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bipolar exam
| Question | Answer |
|---|---|
| is cause by a chemical imbalance in the brain | bipolar |
| the primary treatment is | lithium and monitor drug serum levels |
| also use anticonvulsants | tertagtol, depokte, lamictal, topamax. |
| general apperance is bizarere and they are very active with an inattention to hygiene, hunger, and basic needs, so you need to give ?? | finger foods |
| bipolars speech is | pressured and loqauishness and tangential with a grandiose thought process. |
| you want to give activites that are | not competitive, realistic, and you stack books and puzzels, or jumping jacks |
| 3 Diagnoses for mania are | Risk for violence/ injury, imbalanced nutrition, impaird social interaction.... noncomplanice cuz they dont want to be calm |
| outcomes for mania are | establish balance of rest, hydration, nutrition... particpate self care.... interact app with staff and pt. |
| Interventions for mania are | Safety, Q15 checks, manage meds, promote app behaviors, provide theraputic comm, app physical activites. |
| is the thinking of suicide with no real plan | suicidal ideation |
| vague in detail to specific.. assess realistic vs unrealistic . | suicide plan Contract |
| choosing a non lethal.. wrist slit cry for help | suicidal gesture |
| choosing a lethal method to kill ones self | suicidal attempt |
| suicide is high in | white males..singles. older then 50. low income.. business exec... health care... protestants.. and familty hx |
| ALWAYS TAKE SERIOUSLY | Suicide |
| outcomes for suicide | be safe, a contract, carry out adls, create a list of pos attributes |
| interventions for suicide | use authorative role, safe enviroment, no-suicide contract, create support list, supervise and monitor |
| Interventions for suicde | Give pt something to do not complicated. teach about meds. NO shoestrings, belts, etc use paper plates and plastic.. one on ones at all times even in bathroom |
| treatment for mood disorders are | ECT/Psycotherapy?Medications. |
| is a electrical current to brain.. have confusion, memory disturbance... give anesthisia , and always take vital signs | ECT |
| meds for mood disorders are | tca, maoi, ssri, antipsy, lithium and anti convulsant |
| ? stablizes mania and reduces cycling and manitian emotional state.. Hydrate well NA+ and h20 levels | lithium |
| serum level for mania? | 1.0-1.5 meq/l |
| serum level for manitenance: | 0.6-1.2 draw 1 to 2 x a week and then monthly |
| what level to symptoms of toxicity come in | 1.5 and above |
| anticonvulsants are | depakote, tegretol, lamictal |
| can cause drowsiness, gi upset and works on GABA to slow person down. | depakote |
| ? can cause hepatic failure | depakote do lft |
| anticonvulsants can cause | photosentivity |
| ? can cause aplastic anemia, agran, and need to monitor cbc | tegretol |
| mania stage ? cheerful (violtaole and flucting) idea of great worth, high social activity, and inapp behavior like phone president.. | stage I hypomania |
| stage ? need to be hospitalized wsith rapid thinking, laquacouness, distractibilty, hallucinations, and delusions (paranoid/gradiose) Increased sexuality and manipulative dress is bizzare | Stage II ACUTE |
| stage ? is rare and despair/ectasy.. panic anxiety, confusion/stupor, granduar/persuction.. easy distract and can lead to exhaustion and death | stage III Delirous Mania |
| maprotiline-- high seizures//// amoxapine--NMS and tardive////trazodone-- painful erection////buprpion--high seizure///mirtazapine----Agran | tetgraol---mania |
Created by:
rlwebb
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