Case Study 3- Mania 1.4 and 1.5

Question 1

What is mania?

Answer 1

The manic stage of bipolar disorder where patient has a period of elevated extreme, changes in moods or emotions, energy levels or activity

Question 2

What are the symptoms of mania?

Answer 2

Elevated moods
full of energy
taking very quickly
being easily distracted
racing thoughts
rapid speech
impulsive risky behaviour
decreased need for sleep
delusions and hallucinations
not eating

Question 3

How long should symptoms be present for in order for mania to be diagnosed?

Answer 3

at least a week

Question 4

What are extrapyramidal side effects and what are they?

Answer 4

Occurs when taking antipsychotic medication
akathisia- Feeling restless, e.g tapping fingers
dystonia- involuntarily contraction of muscles
Parkinsonism- tremors, difficulty finishing thoughts or speech
tardive dyskinesia- focal movement that happens involuntarily

Question 5

what are the symptoms of sepsis?

Answer 5

shivering
shortness of breath
disorientation
sweaty skin
increased heart rate
extreme pain

Question 6

What does the T stand for in TIME?

Answer 6

Temperature higher or lower than normal

Question 7

What does the I stand for in TIME?

Answer 7

infection: may have signs ans symtoms of infection

Question 8

What does the M in TIME stand for?

Answer 8

Mental decline: confusion, sleepy difficult to rouse, disorientation

Question 9

What does the E stand for in TIME?

Answer 9

Extremly ill: severe pain, discomfort, shortness of breath

Question 10

a patient has been admitted to hospital. They are displaying signs of sepsis. What should we do? and what should be done before treatment?

Answer 10

• Broad spectrum antibiotic should be given such as Tazocin
• At the maximum recommended dose
• Ideally within the hour (no delay)

before treatment:
- antimicrobial culture should be taken
- Antibiotic treatment should be adjusted depending on what bacteria are present in the culture