BIPOLAR DISORDER - FINAL EXAM Flashcards

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1
Q

bipolar 1 disorder

A

at least 1 manic episode (some depression), highest mortality rate and most severe

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2
Q

bipolar 2 disorder

A

at least one 1 hypomanic and 1 depressive episode (mostly depressive)

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3
Q

cyclothymic disorder

A

symptoms of mild to mod depression for at least 2 yrs with rapid cycling btw depression and mania

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4
Q

hypomania

A

low level and less dramatic mania that is more functional, euphoric and less dangerous

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5
Q

epidemiology

A

men and women equal, 4 times more likely to get postpartum psychosis

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6
Q

comorbidity of bipolar 1

A

substance use, ADHD/disruptive/impulse control/conduct disorders, anxiety disorders

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7
Q

comorbidities of bipolar 2 disorder

A

substance use, anxiety, eating (binge) disorders

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8
Q

comorbidity of cyclothymic disorder

A

substance use, sleep disorders, ADHD in kids with DMDD

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9
Q

risk factors of bipolar

A

bipolar 1 genetically similar to schiz
bipolar 2 genetically similar to MDD
ALL are more prevalent in pt with hypothyroidism

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10
Q

assessing behaviors

A

can be manipulative and demanding with splitting

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11
Q

thought processes and speech pattern assessment

A

pressured speech, flight of ideas, loose and clang associations, circumstantial and tangential speech

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12
Q

pressured speech

A

forcing everything out of head not allowing comments from other

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13
Q

circumstantial speech

A

going off topic but soon reaching point

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14
Q

tangential speech

A

going off topic and never reaching point

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15
Q

loose association

A

putting words together that only have meaning toward pt

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15
Q

flight of ideas

A

changing topics rapidly and often losing listener

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16
Q

clang associations

A

putting words together that sound the same

17
Q

cognitive function assessment

A

dysfunction in ADL, sleep and eating with deficits from mania, hx of psychosis and chronic illness

17
Q

thought content assessment

A

grandiose/persecutory delusions

17
Q

assessment guidelines for bipoalr

A

danger to self or others, need for protection, fam understanding, med conditions

18
Q

acute phase of outcomes

A

prevent injury, maintain cardiac status, hydration, tissue integrity, sleep, thought self control and no self harm

19
Q

maintenance phase outcomes

A

knowledge of disorder, identify risk factors, preventative measures and support, problem solve with new coping skills

20
Q

planning acute phase

A

med stabilization, safety, seclusion, restraint, ECT

21
Q

planning maintenance phase

A

prevent relapse, long term med adherence, limit severity and duration of episodes, support

22
Q

implementation of depressive episodes

A

hosp for suicidal, psychotic, catatonic and med concerns of causing mania

23
Q

implementation of manic episodes

A

hosp for acute mania, communication

24
Q

acute phase of implentation

A

safety (acute mania), imposes control on destructive behaviors, meds for stabilization

25
Q

maintenance phase implementation

A

prevent relapse, nutrition, support, sleep, med adherence

26
Q

communication techniques

A

firm and calm, short concise explanations, identify expectations, hear legit complains, redirect energy

27
Q

health teaching

A

inform on illness, warning sings, importance of regularity, therapy

28
Q

documented data of seclusion or restraints must show

A

risk of harm to self or others, unable to control actions, other measures failed

29
Q

long term evaluation outcomes

A

adhere to meds, resume functioning, achieve stability, improve coping skills

30
Q

main focus of treatment is

A

preventing agitation and mood stabilization

31
Q

pharmacotherapy

A

lithium, depakote, olanzapine, risperidone, clonazepam, lorazepam

32
Q

lithium

A

treats acute mania and for maintenance treatment with onset of 10-21 days

33
Q

therapeutic levels of lithium

A

must have labs drawn every 2 wks, 600-1200mg or .8-1.2 meq and can increase to 300mg daily PRN

34
Q

toxic levels

A

can cause EPS, provide anticholinergics and decrease by 300mg

35
Q

pt education on lithium

A

NEVER stop abruptly

36
Q

contraindications of lithium

A

pregnancy and breastfeeding

37
Q

electroconvulsive therapy

A

electric current through brain to treat levels of depression in bipolars

38
Q

CBT

A

used with pharmacotherapy

39
Q

interpersonal and social rhythm therapy

A

regulate social routines and stabilize relationships to improve depression and prevent relapse