Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Mental Health Nursing > BIPOLAR DISORDER > Flashcards

BIPOLAR DISORDER Flashcards

1
Q

patient has high energy level, elated mood, hyperactive, loud

A

Mania/Manic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

patient is sad, gloomy, talks slow, sometimes suicidal

A

Depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Normal mood

A

Happy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

between normal and mania, slightly higher than happy

A

Hypomania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Severe

A

Mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Less Severe

A

Hypomania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hyperactive but higher than a manic patient. (disoriented)

A

Delirious Mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • lasts at least 1 week
  • Has NEGATIVE effects on school, work, or relationships
  • Need hospitalization & treatment
A

Mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • Last for 4 days or less
  • Has no effect on school, work, or relationship
  • Need no hospitalization
A

Hypomania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

3 TYPES OF BIPOLAR DISORDER

  • MOST SEVERE form of bipolar disorder
A

Bipolar I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

3 TYPES OF BIPOLAR DISORDER

Has no bipolar episode, but has hypomanic episodes

A

Bipolar II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

3 TYPES OF BIPOLAR DISORDER

Least severe form

A

Cyclothymia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

3 TYPES OF BIPOLAR DISORDER

MOOD: Mania to depression to hypomania to
depression to mania

A

Bipolar I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

3 TYPES OF BIPOLAR DISORDER

MOOD: Hypomanic to depression to hypomanic then depression

A

Bipolar II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

3 TYPES OF BIPOLAR DISORDER

MOOD: Hypomanic to sadness to hypomanic to sadness

A

Cyclothymia
- 2 years of cycling between hypomanic to sadness; there can be a few days/weeks of no symptoms, but the remission (no symptoms) should be less than 2 months only.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ETIOLOGY of BIPOLAR - Neurochemical
Manic episodes are caused by:

A

Increased Serotonin, Dopamine and Norepinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

ETIOLOGY of BIPOLAR - Psychodynamics

  • Psychodynamics patients uses reaction
    formation – All patient with bipolar disorder -
    deep inside have depression.
A

Psychoanalytic Theory
- They will attempt to cover up this underlying
depression by having a high level of mood or energy (Manic episode), When their energy becomes low, patient will go back to their Depressed State (mag iipon ulit ng energy)
- From depressed states they will become manic again

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Medications that trigger MANIA

A
  • Steroids
  • Amphetamine
  • Narcotics (heroin, morphine)
  • Antidepressants (ssri, maoi)
  • Anticonvulsants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Chronic Illnesses related to Bipolar Disorder

A

Systemic Lupus Erythematosus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

CLINICAL MANIFESTATIONS
- For a person to be manic, they should present these manifestations for 1 week or more.
- Hypomania - < a week / around 4 day

(GRANDIOSE)

A

G - Grandiosity
R - Rapid / Pressured Speech
A - Agitation
N - Not thinking of food and sleep
D - Dress is colorful
I - Impulsive / Impaired Judgement
O - Overwhelming Energy
S - Shopping Spree, Sexuality Indiscretion
E - Exaggerated Self-esteem Elation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

CLINICAL MANIFESTATIONS (GRANDIOSE)
- feeling lahat ng staff in love sakanila
(Erotomania)

A

Grandiosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

CLINICAL MANIFESTATIONS (GRANDIOSE)
Rapid / Pressured Speech (loquaciousness)
* flight of ideas:
* looseness of association:

A
  • flight of ideas - Shift from one topic to another
  • looseness of association - Shift from one topic
    to another in an unrelated manner
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

CLINICAL MANIFESTATIONS (GRANDIOSE)
- they are not always violent but they can be violent due to high level of energy.

