Mental health Audio review for exam 3:

Dysthymia

Persistent depression disorder

Therapeutic lithium range:

0.6-1.2

Suicide is important but suicide with a ___ takes it to a whole other level: 

plan 

Mental health and family 

Encourage family to be very supportive 

Things to look for in alcohol withdraw: 

Elevated BP, elevated temp, possibility of hallucinations, would have side rails padded if concerned about seizures 

Suppression V Repression:

Suppression- voluntary, you know you are doing this

Repression: unaware, not consciously doing it

Suppression:

Voluntary, you know that you are suppressing feelings

Repression:

Unaware, not consciously doing it

Alcoholics will abuse what patient controlled device? 

Will make many attempts on PCA pump due to brain telling them they need more, they have a cross tolerance to analgesics and feel they need the increased dose 

Individuals do self medicate with alcohol…

Usually bipolars do this, or people going through a crisis like divorce. Not everyone drinks just to feel good, can be used as a coping mechanism

What is usually given in ECT:

O2 to prevent anoxia (lack of oxygen)

If someone comes into ER with huge wound,

Meet immediate needs by taking care of the wound, get other information and assessment later even if attempt of suicide is suspected

Discharge plan for someone of alcoholism:

90 AA meetings in 90 days on plan

Grandiosity:

Belief of being better than everyone else

CBT:

Cognitive behavior therapy is a process type of therapy, trying to help them change their dysfunctional pattern of thinking, reducing the automatic thoughts

Valproic acid (Depakote)

Increases GABA neurotransmitter in the brain, used to treat bipolar and seizures

Olanzapine (Zyprexa)

Works by rebalancing the levels of dopamine and serotonin in the brain, which helps regulate mood, thoughts, and behavior.

Bipolar I disorder: For acute manic or mixed episodes, and for long-term maintenance treatment.

If you had a patient who was bipolar and the doctor ordered lithium, but then also ordered Zyprexa and Depakote, why is this?

Mixing a drug that causes weight gain with a drug that causes weight loss could help to prevent the weight gain effect

For a patient taking lithium, they need what in their diet?

Sodium, they need it to help avoid lithium toxicity

Signs of lithium toxicity:

Diarrhea, vomiting, increase in temp, ringing in the ears (ears is at the end, real bad shape)

For a manic patient that passes the halls, very thin and need nourishment, what is an intervention for the nurse?

Offer finger foods they can carry with them

Manic v. Hypomanic

Manic- could have some psychotic episodes

Hypomanic- no psychotic episodes 

Manic person will have what episodes?

Psychotic

Hypomanic will not have what episodes:

Psychotic

We know someone needs help in grieving when what comes into play:

Low self esteem, maladaptive response

A young boy that found out his parents are being divorced he is showing lots of aggression: 

Sadness and hurt can bring about aggression, he is young and does not know how to process it so he acts out 

DID patients:

Multiple personality disorder

These people were often abused as children 

In alcoholism we are most concerned of what:

Seizures, padding side rails and medications

Somatic mean:

Many

Somatic patients it is an expression of what?

Their anxiety

Wedding story: want to go to wedding but having GI pain, physician will do tests on body and wont find any medical problems because this is due to their anxiety that this is happening