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Mental Health- Exam 2 > Bipolar Disorder & meds > Flashcards

Bipolar Disorder & meds Flashcards

0
Q

What term is used to describe clouding of consciousness occurs?

A

Delirious mania

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1
Q

Paranoid & grandiose delusions are common in?

A

manic episodes

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3
Q

Recurrent bouts of major depression w/ episodes of hypomania is?

A

Bipolar II disorder

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4
Q

What term is characterized by mood swings b/t hypomania & mild depression?

A

Cyclothymic disorder

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5
Q

Excessive interest in sexual activity is common in?

A

Manic episodes

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6
Q

Recurret bouts of mania w/ episodes of depression is?

A

Bipolar I disorder

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7
Q

Frenzied motor activity characterized by agitated, purposelless movements is?

A

Delirious mania

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8
Q

What is the term used to describe alteration in mood w/ feelings of elation, inflated self-esteem, grandiosity, hyperactivity, agitation, & accelerated thinking & speaking?

A

Mania

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9
Q

What is the term used to describe alteration in mood w/ feelings of loss of pleasure in usual activities, sad affect, decreased concentration, fatigue, changes in sleep/appetite, decreased social interactions, psychomotor retardation, & suicidal thoughts?

A

Major depression

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10
Q

What disorder is more common in males, has excess dopamine & norepinephrine & fluctuates b/t baseline mood, mania & major depression, pt. can’t sleep, splits staff & is euphoria in manic episodes?

A

Bipolar disorder, type I

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11
Q

What is the term used to describe milder form of mania?

A

Hypomania

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12
Q

What disorder is more common in females, is common to be misdiagnosed/missed, is associated w/ hypomania & major depression, never experiences a full manic episode & fluctuates b/t baseline mood, hypomania & maj. depression?

A

Bipolar disorder, type II

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13
Q

What disorder can be rapidly changing w/in sec/mins. is a stigmatize bipolar & include symptoms like: rapidly alternating moods (sadness, irritability, euphoria) & accompanied by symptoms associated w/ both depression & mania. Fluctuates b/t baseline, hypomania, maj. depression, mania, minor depression?

A

Mixed Bipolar disorder

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14
Q

What disorder is a chronic mood disorder that is never w/o symptoms for more than 2 mon. w/ a duration of at least 2years & includes numerous episodes of hypomania & minor depression of insufficient severity to meet criteria for either bipolar I or II or MDD?

A

Cyclothymic Disorder

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15
Q

A suicidal pt, w/ history of manic behavior is admitted to the ED. The pt’s diagnosis is documented as bipolar I disorder: depressive state. What’s the rationale for this diagnosis vs. a diagnosis of major depression?
A. Physician doesn’t believe the pt. is suffering from maj. depression
B. The pt has experienced a manic episode in the past
C. The pt doesn’t exhibit psychotic symptoms
D. There’s no history of major depression in the pt’s family

A

B. The pt has experienced a manic episode in the past

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16
Q

What does FIND stand for to diagnose bipolar in children/adolescence?

A

Frequency symptoms occur most days in wk
Intensity symptoms severe enough to cause extreme disturbance
Number symptoms occur 3-4 times/day
Duration symptoms occur 4 or more hours a day

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17
Q

These symptoms are associated w/ what disorder: euphoric/irritable mood, grandiosity, decreased need for sleep, pressured speech, racing thoughts, distractibility, psychomotor agitation in goal directed activities, risky behaviors, psychosis,suicidal thoughts?

A

Childhood & adolescence Bipolar symptoms

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18
Q

In the initial stages of caring for a pt. experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis?
A. Risk for injury r/t excessive hyperactivity
B. Disturbed sleep pattern r/t manic hyperactivity
C. Imbalanced nutrition: less than body requires r/t inadequate intake
D. Situational low self-esteem r/t embarrassment secondary to high risk behaviors

A

A. Risk for injury r/t excessive hyperactivity

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19
Q

What medications do bipolar pt’s never get?

A

Antidepressants

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20
Q

What medications are used for mania in bipolar disorder for mood stabilizing?

