Bipolar Disorders

Question 1

Lithium Toxicity

Question 2

What happens in manic states?

Answer 2

-Manic episodes last 1 week
-Euphoric or agitated

Question 3

Hypomania

Answer 3

-Less impairment than mania
-Episodes last at least 4 days

Question 4

Rapid Cycling

Answer 4

Four or more episodes of hypomania or acute mania within 1 year

Question 5

Bipolar I

Answer 5

-Most severe
-Highest mortality rate
-at least 1 manic episode

Question 6

Bipolar II

Answer 6

• At least 1 hypomanic episode
• At least 1 major depressive episode

Question 7

Cyclothymic Disorder

Answer 7

• At least 2 years of repeated hypomanic manifestations that do not meet the criteria for hypomanic episodes alternating with minor depressive episodes

Question 8

Lithium Carbonate Therapeutic Levels

Answer 8

0.8-1.4

Question 9

Lithium Toxic Blood levels

Answer 9

1.5 and above

Question 10

Lithium Levels should be measured at least how many days after therapy?

Answer 10

5days

Question 11

What are other times that lithium levels should be checked?

Answer 11

-Monthly checks
-Every time dosage is changed
-After 6 months of staying at that levels they can be checked every 3 months

Question 12

When should blood should be drawn to check lithium?

Answer 12

In the morning, 10-12 hours after last medication was taken.

Question 13

What to monitor for when someone is taking lithium?

Answer 13

-Monitor renal function
-monitor thyroid

Question 14

What symptoms to look for with lithium toxicity?

Answer 14

Diarrhea, tremors, headaches