Bipolar disorder
Elevated mood, irritability, anger, insomnia, flight of ideas, hyperactivity, distractibility
What are symptoms of mania?
Anhedonia
What is the inability to feel pleasure?
Paxil, Prozac, Zoloft, Celexa, and Lexapro
What are SSRI’s?
Q: Therapeutic serum level 0.6–1.0 mEq/L
A: What is the therapeutic lithium level?
Q: Therapeutic approach for a client in a manic episode
A: What is a matter-of-fact tone, clear/concise directions, and limit setting?
A disorder involving mood swings from extreme highs to extreme lows
What is bipolar disorder?
Most common type of depression
What is major depressive disorder (MDD)?
Drug class that increases norepinephrine and serotonin, often used for major depression
What are SNRIs?
Q: Early signs of lithium toxicity
A: What are nausea, vomiting, tremors, and diarrhea?
Q: What to monitor when starting antidepressants in adolescents
A: What is suicidal ideation?
A period of unusually elevated mood and energy that is less severe than full mania
What is hypomania?
Depression that occurs seasonally, often in winter
What is Seasonal Affective Disorder (SAD)?
Medication that requires dietary restrictions to avoid hypertensive crisis
What are MAOIs?
Q: Anticonvulsant used as a mood stabilizer
A: What is valproic acid (Depakote)?
Q: Best environment for a patient with mania
A: What is a quiet, low-stimulation room?
A bipolar disorder pattern with four or more episodes in a year
What is rapid cycling?
Physical symptoms of depression (sleep, appetite, energy)
What are somatic symptoms?
Risk of this increases when SSRIs are combined with other serotonergic drugs
What is serotonin syndrome?
Q: Labs to monitor with lithium
A: What are sodium levels, renal function, and lithium level?
Q: Communication strategy for a severely depressed patient
A: What is using simple, direct, and neutral language?
Type of bipolar disorder with full manic and depressive episodes
What is Bipolar I disorder?
Long-lasting low-level depression for 2+ years
What is persistent depressive disorder (dysthymia)?
Antidepressant that can help with smoking cessation
What is bupropion (Wellbutrin)?
Q: Antiepileptic drug with risk of Stevens-Johnson syndrome
A: What is lamotrigine (Lamictal)?
Q: Intervention to address medication non-compliance
A: What is involving the patient in treatment planning and education?