Symptoms
The fixed, false belief that one possesses superior qualities such as genius, fame, omnipotence, or wealth
What is delusion of grandeur
Mood Stabilizer
What is Lithium
The resolution of these symptoms should be seen within the first week of antidepressant therapy.
What are sleep and appetite?
Name 4 of the symptoms for a major depressive episode
What is depressed mood, weight change, sleep disturbances, agitation/retardation, fatigue, guilt, decreased concentration, suicidal ideation, loss of interest or pleasure.
A nursing intervention that is appropriate for a patient who is suicidal is:
What is "Listen to the patient's concerns and worries."
A rapid shifting of ideas with only superficial associative connections between them that is expressed as a disconnected rambling from subject to subject and occurs especially in the manic phase of bipolar disorder
What is flight of ideas
0.6-1.2
What is the therapeutic serum level of lithium
This is the main goal of antidepressant therapy.
What is remission (resolution of depression symptoms)?
Bipolar II is characterized by these mood states.
What are depression and hypomania?
What is the most immediate nursing Intervention for a patient who was found trying to harm him self?
What is Sit next to the patient and ask if he would like to talk. (Never leave the patient alone!)
Extreme drive and energy
Inflated sense of self-importance
Drastically reduced sleep requirements
Excessive talking combined with pressured speech
Personal feeling of racing thoughts
What is Mania
These medications are considered first-line treatment for bipolar.
What are quetiapine (XR), lithium, or lamotrigine?
Monitoring platelets is unique to this bipolar medication.
What is divalproex/valproic acid?
These are the target symptoms for the management of manic episodes.
What are mood, delusions, hallucinations and hyperactivity?
What is the most important nursing Implication when administering medication to a depressed patient?
What is Making sure they swallowed the medications.
Alterations in moods with little or no change in external events or mood swings
What is mood lability
Metallic taste, hand tremor, and muscle weakness
What are lithium side effects
Two common comorbid disorders seen in patients with bipolar
What is anxiety and substance abuse
Excluding MAOIs, this class of antidepressants should be avoided in patients at risk for intentional overdosing.
What are Tricyclic Antidepressants
A 47 year old is in the hospital for sever depression. She is unkempt and has lost 15 pounds in the past 2 months. Her family states she always keeps a knife in her purse. What is the best nursing intervention to be put in place and why?
What is place the patient on suicide precautions to prevent self harm.
The occurrence of four or more mood episodes during the previous 12 months; the episodes of major depression, mania, mixed or hypomanic episodes must be separated by a period of full remission or by a switch to an episode of the opposite polarity.
What is rapid cycling
This is the only long-acting injectable SGA indicated for bipolar maintenance.
What is Risperdal Consta?
This is considered the target blood level for lithium carbonate.
0.8-1.2mEq/L
These are the 3 side effects most associated with discontinuation of antidepressant therapy.
What is weight gain, insomnia, and sexual dysfunction?
What findings would strongly suggest to the nurse that the patient is experiencing and exacerbation of the bipolar disorder?
What is the patient is spending money extravagantly, the client demonstrates increased sexual promiscuity.