hypomania + dysthymia for at least 2 years.

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10
Q

During mania, individuals can be…

A

Manipulative, profane, fault finding, and exploiting others’ vulnerabilities.

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11
Q

What is one huge nursing priority to consider for a patient experiencing mania?

A

They never sleep or eat which can lead to physical exhaustion.

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12
Q

What are paranoid delusions?

A

Involve the false belief that other people are plotting to harm the person.

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13
Q

What is the difference between delusions and hallucinations?

A

Delusions involve false beliefs; hallucinations involve sensory perceptions that are not real.

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14
Q

What is pressured speech?

A

Nonstop, usually loud, seemingly driven, and usually hard to interrupt.

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15
Q

What is flight of ideas?

A

Rapidly changing, disconnected thoughts.

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16
Q

What is circumstantial speech?

A

Adding unnecessary details when communicating with others.

17
Q

What medical issues can occur with mania?

A

Dehydration, decreased cardiac status, poor sleep.

18
Q

What is the priority during the acute phase?

A

Safety!!

19
Q

How should you communicate with patients during mania?

A

Short and concise, firm and calm, remain neutral and nonjudgmental.

20
Q

What is the therapeutic range for lithium?

A

0.5-1.5 mEq/L.

21
Q

What is the toxic level of lithium?

A

Greater than 1.5 mEq/L.

22
Q

What are the EXPECTED side effects for lithium?

A

Hand tremors, polyuria, mild thirst and nausea, weight gain, sedation, cognitive problems, hair loss.

23
Q

What are the EARLY signs of lithium toxicity?

A

Increased nausea, vomiting, diarrhea, thirst, polyuria, slurred speech, muscle weakness.

24
Q

What are the nursing interventions for EARLY signs of lithium toxicity?

A

Hold medication, measure blood levels, reevaluate dosage.

25
Q

What are the ADVANCED signs of lithium toxicity?

A

Coarse hand tremor, persistent gastrointestinal upset, mental confusion, muscle hyperirritability, EEG changes, incoordination.

26
Q

What are the SEVERE signs of lithium toxicity?

A

Ataxia, large output of dilute urine, serious EEG changes, blurred vision, clonic movements, seizures, stupor, severe hypotension, coma; death is usually secondary to pulmonary complications.

27
Q

What is the patient education for Lithium?

A

Take with meals.

28
Q

What are the indications for ECT?

A

Catatonic symptoms.