Mental Final - Exam 3 Flashcards
MDD
5 symptoms that occur every day over a 2 week period
Dysthymic disorder
2 symptoms over 2 years (1 year for children) of depressed mood
This therapy is used for major depression patients who are suicidal and aren’t responding to medication.
ECT
ECT is used for what conditions
Depression and Bipolar
ECT
Increases Serotonin and causes unilateral Grand Mal seizures.
ECT contraindications
ICP, Tumors, Recent MI/CHF, Children
Side effects of ECT
Temporary memory loss, confusion, disorientation
Nursing responsibilities for ECT
Obtain consent, vitals, labs/xrays, and ADMINISTER Robinul
Sign that ECT is working
Big Toe Flex
Where is ECT normally given?
Outpatient
When is ECT given inpatient?
High risk for suicide
Intervention for ECT
Reorient patient
Frequency of ECT
Total of 6-12 for 2-3 times a week.
Robinul’s effect for ECT
Prevents Aspiration
Bipolar I
Mania and Major Depression
Bipolar II
Hypomania and Major Depression
What meds are given for Bipolar?
Anticonvulsants, Antianxiety (Klonopin), and Lithium
Lithium
First line med for Bipolar depression and acute mania. Enhances reuptake of neurotransmitters and decreases sodium in kidneys. therapeutic range is 0.6-1.2mEq/L. Toxicity >1.7
Therapeutic side effect of lithium
Fine hand tremors, thirst, nausea, weight gain
Patient education for lithium
Don’t restrict sodium, 3000mL fluid intake, and contact MD if V/D occur
What medication should not be given with lithium
Diuretics
What organs does Lithium affect?
Kidney, thyroid
How long does it take for Lithium to work?
7-14 days. Must give another med until it starts working
Interventions for Bipolar manic patients
Reduce stimuli, LIMIT GROUP activities, 1 on 1.
