Flashcards in Mental Final - Exam 3 Deck (33)
5 symptoms that occur every day over a 2 week period
2 symptoms over 2 years (1 year for children) of depressed mood
This therapy is used for major depression patients who are suicidal and aren’t responding to medication.
ECT is used for what conditions
Depression and Bipolar
Increases Serotonin and causes unilateral Grand Mal seizures.
ICP, Tumors, Recent MI/CHF, Children
Side effects of ECT
Temporary memory loss, confusion, disorientation
Nursing responsibilities for ECT
Obtain consent, vitals, labs/xrays, and ADMINISTER Robinul
Sign that ECT is working
Big Toe Flex
Where is ECT normally given?
When is ECT given inpatient?
High risk for suicide
Intervention for ECT
Frequency of ECT
Total of 6-12 for 2-3 times a week.
Robinul's effect for ECT
Mania and Major Depression
Hypomania and Major Depression
What meds are given for Bipolar?
Anticonvulsants, Antianxiety (Klonopin), and Lithium
First line med for Bipolar depression and acute mania. Enhances reuptake of neurotransmitters and decreases sodium in kidneys. therapeutic range is 0.6-1.2mEq/L. Toxicity >1.7
Therapeutic side effect of lithium
Fine hand tremors, thirst, nausea, weight gain
Patient education for lithium
Don't restrict sodium, 3000mL fluid intake, and contact MD if V/D occur
What medication should not be given with lithium
What organs does Lithium affect?
How long does it take for Lithium to work?
7-14 days. Must give another med until it starts working
Interventions for Bipolar manic patients
Reduce stimuli, LIMIT GROUP activities, 1 on 1.
Medications for ADHD
Adderal, Ritalin (Concerta - Long Acting), and Strattera (No need for drug holiday)
When do hunger sensations decrease with this disorder?
↓200 CALORIES DAILY
What observations characterize a bulimic patient?
Dental Erosion (vomiting), parotid gland enlargement (frequent use)
Meds for anorexics
Intervention for Anorexics
Offer high calorie/protein snacks throughout the day