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335 Exam 2

335 Bipolar

TermDefinition
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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