Bipolar Disorder
Elevated mood, irritability, anger, insomnia, flight of ideas, hyperactivity, distractibility
What is symptoms of mania
Anhedonia
What is the inability to feel pleasure
Paxil, Prozac, Zoloft, Celexa and Lexapro
What are Selective Serotonin Reuptake Inhibitors (SSRIs)
Therapeutic serum level 0.6 - 1.0 mEq/L
What Lithium level
Psychotherapeutic communication with a client in a manic episode
What is matter-of fact tone, clear, concise directions, and comments and limit setting.
Withdrawal, passivity, insomnia, anorexia, sluggish, decreased thinking and speech, fatigue
What is depressive episode
Plan, Method, Rescue
What is the crucial variables for evaluating suicidal lethality.
Cymbalta, Effexor, Pristiq
What are Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
Diarrhea, vomiting, drowiness, dizziness, muscular weakness and lack of coordination
What is mild to moderate toxicity levels of Lithium
Accept patient where they are and focus on their strengths, Reinforce decision making by pts.
What are nursing interventions for depressed patients.
Rhythm disturbances, ending treatment, life changes, additional drugs, physical health changes, substances use and withdrawal, end of drug response
What are illustrations of suspected causes towards mood disorder relapse.
Alterations in activity and social interactions
What is objective signs of depression
Confusion, agitation, coma, shivering, sweating, hypertension, tachycardia, rigidity, tremor, ataxia
What are symptoms of Serotonin Syndrome
Depakote, Tegretol, Trileptal, Lamictal
What are Anticonvulsants / Volproates
Suggest drinking 10-12 glasses of water per day to reduce thirst and maintain normal fluid balance
What is an intervention for Lithium therapy
Episodes length must be at least 4 days in duration but not severe enough to warrant hospitalization.
What is Hypomania
Alterations in affect, cognition, physical and somatic concerns and perception.
What is subjective symptoms of depression.
Beer, Chianti, All mature cheeses, yogurt, bananas, salami, sausage, caffeinated coffee, cola
What are foods to avoid with Monoamine oxidase inhibitors (MAOIs)
First line treatment of bipolar disease
What is Lithium or valproate for acute stage
Provide finger foods to clients on the run, high-protein snacks, regularly weight (sometimes weighing daily is needed)
Nursing interventions to maintain body weight on a manic patient.
Rapid speech, pressured speech, loud speech, easily distracted
What are disturbed speech patterns
Cultural influences, age (older adults are particularly vulnerable) nonbiologic standardized tests and biologic indices
What are the components in the nursing assessment of depression
Serotonin syndrome, antidepressant apathy syndrome, antidepressant syndrome, antidepressant loss of effectiveness, antidepressant-induced suicide
What are five important issues related to antidepressant use
Goal of maintenance treatment for bipolar
What is Prevention of relapse, reduction of suicides, improvement of functioning either of these
Monitor orthostatic hypotension, reflex tachycardia, and arrhythmias
What are side effects of Tricyclic Antidepressants