week 3.2 Flashcards

1
Q

bipolar 1 disorder

A

More common in males
Most severe
One or more manic episodes in one week
Psychotic symptoms of delusions and hallucinations
Marked impairment in social and occupational function
rapid cycling

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2
Q

is mania a medical emergency

A

Yes

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3
Q

Mania symptoms

A

Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity increase
Sleep deficit
Talkativeness

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4
Q

mood lability

A

Rapid extreme mood swings

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5
Q

bipolar 2 disorder

A

More common in females
One or more hypomanic and MDD episodes
No psychosis or mania

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6
Q

hypomanic episode

A

Abnormal, persistent, increase and or irritable mood with no psychotic features or marked disturbance in function for at least four days

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7
Q

do other people notice uncharacteristic symptoms in a person during a hypomanic episode

A

Yes

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8
Q

mixed features

A

Depressive and mania occurs at the same time

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9
Q

rapid cycling

A

> =4 Manic episodes for at least two weeks out of one year
Resistance to drug therapy
Increased depressive symptoms

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10
Q

cyclothymic disorder

A

fluctuates depressive and hypo manic symptoms, but never leads to an episode
Two or more years

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11
Q

what is the primary outcome for a cute manic phase?

A

Injury prevention

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12
Q

what types of foods and fluid should be given to manic patients

A

Finger foods
High protein
High frequency, snacks

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13
Q

signs of early toxicity in lithium

A

G.I. issues
Course hand tremor
Hyper irritability of muscles
EKG changes
lacking coordination

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14
Q

nursing care for early toxicity signs

A

Draw blood level

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15
Q

Advanced toxicity signs of lithium

A

Ataxia
Seizures
Blurred vision
Clonic movements
Increased urine output, diluted
Hypotension

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16
Q

severe toxicity signs of lithium

A

Convulsions
Oliguria

** hemodialysis needed

17
Q

what to do if a rash occurs from anticonvulsants

A

Stop med
Call HCP

18
Q

What can the rash advance to?

A

Steven Johnson syndrome
Toxic epidermal necrosis
Allergic reaction