Chapter 22 Flashcards

Bipolar disorder

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1
Q

the following flashcards are going to be from powerpoint, lecture and study guide

A
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2
Q

bipolar and related disorders are characterized by one or more manic epidote that cause marked impairment in social actives, occupational functioning and interpersonal relationships and may require hospitalization to prevent self harm

A
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3
Q

bipolar and related disorders are characterized by ?

A

periods of mania or hypomania that alternate with depression

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4
Q

what are the 2 main types of bipolar ?

A

bipolar one
bipolar 2

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5
Q

what is mania?

A

elevated, expansive, or irritable mood

increased activity or energy

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6
Q

what is elevated mood mean ?

A

euporhia
on top of the world feeling

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7
Q

what is expansive mood?

A

lack of restrain in expressing feelings

overvalued sense of self

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8
Q

what is irritable mood?

A

easily annoyed
provoked to anger

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9
Q

what is the nemonic to help me remember the symptoms of mania ?

A

DIG FAST

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10
Q

what does dig fast stand for

A

distractibility
indiscretion/impulsivess
grandiosity/inflated self-estee
flight of ideas/racing thoughts
activity increase/agitation
sleep deficigt
talkativeness ( pressured )

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11
Q

increased risk-taking behaviors and impulsive leads to poor judgment and increase risk for upside Dan aggression

A
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12
Q

bipolar one needs to be at least how long?

and must have what?

A

1 week

mood distances and increase energy or activity, three of the other symptoms

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13
Q

bipolar 2 must be how long?

and must have what 2 things

A

4 days

1 hypomanic episode and 1 depressive episode

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14
Q

what are the medications we are going to use to help aid patients with bipolar ?

A

mood stabilier and anti seizure drugs

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15
Q

what is the goal standard mood stablizer?

A

lithium

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16
Q

what is lithium index?
what is the toxicity (5)
and what are we watching (2)

A

0.8-1.4
diarrhea, vomiting,droswey, msuclear weakness, lack of coordination

thyroid and kidney monitoring

17
Q

what is our main concern with lamotrigine ( lamitcal )

A

Steven johnson syndrome

18
Q

valproate ( depakote )
we need to watch out for what

A

uric acid cycle changes