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ANCC > Chap. 7- bipolar > Flashcards

Chap. 7- bipolar Flashcards

1
Q

BIP is _____ common than MDD

A

Less

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2
Q

About __% of the population, or __ million adults in the US are affected by BIP

A

0.7%, or 2.3 million

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3
Q

Risk for developing bipolar is increased by __% with a first-order relative with ___ or ___

A

25% increased with relative with

MDD or BIP 1

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4
Q

A first-order relative with BIP 2 represents a __% increased risk of developing BIP

A

5%

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5
Q

A diagnosable manic episode lasts at least __ days; a diagnosable hypomanic episode lasts at least __ days

A

7 days

4 days

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6
Q

BIP 1 is characterized by…

A

occurrence of one or more manic or mixed episodes

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7
Q

BIP 2 is characterized by…

A

occurrence of one or more depressive episodes accompanied by at least one hypomanic episode

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8
Q

Rapid cycling is defined as ____ or more mood episodes in the past __ months

A

4 or more in the last 12 months

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9
Q

Antidepressants may _____ mania or rapid cycling

A

Activate or accelerate

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10
Q

Just as with MDD, four labs to draw are…

A

CMP
CBC
B12
Thyroid panel

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11
Q

First manic episode after age 40 is most likely caused by…

A

Another medical condition

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12
Q

_____ are classic for activating mania

A

Steroids

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13
Q

You must not introduce a/an _____ without a _____ _____ on board and established first.

A

Antidepressant

Mood stabilizer

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14
Q

The gold standard for mania treatment

A

Lithium

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15
Q

Lithium has a _____ therapeutic index

A

Narrow

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16
Q

Lithium lab values

A

0.6-1.2 mEq/L

17
Q

Lithium monitoring:
_____ function via _____ and _____
_____ function via _____ _____
_____ balance via _____

A

kidney function, BUN and creatinine
thyroid function, thyroid panel
electrolyte balance, CMP

18
Q

Draw a lithium level __ hours post-dose

A

12 hours (trough level)

19
Q

Lithium, used in pregnancy, is a known risk for _____ _____

A

Epstein’s anomaly

20
Q

The three mood stabilizers requiring serum monitors

A

Lithium
Tegretol (carbamazepine)
Depakote (valproic acid)

21
Q

Tegretol level normal

A

6 - 12 mcg/mL

22
Q

VPA level normal

A

50 - 125 mcg/mL

23
Q

Lamictal’s biggest risk

A

Stevens-Johnson syndrome

24
Q

Topamax is also known as “dopamax” because of its…

A

Cognitive slowing

25
Q

Tegretol’s ER formulation, known as Equetro, has the advantage of…

A

Not requiring serum monitoring

26
Q

Two screens for BIP

A

YMRS (Young Mania Rating Scale)

MDQ (Mood Disorder Questionnaire)

ANCC (48 decks)

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