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335 Exam 2
335 Bipolar
| Term | Definition |
|---|---|
| mania | alteration in mood that may be expressed by feelings of elation, inflated self esteem, grandiosity, hyperactivity, agitation, racing thoughts and accelerated speech |
| average onset of bipolar disorder | 25 years |
| hypomania | feeling on top of the world |
| bipolar I | individual experiencing a manic episode or has a history of one or more manic episodes; psychotic or catatonic features |
| bipolar II | recurrent bouts of major depression with episodic occurrence of hypomania |
| cyclothymic disorder | chronic mood disturbance of at least 2 years, numeric periods of elevated mood, unpredictable and temperamental; mood swings |
| manic episode criteria | persistent elevated, expansive or irritable mood with goal directed activity or energy; lasting for a week present most of the day |
| pressure of speech | have to get something out right away |
| flight of ideas | nothing is coherent |
| distractability | increased involvement, have to get everything done, not sitting still |
| hypomania mood | cheerful, expansive, individual has great sense of worth |
| acute mania | euphoric and elated, accelerated thinking, flights of ideas and pressured speech; poor impulse control and low frustration tolerance, excess spending |
| delirious mania | severe clouding of consciousness but may have feelings of despair, panic anxiety, disorientation |
| lithium therapeutic range | 0.6 to 1.2 |
| antipsychotic mood stabilizers | rapid response to agitated behaviors; risperidone, olanzapine |
| anticonvulsants | used in mania therapy, valproic acid, lamotrigine, carbamazepine |
| atypical antipsychotics | treat bipolar mania |
| cognitive behavior therapy | obtain symptoms relief as quickly as possible; identify dysfunctional thinking patterns, relieve thought distortions |
| adequate nutrition intake for client with acute manic episode | provide high calorie, nutritious finger foods and snacks |
| medications for bipolar disorder | olanzapine, carbamazepine, gabapentin |
| comorbid disorder in children with bipolar | ADHD |
| signs of lithium toxicity | tinnitus, severe diarrhea, ataxia |
| lithium teaching | significant reductions in sodium intake increase the risk for toxicity, levels should be checked regularly, therapy should continue even if the patient feels well |
| predisposing medications | steroids, antidepressants and stimulants |
| manic episode examples | decreased need for sleep. inflated self esteem, increased goal directed activity, flight of ideas |
Created by:
ahommel
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