Bipolar Disorder & meds

Question 0

What term is used to describe clouding of consciousness occurs?

Answer 0

Delirious mania

Question 1

Paranoid & grandiose delusions are common in?

Answer 1

manic episodes

Question 3

Recurrent bouts of major depression w/ episodes of hypomania is?

Answer 3

Bipolar II disorder

Question 4

What term is characterized by mood swings b/t hypomania & mild depression?

Answer 4

Cyclothymic disorder

Question 5

Excessive interest in sexual activity is common in?

Answer 5

Manic episodes

Question 6

Recurret bouts of mania w/ episodes of depression is?

Answer 6

Bipolar I disorder

Question 7

Frenzied motor activity characterized by agitated, purposelless movements is?

Answer 7

Delirious mania

Question 8

What is the term used to describe alteration in mood w/ feelings of elation, inflated self-esteem, grandiosity, hyperactivity, agitation, & accelerated thinking & speaking?

Answer 8

Mania

Question 9

What is the term used to describe alteration in mood w/ feelings of loss of pleasure in usual activities, sad affect, decreased concentration, fatigue, changes in sleep/appetite, decreased social interactions, psychomotor retardation, & suicidal thoughts?

Answer 9

Major depression

Question 10

What disorder is more common in males, has excess dopamine & norepinephrine & fluctuates b/t baseline mood, mania & major depression, pt. can’t sleep, splits staff & is euphoria in manic episodes?

Answer 10

Bipolar disorder, type I

Question 11

What is the term used to describe milder form of mania?

Answer 11

Hypomania

Question 12

What disorder is more common in females, is common to be misdiagnosed/missed, is associated w/ hypomania & major depression, never experiences a full manic episode & fluctuates b/t baseline mood, hypomania & maj. depression?

Answer 12

Bipolar disorder, type II

Question 13

What disorder can be rapidly changing w/in sec/mins. is a stigmatize bipolar & include symptoms like: rapidly alternating moods (sadness, irritability, euphoria) & accompanied by symptoms associated w/ both depression & mania. Fluctuates b/t baseline, hypomania, maj. depression, mania, minor depression?

Answer 13

Mixed Bipolar disorder

Question 14

What disorder is a chronic mood disorder that is never w/o symptoms for more than 2 mon. w/ a duration of at least 2years & includes numerous episodes of hypomania & minor depression of insufficient severity to meet criteria for either bipolar I or II or MDD?

Answer 14

Cyclothymic Disorder

Question 15

A suicidal pt, w/ history of manic behavior is admitted to the ED. The pt’s diagnosis is documented as bipolar I disorder: depressive state. What’s the rationale for this diagnosis vs. a diagnosis of major depression?
A. Physician doesn’t believe the pt. is suffering from maj. depression
B. The pt has experienced a manic episode in the past
C. The pt doesn’t exhibit psychotic symptoms
D. There’s no history of major depression in the pt’s family

Answer 15

B. The pt has experienced a manic episode in the past

Question 16

What does FIND stand for to diagnose bipolar in children/adolescence?

Answer 16

Frequency symptoms occur most days in wk
Intensity symptoms severe enough to cause extreme disturbance
Number symptoms occur 3-4 times/day
Duration symptoms occur 4 or more hours a day

Question 17

These symptoms are associated w/ what disorder: euphoric/irritable mood, grandiosity, decreased need for sleep, pressured speech, racing thoughts, distractibility, psychomotor agitation in goal directed activities, risky behaviors, psychosis,suicidal thoughts?

Answer 17

Childhood & adolescence Bipolar symptoms

Question 18

In the initial stages of caring for a pt. experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis?
A. Risk for injury r/t excessive hyperactivity
B. Disturbed sleep pattern r/t manic hyperactivity
C. Imbalanced nutrition: less than body requires r/t inadequate intake
D. Situational low self-esteem r/t embarrassment secondary to high risk behaviors

Answer 18

A. Risk for injury r/t excessive hyperactivity

Question 19

What medications do bipolar pt’s never get?

Answer 19

Antidepressants

Question 20

What medications are used for mania in bipolar disorder for mood stabilizing?

Answer 20

Antimanic, anticonvulsants, antipsychotics

Question 21

What medication is used for the depressive phase of bipolar disorder?

