week 3.2 Flashcards
bipolar 1 disorder
More common in males
Most severe
One or more manic episodes in one week
Psychotic symptoms of delusions and hallucinations
Marked impairment in social and occupational function
rapid cycling
is mania a medical emergency
Yes
Mania symptoms
Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity increase
Sleep deficit
Talkativeness
mood lability
Rapid extreme mood swings
bipolar 2 disorder
More common in females
One or more hypomanic and MDD episodes
No psychosis or mania
hypomanic episode
Abnormal, persistent, increase and or irritable mood with no psychotic features or marked disturbance in function for at least four days
do other people notice uncharacteristic symptoms in a person during a hypomanic episode
Yes
mixed features
Depressive and mania occurs at the same time
rapid cycling
> =4 Manic episodes for at least two weeks out of one year
Resistance to drug therapy
Increased depressive symptoms
cyclothymic disorder
fluctuates depressive and hypo manic symptoms, but never leads to an episode
Two or more years
what is the primary outcome for a cute manic phase?
Injury prevention
what types of foods and fluid should be given to manic patients
Finger foods
High protein
High frequency, snacks
signs of early toxicity in lithium
G.I. issues
Course hand tremor
Hyper irritability of muscles
EKG changes
lacking coordination
nursing care for early toxicity signs
Draw blood level
Advanced toxicity signs of lithium
Ataxia
Seizures
Blurred vision
Clonic movements
Increased urine output, diluted
Hypotension