LP5&6 Flashcards
(32 cards)
Effectiveness of Buspar
- Binds to serotonin
- treats fear, tension, irritability
- NO dependency
- Can be taken with SSRIs
- do NOT take with grapefruit juice
Nursing interventions for patient with anxiety disorder
- Calm environment
- Relaxation
- Aromatherapy
- Biofeedback
- Hypnotherapy
- Communication
- Accupuncture
Characteristics of a phobia
- PHOBIA is the fear of something to an unreasonable level
- AGOROPHOBIA- irrational fear of open spaces *SOCIAL PHOBIA- fear of humiliation or being judged negatively in social gatherings
- SPECIFIC PHOBIAS- fear of speaking in public or fear of using public facilities or fear of objects such as spiders or fear of experiences such as flying
Signs and symptoms of PTSD
- flashbacks
- social w/draw
- lower selfesteem
- difficulty forming relationships
- irritability
- anger
- depression
- chemical dependency
Nursing interventions for a patient with bipolar disorder and in the state of mania
- Therapeutic melieu
- focus on safety & maintaining health
- calm communication
- meds (lithium, anticonvulsives)
- Therapeutic procedure (ECT)
- Client education
Signs and symptoms of mild, moderate, and severe anxiety
- mild (restlessness, increased motivation,irritability)
- moderate (agitation, muscle tightness)
- severe (inability to function, ritualistic behavior, unresponsive)
- panic (distorted perception, loss of rational thought, immobility)
Signs and symptoms of a panic attack
*Increase somatic system responds: Palpatations, shortness of breath, choking/smothering sensation, chest pain, nausea, chills/hot flashes
Becomes pale, hypotensive, poor muscle coordination, change in gait, little hearing ability perception is scattered, no logic, total loss of control, can become combative or agitated.
Why do OCD patients use repetitive behaviors?
The actions are repeated to try to control their intrusive thoughts (obsessions)
Common medications used for anxiety disorders
SSRI antidepressants (Sertaline- Zoloft)
Sedative Hypnotic Anxiolytics (Diazapan-Valium) *short-term use
Nonbarnituate Anxiolytics (Buspironine)
(Beta-blockers, antihistamines, anticonvulsants)= mood stabalizers
Signs and symptoms of mania
There is little need for sleep clients are easily distracted, behave recklessly, increased energy increased self esteem inappropriately dressed sex with many partners excessive gamling/ shopping easily agitated little sleep needes easily distracted
Characteristics of regression and behaviors
emotionally returning to an earlier time in life when there was far less stress,comonly seen in hospitalized patients
Nursing priority with a patient having an anxiety crisis
ensure safety, diffuse the situation, determine the problem, decrease the anxiety, return the patient to precrisis (or better) level of functioning
Maladaptive defenses versus adaptive defenses
-maladaptive is unhealthy coping mechanism (drugs, excessive drinking, regressing back to thumb sucking) —adaptive are healthy coping mechanisms (yogo, relaxation, guided imagery,aromatherapy)
Priority nursing intervention for patients with histrionic disorder (attention seeking)
Support healthy coping, reassurance, appropriate feedback, teach social skills, factual feedback about behaviors,
disorders which are treated with Lithium
Bipolar disorder, acute mania
Signs and symptoms of psychosis
delusions, hallucinations, depressed, dificulty concentrating, anxiety, suspicious, withdrawn
Characteristics of schizotypal personality disorder
- Not to the degree of schizophrenia
- Odd and eccentric behaviors
- Inappropriate affect
- “Sixth Sense”
- Lack of friends
- Paranoia
- Delusional thoughts
- Superstitious
Characteristics of borderline personality disorder
Unstable behavior
Exhibits clinging and distancing behavior
Know how to manipulate
Examples- Brittany Spears, Lindsey Lohan
Characteristics of avoidant personality disorder
Extreme sensitivity to rejection leading to avoidance of social contacts
Avoid rejection
Not many friends
What many people view as Antisocial
Characteristics of antisocial personality disorder
Sociopath
NOT nice people
Difficulty following rules
Example- The Joker
Teaching related to using Depakote (valporic acid)
monitor phenytoin & phenobarbital levels
increase suicide risk
several weeks to kick in
Teaching related to using Lithium
Do not change salt intake, fluid intake, or exercise level
Lithium requires close monitoring
Blood levels can become elevated with dehydration, profuse sweating, and chronic diarrhea which can lead to toxicity
Toxicity can cause tremors, confusion, nausea, anorexia, diarrhea, CV collapse, seizures, coma, extremely ill, death
EARLY WARNING SIGNS OF TOXICITY: Nausea, vomiting, and sedation
Therapeutic communication
open ended questions, silence, listening
Best responses to give patients based on the personality disorder
*antisocial- promote positive healthy interpersonal relationships, avoid negotiating rewards,
