Bipolar/Schizophrenia
What are hallucinations and delusions do?
What is the medication class for treatment of these called?
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Hallucinations cause the person to either hear voices inside or outside their head when in reality, they are not actually there and possibly also see things that do not exist. Delusions cause a person to believe ideas that are obviously false such as the belief of people possessing the ability to read or control their minds.
What is med class called antipsychotics?
What antidepressant class is considered a first line treatment for most depression? Give one example.
What are SSRI's? What is Paxil, Prozac, Celexa, Luvox, Zoloft, Lexapro
The primary assessment factor of depression
What is Safety- Suicide Potential?
A seizure
What is induced during ECT?
Too much of this neurotransmitter has been associated with symptoms of schizophrenia. Too little of this neurotransmitter has been associated with motor tremors, stiffness, often seen in Parkinson's.
What is dopamine
What is the number 1 cause of relapse in Bipolar patients?
What is non-compliance with medications
The antidepressant class that interacts with the intake of certain foods and may result in a potentially fatal adverse effect.
I am an avocado and I contain this?
What is MAOI's and Tyramine?
Which of the following is not a risk factor associated with depression?
A. Diabetes
B. Married
C. Female
D. Foreclosure on a home
What is Married?
Chlorpromazine (Thorazine) & Haloperidol (Haldol) belong into what class of antipsychotics?
What is the class typical antipsychotics?
1. This is troubling side effect of antipsychotic medications, can be fatal if it is not detected early.
2. What is this characterized by?
1. What is neuroleptic malignant syndrome (NMS)?
2. Decreased LOC, greatly increased muscle tone, and autonomic dysfunction, including hyperpyrexia, hypertension, tachycardia, tachypnea, diaphoresis, and drooling.
What is the name of the major movement disorder that is sometimes resulted as a side effect from the antipsychotic medication given in persons with Schizophrenia?
EPS's, Tardive Dyskinesia.
Lithium Carbonate is used for stabilization of
What is mood stabilization in Bipolar patients.
Loss of interest in usual pleasurable activities
Define - Delirium & causes
What is Anhedonia?
Delirium is mental confusion that comes on quickly; What are etiological (substance, medication, medical condition, etc...)
A common side effect of ECT.
What is short term memory loss?
A severe mental disorder characterized by some, but not all, of the following features: emotional blunting, intellectual deterioration, social isolation, disorganized speech and behaviour, delusions, and hallucinations.
What is the most common symptom of schizophrenia?
Setting consistent limits for expected patient behavior is considered what?
What is a priority nursing intervention a nurse would implement for a patient who is experiencing a manic episode of bipolar disorder.
What is the antidepressant class that interacts with certain foods and what neurotransmitter does this group cause a potentially fatal elevation in?
What is MAOI's and Tyramine?
This should be avoided when conversing with a depressed patient. "Its going to get better", "Things are going to look up"
What is a platitude?
Symptoms include: slurred speech, coarse hand tremors, altered mental status, ataxia, seizures, & coma.
What are symptoms of lithium toxicity?
List 4 -5 nursing interventions when caring for a client with a neurocognitive disorder/dementia: communication.
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What are: always identify self and call the person by name at each meeting; speak slowly; use short, simple words and phrases; maintain eye contact; when near the pt. keep 1-2 arm-lengths; when delusional do not argue or disagree with the delusion; if 2 pts argue - separate them; have pt to wear glasses & hearing aid; keep their room well lit.
An elevated euphoric, high, expansive mood. Pressured speech, decreased need for sleep, flight of ideas, grandiose view of self and abilities, impulsivity, poor judgment, lack of insight, psychosis.
What are the symptoms of mania?
1. What is the gold standard treatment for mood stabilization in Bipolar patients and it has the lowest (narrow) therapeutic index of all the psychiatric medications.
2. What is the suggested course (time span) of treatment for Bipolar Disorder?
What is Lithium Carbonate?
Lithium Carbonate
What is lifelong
For at least 2 weeks: depressed mood, impaired social and occupational functioning, suicidal ideation, anhedonia, disturbances of sleep, psychomotor agitation or retardation, feelings of worthlessness and or guilt.
What are the symptoms of MDD ?
The course of ECT treatment consists of __6__ - ____ treatments, ____ times per week over _1____ month(s) or less.
What is 6 - 12 tx, 3 times per week for a month or less.
Fluoxetine (Prozac) should not be taken for how many days of the last dose of an MAOI?
2 weeks or 14 days