LITHIUM
BIPOLAR
ANTIPSYCHOTICS
TO ACT OR NOT TO ACT
WHAT'S UR STATUS
100
Lithium is a _______ (class of drug) used as a "gold standard" to manage _________ disorder.
What is MOOD STABILIZER and BIPOLAR.
100
This occurs when a patient experiences symptoms of both mania and major depression at the same time
What is a MIXED EPISODE
100
This atypical antipsychotic is well-known for its metabolic side effects, including weight gain and diabetes
What is olanzapine (Zyprexa)
100
First medical certificate filled out for involuntary admission
What is a FORM 4 BONUS: 2nd Form 4 needs to filled out ? hrs after. And how long is that good for?
100
Sensory experience with no reality basis
What is a HALLUCINATION
200
A patient sould be educated to drink ________ and maintain a normal __________ diet when taking this medication.
What is about 10, 8oz glasses of WATER and maintaining a NORMAL SODIUM diet.
200
List 3 behaviors you may see in a person experiencing mania
What is constant elevated mood, lack of inhibition, decreased need for sleep, racing thoughts, grandiose delusions, pressured speech, high energy, inflated sense of self, increase of goal-directed activity
200
Give 2 examples of 1st Generation “typical” antipsycotics These are effective for + symptoms, NOT negative symptoms.
What is Haloperidol (Haldol) Loxapine Methotrimeprazine (Nozinan) Blocks dopamine receptors
200
Patients have a right to challenge their Involuntary status/Extended Leaves by requesting this
What is a REVIEW PANEL
200
Ability to make wise decisions, especially in everyday activities and social matters
What is JUDGEMENT BONUS 50 POINTS: Name 3 ways to assess this
300
Usually this class of medication, ________ is used in conjunction with lithium to manage the "lows" of bipolar.
What is ANTIDEPRESSANTS
300
Frequent short cycles of hypomanic episodes alternating with minor depression is called
What is CYCLOTHYMIA
300
Tardive Dyskinesia (involuntary muscle movement) Acute dystonic reaction Akathisia (restlessness) Parkinsonism are all symptoms of ______ . BONUS 50 points: What medication is given to help ease symptoms
What is Extrapyramidal Symptoms (EPS) Bonus: Benztropine (Cogentin) – restores natural balance of acetylcholine & dopamine in the brain
300
What are the 3 methods for involuntary admission
What is a MEDICAL CERTIFICATE, POLICE INTERVENTION, JUDGE ORDER
300
False, fixed beliefs that cannot be dispelled by reason
What are DELUSIONS BONUS 50 points: Give an example!
400
What pt teaching would you give women who are taking lithium and want to get pregnant?
What are harmful birth defects, need to talk to Dr. about other med options.
400
Two parts - What Type am I? A: Combinations of major depression and full manic episode B: Combination of major depression and hypomania (less severe form of mania)
What is A: TYPE 1 B: TYPE 2
400
Use of this highly effective antipsychotic requires monitoring of white blood cell counts due to concern for development of agranulocytosis
What is clozapine (Clozaril)
400
Adults (__?__ years and older) can admit themselves to a designated facility
What is 16 yrs old
400
Degree of awareness and understanding of one’s self and the causes or factors related to the client’s current situation or illness
What is INSIGHT
500
Name at least 3 symptoms of lithium toxicity
What are Nausea/Vomiting, diarrhea, thirst, polyuria, slurred speech, poor coordination, muscle weakness, tremors BONUS 50 points: What are therapeutic lithium blood levels?
500
What 5 neurotransmitters may play a role in bipolar disorder
What are Norepinephrine, Dopamine, Serotonin, GABA, and Glutamate
500
Fever, muscle rigidity, diaphoresis, altered cognition are all signs and symptoms of a life-threatening neurological disorder
What is neuroleptic malignant syndrome (NMS)
500
Type of leave for involuntary patients Director or Authorized Physicians are allowed to place an involuntary patient on “leave” from the hospital
What is an EXTENTED LEAVE Bonus 50 points: What form #?
500
Two Parts: A: Unnecessary digression during conversation, wanders from point to point with excessive detail, but eventually returns to main stream of thought B: same as above but does NOT return to main topic
What is A: CIRCUMSTANTIALITY B: TANGENTIALITY
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