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Flashcards in Bipolar Disorder Deck (8)
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1
Q

What is bipolar disorder?

A

disorder characterized by periods of mania or hypomania and periods of depression

2
Q

What is the difference between bipolar 1 and bipolar 2 disorder?

A

bipolar 1 - depression and mania

bipolar 2 - depression and hypomania

3
Q

What is mania?

A

state of abnormally elevated mood - impairs social or occupational functioning:

  • feelings of euphoria
  • lack of restraint
  • impulsivity, decreased inhibition
  • decreased attention and concentration
  • increased energy/hyperactivity
  • inflated self-esteem, delusions of grandeur
  • irritable mood
  • more talkative, pressured speech, flight of ideas
  • decreased need for sleep
4
Q

What is hypomania?

A

similar to mania but less severe, doesn’t impair social or occupational functioning

5
Q

What are care focuses for someone with bipolar disorder?

A
  • self care
  • safety (because they are impulsive)
  • sleep hygiene (often sleep deprived)
  • nutrition and fluids (often can’t sit still, forget to eat)
  • regular exercise helps, also side effect of meds is weight gain
6
Q

What type of medication regimen will someone with bipolar disorder receive? Is the treatment long term or temporary?

A
  • mood stabilizer and an antidepressant
  • patient may be able to stop using medication, but if they have had more than two manic episodes they will likely use medication long-term
7
Q

What type of drug is lithium?

A
  • mood stabilizer
  • narrow therapeutic window = need to check serum levels for toxicity
  • it is a salt, if the patient is dehydrated it will be more concentrated and have a greater effect
8
Q

What type of drug is divalproex sodium?

A
  • anticonvulsant, used as mood stabilizer
  • may work by increasing GABA
  • associated with birth defects
  • baseline liver function tests and complete blood count