Quiz #4 ATI Ch 14, 15, 23, 24 Flashcards
Bipolar I disorder
At least one episode of mania
Major depressive episodes
Possible psychosis
Have already been diagnosed with depression
Mania symptoms
Euphoria or elation [being too happy]
Irritability or anger
Increased/too much energy
Rapid speech
Flight of ideas (constantly needing to do something)
Delusions of grandeur (Think they are superior)
Decreased need for sleep
Bipolar II disorder
At least one period of hypomania
One or more periods of depression
There is no psychosis
Depression can be severe
Bipolar II depression characteristics
Hopelessness/sadness
Altered sleep
Appetite and weight changes
Inability to concentrate
Inability to make decisions
Suicidal thoughts
Hypomania characteristics
Treats everyone with familiarity and confidentiality; often borders on crude
Ex: can be annoying
Can act like your friend
May eat on the run or gobble food during brief periods
Mania manifestations
Becomes inappropriately demanding of peoples attention, and intrusive nature repels others
Ex: all up in everyone’s face
Can switch from angry to nice
No time to eat since too distracted and disorganized
need more calories since they use a lot of energy
Delirious Mania
Disoriented
Psychosis
Catalonia: abnormal movements, being in uncomfortable position for a while, daze (can be treated with benzodiazepines)
Assessment
Physiological status is always priority !
-Dehydration
-cardiac status
-sleep
-safety
Manic patients
Can switch from one activity to another
Keep them away from groups
Can have bizarre clothing
Bipolar implementation
Address physiological needs- exercise, high calorie foods
Milieu therapy- reduce stimuli [keep pts away from nurse station]
Safety measures-need one to one sitter
Seclusion/restraint-protects others from harm
Lithium
Treatment for
-acute mania
-acute bipolar depression
-prevention of manic and depressive episodes
MOA
