Symptoms/Treatments
Name a predisposing factor of bipolar disorder
what is genetics, chemical imbalance in the brain, life stressors?
This electrolyte imbalance can increase lithium toxicity risk?
What is hyponatremia?
The nurse knows to avoid these foods for patients on Monoamine oxidase inhibitors for depression
What are foods high in tyramine?
T/F - bipolar disorders can only occur in adults age 25 or older
False - bipolar disorders can occur in children and adolescence but is often mistaken for ADHD
T/F - If a patient adheres to his medication regimen for bipolar disorder, he will be cured.
False - there is no cure
Name 3 types of therapy for patients with bipolar disorder
what is individual psychotherapy, group therapy, family therapy, and cognitive behavioral therapy?
___ is the desired therapeutic range for lithium
What is 0.4mEq/L to 1.2mEqL?
To prevent exhaustion in a manic patient, the nurse should encourage this basic need.
What is rest and sleep?
Name 3 ways a patient can cope with bipolar disorder
- create a schedule/routine
- take the medications as prescribed
- join support groups
- lifestyle changes (exercise, avoid substance use, healthy diet, etc)
___ is a common side effect of electroconvulsive therapy
what is memory loss?
Patients with bipolar disorder may go through these 2 phases
what is mania and depressive phase?
3 classes of medications used to treat bipolar disorders
what are lithium, anticonvulsants, and antipsychotics?
A manic patient is pacing and excessively active. The nurse should provide this type of environment.
What is a low-stimulation, quiet environment
3 characteristics of bipolar 2 disorder
- periods of hypomania and major depression
- has never met criteria for full manic episode
- episodes of depression are as severe as the episodes on bipolar
This is the patient's name in the case study
Who is Noreen?
a patient experiencing ____, will demonstrate severe hallucinations and delusions, clouding of consciousness, labile mood, panic, death
what is delirious mania?
A common but undesirable side effect of lithium
what is weight gain?
The nurse is trying to talk to a patient who is going through a manic episode, this is something the nurse should avoid
What is arguing with the patient?
A patient experiencing a ___ is demonstrating persistent/disruptive high moods and extreme low moods with hallucinations for at least a week
what is manic episode?
Name 5 types of bipolar disorders
what is bipolar 1, bipolar 2, cyclothymic, substance/medication induced, other medical disorders?
In ____, patients with bipolar disorder learn how to identify and alter dysfunctional beliefs
What is cognitive-behavioral therapy?
A patient diagnosed with bipolar disorder is taking isocarboxazid (Marplan) for his depressive episodes is at risk for this adverse effect
what is a hypertensive crisis?
When communicating with a manic patient, the nurse should use these types of statements.
What are clear, firm, and concise statements?
Loved ones should be aware that patients with bipolar disorder are at increased risk of this ____ especially during depressive episodes.
What is suicide risk?
A patient with bipolar disorder is taking verapamil daily. As the nurse is caring for the patient, he stood up abruptly and collapsed. The nurse suspects that its due to _____
what is orthostatic hypotension?