click below
click below
Normal Size Small Size show me how
Psych 3.6
| Question | Answer |
|---|---|
| Criteria for mania | Intensive mood disturbance that lasts at least 1 week for most of the day, everyday. Alternates with depression or a mixed state of anxiety and depression |
| Bipolar 1 Disorder | Most severe, highest mortality rate of the three, atleast 1 manic episode |
| Bipolar 2 disorder | Atleast 1 hypomanic episode, atleast 1 major depressive episode. |
| Cyclothymic Disorder | Hypomania alternate with symptoms of mild to moderate depression for atleast 2 years in adults, 1 year in children |
| Mania digfast | Distractibility, impulsivity, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness. |
| Mania in BP1 flow chart | Utter exhaustion after mania, depression, extreme behaviors such as violence or attempted suicide |
| Hypomania in BP2 | A low level less dramatic mania, euphoric and increases functioning, and accompanied by excessive activity and energy |
| What are the risk factors for BP? | If one twin has the disorder, 60% chance the other will too. |
| What is BP1 genetically correlated with? | Schizophrenia |
| What is BP2 genetically correlated with | MDD |
| What is replaced in BP? | An overactive and critical superego is replaced with euphoria. |
| Altman's self rating mania scale | Scores of 6 or higher suggest mania or hypomania and the need for treatmne.t |
| What is sufficient sleep in bpd? | 4-6 hours |
| What is the most effective tool for a patient experiencing mania | Distractibility |
| What are support group sources | Depression and Bipolar support alliance, and National alliance on mental illness |
| What are the drugs for severe agitation | Lithium divalproex, risperidone |
| Lithium Onset | 10-21 days |
| Lithium therapeutic range for maintenance and for acute mania | Acute mania - 1.0-1.2 mEq/L Maintenance - 0.6-0.8 mEq/L |
| Toxic levels of lithium | >1.5mEq/L, can cause N/V/D, polyuria, ataxia, seizures, and death. |
| How are lithium labs scheduled? | 2-3 days at the beginning of therapy and after any dosage change, then 3-6 months at maintenance. |
| Contraindications to lithium | Less than 12 years old, pregnancy, breast feeding, and renal or thyroid disease |
| What should you avoid with lithium? | Caffeine, have a consistent sodium diet, and adequate fluid intake. Hold med for dehydration. |