Exam 2: Bipolar Disorder

Question 1

Bipolar disorder

Answer 1

Extreme mood swings, episodes of mania, hypomania, and depression

Bipolar 2 less severe

More common in highly educated people

Question 2

Mania vs. hypomania

Answer 2

Both are elated, euphoric moods but mania is more elated/euphoric

Question 3

Bipolar disorder treatment

Answer 3

Lithium: Adverse effects = weight gain (baseline BMI), tired, affects thyroid and renal function

Anticonvulsant drugs

Psychotherapy (not useful during manic stages

Question 4

Therapeutic range of lithium

Answer 4

0.6-1.2

Assess trough to determine level

Question 5

Adverse effects of lithium

Answer 5

Tremors
Sedation
Headache
Increased thirst/urination
GI upset
Weight changes

Lithium toxicity: Severe n/v, UE tremors, confusion, vision changes

Question 6

Bipolar disorder assessment

Answer 6

History
General appearance/motor behavior
Mood and affect
Thought process and content
Sensorium and intellectual processes
Judgment and insight
Self-concept
Roles and relationship
Physiological and self-care considerations
Sleep schedule