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Flashcards in Chapter 17 Deck (27):
1

______ is characterized by mood swings from profound depression to extreme euphoria (mania), with intervening periods of normalcy

Bipolar Disorder

2

Individual is experiencing, or has experienced, a full syndrome of manic or mixed symptoms - may also have experienced episodes of depression

Bipolar I Disorder

3

Recurrent bouts of major depression. Episodic occurrences of hypomania. Pt has not experienced an episode that meets the full criteria for mania or mixed symptomatology.

Bipolar II Disorder

4

Chronic mood disturbances that have occurred for at least 2 years. Numerous episodes of hypomania and depressed mood

Cyclothymic Disorder

5

Bipolar has excess of ______, _______, and/or ________.

Norepinephrine, serotonin, and/or dopamine

6

_____ is the most common comorbid condition with bipolar disorder

ADHD

7

What should be included in care for pt in manic phase?

A) Focus client's interest in reality
B) Encourage pt to talk as much as needed
C) Redirect client's excess energy to constructive channels
D) Persuade client to complete every task started

C - best thing to do with a pt that is manic is to get them doing something. Constructive channel for their excess energy

8

Symptoms do not sufficiently severe to cause marked impairment in social or occupational functioning or to require hospitalization. Mood is cheerful and expansive. Easily distracted, increased motor activity; extroverted; superficial

Hypomania (Stage I)

9

Intensified of hypomanic symptoms; often requires hospitalization. Mood is euphoric and elation. Cognition is fragmented, disjointed thinking, pressured speech; flight of ideas; hallucinations and delusions. Excessive psychomotor behavior; increased sexual interest; inexhaustible energy; goes without sleep; bizarre dress and make-up

Acute Mania (Stage II)

10

Severe clouding of consciousness and an intensification of the symptoms associated with acute mania - has become relatively rare since the availability of antipsychotic medication.

Delirious Mania (Stage III)

11

Initial symptoms of lithium toxicity are: ______, ataxia, _______, persistent ______ and ______, and severe _______.

Blurred vision, ataxia, tinnitus, persistent nausea and vomiting, and severe diarrhea

12

What do you use to diagnose bipolar disorder in children ?

FIND:
F - frequency: symptoms occur most days of a week
I - intensity: symptoms are severe enough to cause extreme disturbances
N - number: symptoms occur 3 or 4 times a day
D - duration: symptoms occur 4 or more hours a day

13

Symptoms of mania: extremely happy, silly, or giddy is _____.

Euphoric/expansive mood

14

Symptoms of mania: hostility and rage, often over trivial matters is _______.

Irritable mood

15

Symptoms of mania: believes abilities to be better than everyone else's is _______.

Grandiosity

16

Symptoms of mania: may only sleep 3 hours per night and wake up feeling rested

Decreased need for sleep

17

Valporic acid is an ______

anticonvulsant

18

Verapamil is a _______

calcium channel blocker

19

Seroquel is a _________

Atypical antipsychotic

20

The 4 main drug classes that treat the mania phase are:

Lithium carbonate, anticonvuslants, calcium channel blocker, and atypical antipsychotics

21

______ may increase risk for depression and suicide

Anticonvulsants

22

Pt taking lithium needs to ensure that they consume adequate _____ and ____.

Sodium and fluids

23

Side effects for _____ are: blurred vision, ataxia, tinnitus, persistent nausea and vomiting, and severe diarrhea

Lithium toxicity

24

Side effects for ______ are: nausea and vomiting, drowsiness; dizziness, bloody dyscrasias, prolonged bleeding time

Anticonvulants - prolonged bleeding time for valporic acid only

25

Side effects of ____ are: drowsiness; dizziness, hypotension; bradycardia; nausea; constipation

Verapamil

26

Side effects of _____ are: hyperglycemia and diabetes, drowsiness, dizziness, dry mouth, constipation, increased appetite, weight gain, extrapyramidal symptoms

Antipsychotics - Hyperglycemia and diabetes especially with atypical like Zyprexa

27

Mechanism of action for ECT is _______.

Monoamines