Nwauche Flashcards
Classes of bipolar disorders
- Bipolar 1 major depressive episode + full mania episode
Bipolar 11 major depressive episode + hypomanic.
Cyclothymic disorder - numeroús major depressive pisode + hypomaniac episode
Substance induced bipolar disorder
Bipolar disorder associated w another medical condition
Other unspecified
Compare Bipolar 1and 2
2
Fewer manic symptoms
Poorer prognosis
Patients returnt I normal functioning level btw episodes
Usu 1 hyopmànic episode
W 1 or more major depressive
Depression?
Triple A
Anhedonia
Anorexia
Antisocial behaviour
Loss of appetite
Loss of energy
Low mood
Feeling of worthlessness
Mania?
Grandiosity
Excessive talk
Impulsiveness
Aggression
Hyperactivity
Management
No pharmacological sleep exercise rest stress reduction
Electroconvulsive therapy high intensity bright light . Treatments resistant patients
Light therapy light box
Lifestyle changes consistent sleep schedule
Psychotherapy
Desired outcomes
Symptomatic remission
Improved functioning of the patient
Avoid substance that can restart acute episode
Prevention of relapse or recurrence
Full return of psychosocial functioning
Role of pharmacist
Medication history- obtain accurate and complete
Dosing strategies/regimen provide adequate
Drug interactions - Review drug therapeutic regimen
Clinical monitoring - initiate parameters
Medication toxicity - identify signs and symptoms
Seek early medical help sooner- identify early signs of Mani or depression early
Increase medication adherence.- counseling and advice
Therapeutic alliance why?
Promote adherence
Sleep
Exercise
Minimise ADR
Recognise new episode
Why monitor lithium?
Low therapeutic range
Cause - v. Toxic in overdose
Caution or adverse effects in patients of depressive
Children
Seizure history
Respiratory
Thyroid agent
Myocardial Infarction
Treatments for mania and depression.🙂
Treatments for mania and depression.🙂
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