Answer 21

Antimanic- Lithium

Question 22

Why should pt’s w/ bipolar disorder not receive antidepressants?

Answer 22

Bc may trigger mania

Question 23

This med may modulate norepinephrine, serotonin, dopamine, glutamate & GABA?

Answer 23

Lithium

Question 24

Lithium is also known as what?

Answer 24

Salt

Question 25

What two systems are involved in salt?

Answer 25

Renal & cardiac

Question 26

Lithium can interfere w/ what by a lot, so maintaining this & water intake is very important?

Answer 26

Sodium/potassium levels

Question 27

What are therapeutic lithium ranges?

Answer 27

0.6-1.2mEq/L

Question 28

A lithium level of >1.5 is what?

Answer 28

Lithium toxicity

Question 29

A lithium level of >2.5 is what?

Answer 29

Lethal

Question 30

What are therapeutic ranges of lithium for acute mania?

Answer 30

1.0-1.5mEq/L

Question 31

How long should blood be drawn 1st if a pt. is on lithium in order to start getting it drawn monthly if it is stable then 3 months if it remains stable?

Answer 31

1-2xs/wk

Question 32

These side effects are associated with which med: dry mouth, thirst, GI upset, N/V, drowsiness, dizziness, headache, fine hand tremors, hypotension, arrhythmias, pulse irregularities, polyuria, dehydration, weight gain, & potential for toxicity?

Answer 32

Lithium

Question 33

What should you monitor for if a pt. is on lithium?

Answer 33

I&O, electrolyte levels, weight

Question 34

These medications: Valproic acid (Depakote), Lamotrigine (Lamictal), Carbamazepine (Tegretol) or Tiliptal are what medications & used as what in the depressive phase of bipolar disorder?

Answer 34

Anticonvulsants; mood stabilizers

Question 35

These side effects are associated w/ which medication: N/V, drowsiness, dizziness, blood dyscrasia, risk of suicide?

Answer 35

Anticonvulsants

Question 36

Which med has a side effect of prolonged bleeding time?

Answer 36

Depakote

Question 37

Which med has a side effect of risk for severe rash (Steven's Johnson)?

Answer 37

Lamictal

Question 38

These medications: Olanzapine (Zyprexa), Quetiapine (Seroquil), Risperidone (Risperdal), Aripirazole (Abilify), Chlorpromazine (Thorazine), Ziprasidone (Geodon) or Asenaphine (Saphris) are what kind of medications and used for what in the depressive phase of bipolar disorder?

Answer 38

Antipsychotic; mood/aggression

Question 39

Antipsychotics should be used in conjunction w/?

Answer 39

Anticonvulsants

Question 40

These side effects are associated with which medication: Drowsiness, dizziness, dry mouth, constipation, increased appetite, weight gain, ECG changes, EPS, hyperglycemia & diabetes?

Answer 40

Antipsychotics

Question 41

Atypical antipsychotics should be watched out for what?

Answer 41

Metabolic syndrome & elevated blood sugar & cholesterol

Question 42

A pt who is prescribed lithium carbonate is being discharged from inpt. care. Which med info should the nurse teach the pt? A. Do not skimp on dietary sodium intake B. Have serum lithium levels checked q6mon. C. Limit fluid intake to 1000ml of fluid per day D. Adjust the dose if you feel out of control

Answer 42

A. Do not skimp on dietary sodium intake

Question 43

How long does ECT last?

Answer 43

20 seconds

Question 44

How often is ECT administered?

Answer 44

every other day, 6-12 times up to 3-4 wks

Question 45

ECT is used for patients w/ what?

Answer 45

Bipolar/schizo if in manic phase

Question 46

Cardiovascular/pulmonary state, skeletal osteoporosis, mood/teeth, VS, orientation & explaining what happened is?

Answer 46

Assessments after ECT

Question 47

Elevated intracranial pressure, or if a pt. had a stroke w/in 3 months are?

Answer 47

contraindications for ECT

Question 48

A pt.'s norepinephrine, serotonin & dopamine levels w/ bipolar disorder are?

Answer 48

Deficient/low

Question 51

Accelerated & pressured speech is common in?

Answer 51

Manic episodes