psych week 7: mood disorders Bipolar disorder

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13 Terms

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what is bipolar disorder

  • mood swings (Depression and euphoria) with periods of normalcy

  • impacts social and occupational functioning

  • psychotic symptoms may be present in acute phases


<ul><li><p>mood swings (Depression and euphoria) with periods of normalcy </p></li><li><p>impacts social and occupational functioning </p></li><li><p>psychotic symptoms may be present in acute phases </p></li></ul><p></p>
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what is BPD 1

  • characterized by one or more manic episodes, usually alternating with major depressice episodes

  • for (1) week or longer with atleast (3) symptoms of mania


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what is BPD 2

  • one or more major depressive episodes

  • episodic occurences of hypomania


<ul><li><p>one or more major depressive episodes </p></li><li><p>episodic occurences of hypomania<br></p></li></ul><p></p>
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what is cyclothymic disorder

  • chronic mood disturbance

  • atleast 2 year duration

  • numerous episodes of hypomania and depressed symptoms


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6
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bipolar disorder: depressive symptoms

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bipolar disorder: manic symptoms

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bipolar disorder and the nursing process (nursing diagnoses)

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bipolar disorder and the nursing process (nursing interventions)

  • promote safety

  • admin meds

  • present reality

  • enhance socialization

  • montior and promote adequate nutrition

  • promote self care and treatment adherence

  • monitor and promote adequate rest and sleep

  • patient and family education


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treatment for BPD

  • indicidual therapy

  • group therapy

  • family therapy

  • cognitive therapy


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pharm for BPD: lithium

  • lithium carbonate (lithane, eskalith, lithonate)

    • drug f choice for mania

    • 1-3 weeks to kick in

    • often initially an antipsychotic is given along with lithium

    • renal function testing prior initiation

    • lithium is a salt and competes for salt receptor

    • has a narrow window of toicity - toicity can be life threatening (0.6 mEq/L-1.2 mEq/L)


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BPD pharm education

  • lithium levels drawn frequently until therapeutic level obtained or when dosages are changed

  • blood levels >1.5 mEq/L are considered toic

  • s/s of toicity (handout)

  • patient teaching


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pharm for BPD: anticonvulsants, antipsychs, electro therapy

  • Anticonvulants:

    • balproic acid (depakote)

    • charbomazepine (tegretol)

  • lamotrigine (lamictall)

  • antipsychotics

  • electroconvulsive therapy - used in treatment resistance, severe anemia