A

Antimanic, anticonvulsants, antipsychotics

21
Q

What medication is used for the depressive phase of bipolar disorder?

A

Antimanic- Lithium

22
Q

Why should pt’s w/ bipolar disorder not receive antidepressants?

A

Bc may trigger mania

23
Q

This med may modulate norepinephrine, serotonin, dopamine, glutamate & GABA?

A

Lithium

24
Q

Lithium is also known as what?

A

Salt

25
Q

What two systems are involved in salt?

A

Renal & cardiac

26
Q

Lithium can interfere w/ what by a lot, so maintaining this & water intake is very important?

A

Sodium/potassium levels

27
Q

What are therapeutic lithium ranges?

A

0.6-1.2mEq/L

28
Q

A lithium level of >1.5 is what?

A

Lithium toxicity

29
Q

A lithium level of >2.5 is what?

A

Lethal

30
Q

What are therapeutic ranges of lithium for acute mania?

A

1.0-1.5mEq/L

31
Q

How long should blood be drawn 1st if a pt. is on lithium in order to start getting it drawn monthly if it is stable then 3 months if it remains stable?

A

1-2xs/wk

32
Q

These side effects are associated with which med: dry mouth, thirst, GI upset, N/V, drowsiness, dizziness, headache, fine hand tremors, hypotension, arrhythmias, pulse irregularities, polyuria, dehydration, weight gain, & potential for toxicity?

A

Lithium

33
Q

What should you monitor for if a pt. is on lithium?

A

I&O, electrolyte levels, weight

34
Q

These medications: Valproic acid (Depakote), Lamotrigine (Lamictal), Carbamazepine (Tegretol) or Tiliptal are what medications & used as what in the depressive phase of bipolar disorder?

A

Anticonvulsants; mood stabilizers

35
Q

These side effects are associated w/ which medication: N/V, drowsiness, dizziness, blood dyscrasia, risk of suicide?

A

Anticonvulsants

36
Q

Which med has a side effect of prolonged bleeding time?

A

Depakote

37
Q

Which med has a side effect of risk for severe rash (Steven’s Johnson)?

A

Lamictal

38
Q

These medications: Olanzapine (Zyprexa), Quetiapine (Seroquil), Risperidone (Risperdal), Aripirazole (Abilify), Chlorpromazine (Thorazine), Ziprasidone (Geodon) or Asenaphine (Saphris) are what kind of medications and used for what in the depressive phase of bipolar disorder?

A

Antipsychotic; mood/aggression

39
Q

Antipsychotics should be used in conjunction w/?

A

Anticonvulsants

40
Q

These side effects are associated with which medication: Drowsiness, dizziness, dry mouth, constipation, increased appetite, weight gain, ECG changes, EPS, hyperglycemia & diabetes?

A

Antipsychotics

41
Q

Atypical antipsychotics should be watched out for what?

A

Metabolic syndrome & elevated blood sugar & cholesterol

42
Q

A pt who is prescribed lithium carbonate is being discharged from inpt. care. Which med info should the nurse teach the pt?
A. Do not skimp on dietary sodium intake
B. Have serum lithium levels checked q6mon.
C. Limit fluid intake to 1000ml of fluid per day
D. Adjust the dose if you feel out of control

A

A. Do not skimp on dietary sodium intake

43
Q

How long does ECT last?

A

20 seconds

44
Q

How often is ECT administered?

A

every other day, 6-12 times up to 3-4 wks

45
Q

ECT is used for patients w/ what?

A

Bipolar/schizo if in manic phase

46
Q

Cardiovascular/pulmonary state, skeletal osteoporosis, mood/teeth, VS, orientation & explaining what happened is?

A

Assessments after ECT

47
Q

Elevated intracranial pressure, or if a pt. had a stroke w/in 3 months are?

A

contraindications for ECT

48
Q

A pt.’s norepinephrine, serotonin & dopamine levels w/ bipolar disorder are?

A

Deficient/low

51
Q

Accelerated & pressured speech is common in?

A

Manic episodes

Mental Health- Exam 2 (7 decks)

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