MANIA & BIPOLAR DISORDER
This mood disorder is characterized by episodes of mania and depression.
What is bipolar disorder?
This condition is a milder form of mania.
What is hypomania?
What is the therapeutic range for lithium?
0.6-1.2
This medication may cause a serious rash and is used as a mood stabilizer.
What is Lamotrigine?
This atypical antipsychotic is commonly used during acute manic episodes.
What is Olanzapine?
During mania, patients often have a decreased need for this basic human need.
What is sleep?
Unlike mania, this symptom is usually absent during hypomania.
What is severe impairment or psychosis?
Name 3/5 signs that may indicate lithium toxicity.
Nausea, vomiting, diarrhea, tremors, and confusion
Name 2 mood stablizers.
Lithium, Valproic Acid, and Lamotrigine
This medication may be prescribed for both bipolar disorder and depression.
What is Quetiapine?
Grandiosity, rapid speech, and flight of ideas are signs of this phase.
What is mania?
Cyclothymic disorder is often described as a milder version of this disorder.
What is bipolar disorder?
Patients taking lithium should maintain a consistent intake of this dietary substance.
What is sodium (salt)?
A patient with bipolar disorder stops taking medication because they "feel fine." The nurse should teach that these medications help prevent this.
What is relapse of mood episodes?
Weight gain is a common side effect of this atypical antipsychotic.
What is Olanzapine?
A manic patient who cannot sit still should be offered these easy-to-eat foods.
What are high-calorie finger foods?
Cyclothymia involves alternating hypomanic symptoms and this type of mood.
What is mild depression?
This condition increases the risk for lithium toxicity.
What is dehydration?
A practical nurse is caring for a client with bipolar disorder who is taking Lithium. Which finding should be reported to the provider immediately?
A. Mild thirst and increased urination
B. Fine hand tremor
C. Nausea, diarrhea, and unsteady gait
D. Weight gain of 2 pounds in one week
C. Nausea, diarrhea, and unsteady gait
Nausea, vomiting, diarrhea, confusion, ataxia (unsteady gait), and worsening tremors are signs of lithium toxicity and require immediate intervention. Mild thirst, increased urination, and a fine tremor are common side effects that should be monitored but are not usually emergencies.
Sedation is a common side effect of this bipolar medication.
What is Quetiapine?
Excessive spending, risky sexual behavior, and poor judgment are examples of this manic symptom.
What is impulsivity?
A patient with chronic mood swings that never become full mania may have this disorder.
What is cyclothymic disorder?
The nurse should encourage adequate intake of this nutrient while taking lithium.
What are fluids (water)?
The nurse is teaching a client who has been prescribed Valproic acid for bipolar disorder. Which statement by the client indicates a need for further teaching?
A. "I should take this medication exactly as prescribed."
B. "I will notify my provider if I develop unusual bruising."
C. "I can stop taking the medication once my mood improves."
D. "I should keep my follow-up appointments for lab work."
C. "I can stop taking the medication once my mood improves."
Mood stabilizers are used to prevent future mood episodes and should not be stopped abruptly without provider guidance. The other statements demonstrate appropriate understanding of medication adherence, monitoring for adverse effects, and the importance of follow-up care.
Hallucinations occurring during mania may require treatment with this medication class.
What are antipsychotics?