Mood Swings & Roundabouts
This bipolar disorder requires at least one manic episode.
What is Bipolar I Disorder?
This medication remains the gold standard mood stabilizer.
What is lithium?
The number one priority during acute mania is this.
What is patient safety?
This symptom involves making rhyming or pun-like word associations.
What are clang associations?
A manic patient is unable to sit long enough to eat a full meal. The best dietary intervention is to provide these.
What are high-calorie finger foods?
This disorder includes hypomania and depression, but no full manic episode.
What is Bipolar II Disorder?
Lithium typically requires this amount of time to reach its full therapeutic effect.
What is 3–6 weeks?
When communicating with a manic patient, the nurse should use this style of communication.
What are short, simple, calm statements?
Patients with mania often have this type of delusion involving wealth, fame, or power.
What are grandiose delusions?
A patient believes others are plotting against them. This is an example of:
What are paranoid delusions?
This bipolar disorder involves chronic mood fluctuations that never meet full criteria for mania or major depression.
What is Cyclothymic Disorder?
Name two common expected side effects of lithium.
Instead of arguing with a manic patient, the nurse should do this.
What is redirect the patient calmly?
One-third of patients with bipolar disorder experience persistent problems in this area.
What is cognitive functioning?
Unlike lithium, lamotrigine belongs to this medication group.
What are anticonvulsants/AEDs?
This speech pattern is rapid, nonstop, and difficult to interrupt.
What is pressured speech?
This anticonvulsant is considered a first-line treatment for acute mania and rapid cycling.
What is valproic acid (Depakote)?
Name two physical needs nurses must monitor during acute mania.
Name four classic signs of mania.
Valproic acid is often preferred over lamotrigine for this type of bipolar episode.
What is acute mania?
Jumping rapidly from one idea to another is called this.
What is flight of ideas?
Which anticonvulsant is most effective for bipolar depression rather than acute mania?
What is lamotrigine (Lamictal)?
Name three early signs of lithium toxicity.
The most concerning adverse effect of lamotrigine is this.
What is a serious skin rash? Steven Johnson's Syndrome.
The therapeutic serum lithium level for most maintenance treatment is approximately:
What is B. 0.5–1.2 mEq/L?