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
DIGFAST
These 7 symptoms indicate what mental state; Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity increase
Sleep deficit
Talkativeness?
Mania symptoms
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
When depressive and manic features occur at the same time, it is known as ____.
Mixed Features
When a patient experiences 4 Manic episodes for at least two weeks out of one year, or Resistance to drug therapy and
Increased depressive symptoms. Whatt type of cycling is Occuring?
Rapid Cycling.
When a patient fluctuates between depressive and hypo manic symptoms, but never leads to an episode for
Two or more years, this disorder is occuring.
Cyclothymic Disorder
what is the primary outcome for a cute manic phase?
Injury prevention
This type of diet is indicated which which type of patient w/ mental illness?
Finger foods
High protein
High frequency, snacks
Manic Patients
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
severe toxicity signs of lithium
Convulsions
Oliguria
** hemodialysis needed
what to do if a rash occurs from anticonvulsants
Stop med
Call HCP
What can the rash advance to?
Steven Johnson syndrome
Toxic epidermal necrosis
Allergic reaction