A
This is a persistently elevated or irritable mood w/ expansiveness & extreme goal directed activity or energy for at least 1 week.
What is mania?
This is a persistently elevated or irritable mood w/ expansiveness & extreme goal directed activity or energy for around 4 days.
What is hypomania?
Most suicides happen within 3 months of improvement of mood because….
They now have the energy to carry out suicidal plans.
Foods containing tyramine like sausage, figs, avocado, and aged cheeses should be avoided with the use of these type of antidepressants.
What are MAOIs?
This integrative approach exposes cerebral cortices to electromagnetic field w/ no sz induction involved.
What is Transcranial Magnetic Stimulation?
This mood disorder is characterized by constant & severe irritability in children between 6-18 w/ frequent tantrums out of proportion to circumstances. Episodes must be in 2 or more settings for diagnosis. Symptoms can be like ADHD or Major Depression.
What is Disruptive Mood Regulation Disorder?
This disorder includes: feelings of depression for at least 2 years in adults, 1 year in children & adolescents; under/over eating/sleeping; lowe energy; poor self esteem; difficulty thinking/concentrating; social/occupational distress; Can have periods of total depression.
What is Persistent Depressive Disorder (or Dysthymia)?
Name 2 therapies for Bipolar Disorder.
ECT; omega 3 fatty acids; CBT; interpersonal & social rhythm therapy; family focused therapy.
This is the therapeutic level of Lithium.
What is 0.6-1.2 mEq/L?
Name 2 shared s/e of SSRIs & SNRIs.
Nausea; blood pressure changes; dry mouth; sexual dysfunction.
This Rx for Bipolar Disorder is effective in reducing elation, grandiosity, flight of ideas, irritability, manipulation, anxiety, & self injury. It takes 7-14 days for symptom reduction and it comes w/ a risk of damaging/altering kidney and thyroid function.
What is lithium?
Name 2 elements of a self-injury recovery plan.
Developing self-esteem; discovery of triggers/motives for self-injury; learning that it can be controlled; replacing it w/ positive coping skills; limit setting for safety.
Name 4 SxS of Serotonin Syndrome.
Confusion/delirium; hyperactivity; restlessness; agitation; anxiety; coma; tachycardia; HTN; cardiovasc. Shock; fever to hyperpyrexia; sz; myoclonus; incoordination; tonic rigidity; ab pain; diarrhea; apnea; death
Name 4 normal s/e of Lithium.
Increased thirst; polyuria; metallic taste; fine head/hand tremors; drowsiness; n/v; mild diarrhea.
Name 4 SxS of mania.
Elevated/irritable/labile affect; impulsive/energetic/aggressive/argumentative/ provocative/ outgoing behavior; flight of ideas; loose association; tangential thinking; delusional; hostile; neglect hygiene/food/sleep.
Name 4 SxS of Lithium toxicity.
Coarse hand tremors; mental confusion; muscle hyperirritbility; ataxia; incoordination; ECG changes; blurred vision; clonic movements; large output of dilute urine; incontinence; seizures; stupor; sever hypotension; coma; ab pain; proteinuria; circulatory collapse; death
The anticonvulsant Depakote (Valporate) stabilizes mania over long-term & reduces mood cycling. Which organ function should be monitored closely with this?
Liver function.
The anticonvulsant Lamictal (lamotrigine) is used for maintenance therapy in Bipolar Disorder. What should a nurse monitor for with this Rx?
A rash related to Stevens Johnsons syndrome.
The anticonvulsant Egretol (carbamazepine) decreases rapid mood cycling, paranoia & anger. Name at least 1 lab that should be monitored w/ this.
Liver enzymes weekly (1st 8 weeks); CBC to monitor for leukopenia & aplastic anemia.
Atypical antipsychotics help w/ insomnia, anxiety, & agitation. Name 1 of the 2 that show the best mood stabilizing properties.
Zyprexa (olanzapine) or Risperdal (risperidone).