Bipolar Disorder Flashcards Preview

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Flashcards in Bipolar Disorder Deck (13):
1

Stages

Mania (> 4 days)
Hypomania (< 4 days)
Depression

2

Clinical Course of Mania

First episode: teens - 30s
Grandiosity in kids
1 ep per week

3

Pharmacological Tx

Lithium
AEDs
Second gen antipsychotic meds

4

Lithium Dose

300mg PO TID
Target: 900-1800 mg/day

5

Lithium Contraindications

Renal / cardiac
↓ Na / H2O
Diuretic use
Pregnancy / lactation

6

Lithium Adverse Fx

CNS problems
Gastric tox
ECG changes
CV collapse
↓ Na

7

Lithium Nursing Considerations

Serum levels: 0.6 - 1.2 mEq/L (more: hold)
2L H2O / day
Daily weights (I/O)
Renal fxn

8

Lithium Toxicity Signs

Muscle incoordination
Slurred speech
N/V
Headache

9

Valproic Acid Adverse Fx

CNS suppression
Liver tox (LFT)
Thrombocytopenia (CBC)
N/V

10

Antipsychotics

Mood stabilization

11

Psychotherapy Tx for Mania

Not useful in acute stages

12

Assessment

Hx
Motor
Mood / affect
Thoughts
Sensory (Ox2 - not time)
↓ judgement
↑ self esteem
No fxn

13

Nursing Management

Safety
Physiological needs
Meds
Therapeutic communication
Appropriate behavior
Teaching