Bipolar and Brain Stem Therapies Quiz

electroconvulsive therapy

treatment that uses electrodes on head and shocks patient, used to help reset brain by inducing a grand mal seizure. used for MDD, schizo and bipolar manic patients

true

true or false: only ECT certified nurses can care for patients undergoing ECT

vagus nerve stim

electrical stim through the vagus nerve of the brain. increases neurotransmitters and enhances meds. complications include voice cracks and coughing.

bipolar disorder

symptoms are similar to schizophrenia but symptoms oscillate between positive and negative, not at the same time 

mania and depression

which two things make up bipolar disorder that patients will go back and forth between with sometimes a small window in between that they’re normal

mania

abnormal elevated mood, needs hospitalization, episodes hopefully lasts 1 week

hypomania

less severe episode of mania, lasts 4+ days, hospitalization not needed

rapid cycling

4+ episodes of hypomania or acute mania in 1 year, increased recurrence rate and resilience to treatment

high stimulating foods or environments

what can cause a patient to have a manic behavior again

bipolar I

inpatient, at least 1 episode of mania alternating with major depressionbi

bipolar II

1+ hypo manic episode with major depression, outpatient….”like your mother in law”

acute phase

phase of bipolar disorder, includes hospitalization, a main goal of safety. risk of exhaustion, malnutrition and dehydration

continuation phase

remission of manifestations of bipolar, treatment is 4-9 months, education goal of staying on medications

lithium

mood stabilizer for bipolar disorder. decreases dopamine and GABA

renal labs

what labs do you need to monitor for a patient taking lithium

lithium and sodium

what specific electrolyte and other lab do you need to monitor when a patient is taking lithium

<1.5

what is the therapeutic range for lithium

1.5-2.5

what is the range of toxicity level for lithium

increase fluids and sodium

what should you educate a patient on when taking lithium

no NSAIDs

what medication is not allowed to give to patients taking lithium

carbamazepine

antiepileptic mood stabilizing med.