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Psych > Chapter 24 - Bipolar > Flashcards

Chapter 24 - Bipolar Flashcards

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1
Q

Elevated mood

A

Euphoria and elation

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2
Q

Expansive mood

A

lack of restraints in expression

overvalued self-importance

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3
Q

Irritable mood

A

Easily annoyed and provoked

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4
Q

What lab would the nurse want to check for a pt. w/o a Hx of Bipolar disorder but presents with all symptoms

A

Thyroid

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5
Q

What may cause symptoms of bipolar related to medications?

A

Previous use of antidepressants

Discontinuation of mood stabilizers

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6
Q

Priority intervention for bipolar

A

Safety - homicidal and suicidal ideation

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7
Q

Med used to Tx bipolar

A

Lithium and Anticonvulsants

If in sighting harm: Antipsychotics

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8
Q

Anticonvulsants

Diva can’t have carbs but lambs

A

Divalproex
Carbamazepine
Lamotrigine

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9
Q

Other intervention for bipolar

A

Therapy
Relaxation techniques
Stress management
Plan for emerging symptoms

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10
Q

Normal Lithium Levels

A

0.6-1.2

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11
Q

Mild Lithium Toxicity

A

< 1.5

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12
Q

Moderate Lithium Toxicity

A

1.5-2.5

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13
Q

Severe Lithium Toxicity

A

> 2.5

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14
Q

Splitting is a characteristic of what disorder?

A

Borderline personality Disorder

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15
Q

Mild Lithium Toxicity Symptoms

A

Confusion, tachycardia, polyuria, polydipsia, GI upset, metallic taste

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16
Q

Moderate Lithium Toxicity Symptoms

A

N/V, severe diarrhea, dry mouth, dizzy, ataxia, slurred speech

17
Q

Severe Lithium Toxicity Symptoms

A

Cardiac arrhythmias, hallucinations, oliguria, seizures, coma, death

18
Q

ACE inhibitors and Lithium

A

ACE inhibitors = high lithium

19
Q

Fluoxetine (SSRI) Inhibitors and Lithium

A

Fluoxetine (SSRI) = high lithium

20
Q

NSAID and Lithium

A

NSAIDS decrease lithium excretion = high lithium

21
Q

Alcohol and Lithium

A

Alcohol = high lithium

22
Q

Sodium and Lithium

A

High sodium = low lithium

23
Q

How long must the pt. have a persistant elevated, expansive, or irritable mood to be diagnosed with Bipolar?

A

1 week

24
Q

Focused assesments for bipolar disorder:

A

Appetite
Sleeping
Activity

Psych (19 decks)

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