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bipolar
pn 141 final
| Question | Answer |
|---|---|
| what is it | severe mood swings of extreme hyperactivity to depression (both poles of mood) |
| aka | manic depressive |
| dx | pt with it has experienced at least one manic and on depressive episode or one mixed mood |
| are the episodes of depression the same as depression | yes |
| how is cyclic | the pt swings back and forth |
| what is the manic episode like | extreme high, altered thoughts, inflated self esteem, decreased need for sleep, more talkative, distractable, excessive involvment in pleasurable acvitivities |
| risk factors | family, following a strssor, hormonses, |
| the person alternates between what two feelings | elation and irritability |
| onset | early 20s |
| who gets it more men or wm | wm |
| tx priority | safety of pt, and treating disorder |
| meds: what are the ones used | antispuchotic meds |
| meds: action | not well undersodd |
| meds: names | haldol, (lithium)lithobid, abilify, seprexa, seroquel, risperdal |
| meds: Haldo- what is action | increases the turnover of dopamine |
| meds: lithium- action | increase norepineph. and serotonin senstivity and causes antimanic behavior |
| meds: what is therapeutic range of lithium | 05.-1.5 |
| meds: lithium- what other med increases the risk for toxicity | NSAIDS |
| meds: lithium- side effects | fine hand tremor, wt gain,. GI discomfort, mental dullness, (tox side effects N/V, diarrhea, coarse ahnd tremor, slurred speech, coma, seizures, death) |
| meds: lithium- is it for manic or depression | manic |
| meds: why is compliance an issue | b/c when pt is in high they think that they do not need meds |