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bipolar
pn 141 final
Question | Answer |
---|---|
what is it | severe mood swings of extreme hyperactivity to depression (both poles of mood) |
aka | manic depressive |
dx | pt with it has experienced at least one manic and on depressive episode or one mixed mood |
are the episodes of depression the same as depression | yes |
how is cyclic | the pt swings back and forth |
what is the manic episode like | extreme high, altered thoughts, inflated self esteem, decreased need for sleep, more talkative, distractable, excessive involvment in pleasurable acvitivities |
risk factors | family, following a strssor, hormonses, |
the person alternates between what two feelings | elation and irritability |
onset | early 20s |
who gets it more men or wm | wm |
tx priority | safety of pt, and treating disorder |
meds: what are the ones used | antispuchotic meds |
meds: action | not well undersodd |
meds: names | haldol, (lithium)lithobid, abilify, seprexa, seroquel, risperdal |
meds: Haldo- what is action | increases the turnover of dopamine |
meds: lithium- action | increase norepineph. and serotonin senstivity and causes antimanic behavior |
meds: what is therapeutic range of lithium | 05.-1.5 |
meds: lithium- what other med increases the risk for toxicity | NSAIDS |
meds: lithium- side effects | fine hand tremor, wt gain,. GI discomfort, mental dullness, (tox side effects N/V, diarrhea, coarse ahnd tremor, slurred speech, coma, seizures, death) |
meds: lithium- is it for manic or depression | manic |
meds: why is compliance an issue | b/c when pt is in high they think that they do not need meds |