Clinical Manifestations
Name three clinical manifestations which are present during a manic episode
Use the acronym DIGFAST: Distractibility, Impulsivity, Grandiosity, Flight of ideas/racing thoughts, Activity/energy increase, Sleep needs diminish, Talkative
the treatment goal during phase I (acute mania) of bipolar disorder
What is prevent injury and maintain safety?
this drug class is used as a first line of management in the acute mania phase (i.e., phase I) of bipolar disorder.
What is antipsychotics?
The proper approach when communicating with a bipolar patient is
What is a firm and calm approach?
A patient is admitted to an acute care setting with a history of bipolar disorder; the patient is currently experiencing a depressive episode. The assessment indicates that the patient has a history of suicide attempts. The primary intervention to increase safety for this patient is
What is monitoring for suicidal ideation?
A hypomanic episode must last how many days before it is classified as a hypomanic episode
What is four days?
The first line of treatment for bipolar diagnosed patients
What is mood stabilizers?
Name one drug that can be used as a mood stabilizer for bipolar disorder
What is lithium (litarex) , carbamazepine (tegretol), lamotrigine (lamictal), valproate (depakote)?
What should a nurse monitor with a bipolar patient?
What is monitor I&O's and fluid/electrolyte status
A patient is admitted to an acute care setting, exhibiting symptoms consistent with mania. The patient has no prior psychiatric history. The priority assessment for this patient would be
What is substance use history?
It must include one episode of hypomania alternating between one or more periods of depression
A therapy technique that helps a person recognize, challenge, and change flawed or distorted thoughts that lead to problematic mood states
What is Cognitive-Behavioral Therapy?
DAILY DOUBLE!
A patient is being treated with a mood stabilizer for her bipolar depression. She has been on this medication for three weeks and has started exhibiting increased nausea, vomiting, diarrhea, thrist, polyuria, slurred speech and muscle weakness. The patient is showing signs of __________ _________.
What is lithium toxicity?
>1.5mEq/L
What is re-directing energy into an appropriate and constructive channels.
A patient is admitted to an acute care setting, exhibiting symptoms consistent with mania. The patient has no psychiatric history and no substance abuse history. The other condition which the patient should be assessed for is
What is thyroid disorder?