A

Agitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

CLINICAL MANIFESTATIONS (GRANDIOSE)
Not thinking of food and sleep

A
  • Risk for water and electrolytes imbalances and nutritional deficiencies
  • Physiological aspect
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
CLINICAL MANIFESTATIONS (GRANDIOSE) Due to their overwhelming energy, they can have sexual contact even with strangers
Sexuality Indiscretion
26
what are some NURSING DIAGNOSIS for bipolar disorder
* Risk for violence* * Risk for injury* * Imbalanced nutrition (less than body requirement) * Disctrubed thought process * Disurbed speech pattern * Impaired Social Interaction * Insomia
27
TREATMENTS for bipolar disorder
- Lithium - Anticonvulsant - ECT
28
TREATMENTS for bipolar disorder ___________ ____________ are equally effective in treating bipolar disorder.
Lithium Carbonate & Anticonvulsants
29
TREATMENTS for bipolar disorder Treatment of choice/first line of treatment and why?
Lithium - safer than anticonvulsants.
30
TREATMENTS for bipolar disorder therapeutic range for blood lithium level
0.6 – 1.2 mEq/L - High risk for toxicity due to its narrow therapeutic range of lithium
31
TREATMENTS for bipolar disorder has deadly adverse effects
Anticonvulsant
32
TREATMENTS for bipolar disorder Anticonvulsant - Adverse effect of Lamotrigine
Stevens – Johnsons Disease
33
TREATMENTS for bipolar disorder Anticonvulsant - Adverse effect of Valproic Acid
Hepatotoxicity / Liver Damage
34
TREATMENTS for bipolar disorder Anticonvulsant - Adverse effect of Carbamazepine
Blood Dyscrasias (aplastic anemia, agranulocytosis)
35
TREATMENTS for bipolar disorder the use of electric shock to induce grand-mal seizure to promote behavioral change on the patient.
ELECTROCONVULSIVE THERAPY * Electro – use of electric shock * Convulsive – grand-mal seizure (seizure throughout the body) * Therapy – behavioral change
36
TREATMENTS for bipolar disorder - ELECTROCONVULSIVE THERAPY * Amount of voltage used should be exact. * One the patient is seizing, doctor will remove the electrodes Voltage: How long? Sessions: Interval per session:
- 70 – 150 volts - 0.2 – 8 seconds - 6 – 12 sessions - 48 hours Interval / every other day / every 2 days
37
TREATMENTS for bipolar disorder - ELECTROCONVULSIVE THERAPY Placement of Electrodes * Effective * ↑ occurrence of side effects
TEMPORAL
38
TREATMENTS for bipolar disorder - ELECTROCONVULSIVE THERAPY Placement of Electrodes * Less effective than temporal * ↓ occurrence of side effects
UNILATERAL
39
TREATMENTS for bipolar disorder - ELECTROCONVULSIVE THERAPY Placement of Electrodes * Effective * ↓ occurrence of side effects
BIFRONTAL
40
TREATMENTS for bipolar disorder - ELECTROCONVULSIVE THERAPY Who is responsible in monitoring the DURATION of the seizure.
Nurse
41
TREATMENTS for bipolar disorder - ELECTROCONVULSIVE THERAPY In more advanced countries, they give muscle relaxant wherein patients don’t show seizures physically. Seizures activity are being monitored through EEG machine (electroencephalogram) and duration should be
30 – 150 Seconds - Anything below 30 secs of seizure activity – ineffective (depends on the doctor if uuitin yung ECT)
42
TREATMENTS for bipolar disorder - ELECTROCONVULSIVE THERAPY If monitoring using EYES, seizure duration should only be
15 – 30 seconds
43
TREATMENTS for bipolar disorder - ELECTROCONVULSIVE THERAPY If seizure activity is >150 seconds / 30 seconds:
STAT dose of Diazepam is given as ordered by the physician.
44
INDICATIONS OF ECT
D - Depression M - Mania C - Catatonia
45
INDICATIONS OF ECT (DMC) - patient is acutely suicidal - Non-responsive to anti-depressants
Depression
46
INDICATIONS OF ECT (DMC) - Non-responsive to lithium and anti- convulsant
Mania
47
CONTRAINDICATIONS of ECT - Increased ICP
Patients with stroke, brain tumor. Since ECT causes increase in ICP, patient can die.
48
SIDE EFFECTS of ECT
* Memory Loss * Headache - due to increased intracranial pressure caused by seizure * Disorientation * Muscle Ache - Due to tonic – clonic movemens during seizure * Increased Intraocular Pressure * Increased BP and Pulse rate
49
INDICATIONS OF ECT (DMC) - (Catatonic Schizophrenia)
Catatonia
50
CONTRAINDICATIONS of ECT - Patients with Cardiac Problems
As it increases the cardiac workload increasing the BP and heart rate
51
CONTRAINDICATIONS of ECT - Fever & Infection
It increases the metabolic demands during the seizure activity.
52
CONTRAINDICATIONS of ECT - Fractures / at risk for fractures/ Recent Fracture
- Patients with osteoporosis - Due to the violent movements during the seizure. It may worsen or induce a fracture to the patient.
53
CONTRAINDICATIONS of ECT - Retinal Detachment / Glaucoma
Due to increased IOP and may worsen patients condition
54
CONTRAINDICATIONS of ECT - Pregnancy with complications
- If pregnant patients w/o complications may undergo ECT (ECT is safer than pharmaceutical treatments) - ECT may lead to Eclampsia on patients with PIH (Pregnancy Induced Hypertension)
55
CONTRAINDICATIONS of ECT - Loose Teeth
Patient may swallow the loose teeth and aspirate which is dangerous for the patient
56
ECT needs consent done by the _____ and the ________ serves as witness
ECT needs consent done by the doctor and the nurse serves as witness
57
Preparation for ECT Similar to surgical preparations - NPO for _______ prior to ECT to prevent ____ - Void / Defecate prior to procedure to __________ - Remove Nail Polish, jewelries, any metallic objects.
- 6 – 8 hours, Aspiration - to avoid soiling during the ECT
58
Preparation for ECT - Attach a bite block / tongue guard to:
- to prevent biting their tongue or chipping of teeth - a way to suction for airway patency.
59
Preparation for ECT Administer Medications
A - Atrophine Sulfate B - Brevital (Methohexiatal) A - Anectine (Succinylcholine)
60
Preparation for ECT Administer Medications - Anticholinergic agent - Decreases the oral and tracheal secretions
Atrophine Sulfate
61
Preparation for ECT Administer Medications - Anesthetic, induce coma - Decrease patients anxiety
Brevital (Methohexiatal)
62
Preparation for ECT Administer Medications - Muscle relaxant; muscle paralysis – minimizes the risk for injury due to the seizure
Anectine (Succinylcholine)
63
What is the most serious complication of ECT and why
Respiratory Depression caused by anectine. - Atropine sulfate counteracts the risks caused by anectine
64
NURSING RESPONSIBILITIES for ECT During:
* Monitor vital signs and the duration of the seizure.
65
NURSING RESPONSIBILITIES for ECT AFTER:
* Maintain patent airway * Reorient the patient * Promote Rest * Document
66
NURSING RESPONSIBILITIES for ECT AFTER: - How will you Maintain patent airway?
Place patient in side lying or prone position as long as the head of the patient is tilted on one side
67
NURSING RESPONSIBILITIES for ECT AFTER: - How will you reorient?
Time, place, person.
68
in order to therapeutic range of lithium in blood, the patient must have?
adequate fluid and salt intake
69
how will you maintain patent airway after ECT?
place patient in side lying or prone position (as long as the bed is tilted)

Mental Health Nursing (34 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions