Chapter 24 - Bipolar Flashcards
Elevated mood
Euphoria and elation
Expansive mood
lack of restraints in expression
overvalued self-importance
Irritable mood
Easily annoyed and provoked
What lab would the nurse want to check for a pt. w/o a Hx of Bipolar disorder but presents with all symptoms
Thyroid
What may cause symptoms of bipolar related to medications?
Previous use of antidepressants
Discontinuation of mood stabilizers
Priority intervention for bipolar
Safety - homicidal and suicidal ideation
Med used to Tx bipolar
Lithium and Anticonvulsants
If in sighting harm: Antipsychotics
Anticonvulsants
Diva can’t have carbs but lambs
Divalproex
Carbamazepine
Lamotrigine
Other intervention for bipolar
Therapy
Relaxation techniques
Stress management
Plan for emerging symptoms
Normal Lithium Levels
0.6-1.2
Mild Lithium Toxicity
< 1.5
Moderate Lithium Toxicity
1.5-2.5
Severe Lithium Toxicity
> 2.5
Splitting is a characteristic of what disorder?
Borderline personality Disorder
Mild Lithium Toxicity Symptoms
Confusion, tachycardia, polyuria, polydipsia, GI upset, metallic taste