125 Final Bipolar

Front 1

biPolar is characterized by?

Back 1

mood swings

Front 2

what class of people have bipolar

Back 2

upper socioeconomic

Front 3

what age does mania usually present by?

Back 3

18

Front 4

bipolar is more prominate in what sex?

Back 4

both equally

Front 5

bi polar tends to be prevelant in what type of people?

Back 5

creative and intelligent

Front 6

extreme euphoria elation, grandiose delusions, sever enough to cause major areas of dysfunction

Back 6

Mania

Front 7

less intense then mania, can live normal life at home. (chuck)

Back 7

hypomanic

Front 8

mood swings for at least two yrs.
Hypomania or depression not sever enough to cause major dysfunction or hospitalization

Back 8

cyclothymia

Front 9

what medications have potential for iniating a manic episode?

Back 9

Steroids, amphetamines, tricyclic antidepressants

Front 10

treatment for bipolar is with use of mood stabalizing drugs, such as

Back 10

lithium, valproic acid, carbamazepine, or lamotrigine.

Front 11

treatment for bipolar is with use of antipsychotic drugs, such as

Back 11

risperidon

Front 12

what type of therapy is best for a bi polar person>

Back 12

group, they tend to try and fool the therapist alone and they tend to act better in front of their peers.

Front 13

the depression is thought of to be a result in the ?

Back 13

decrease in norepinephrine/dopamine

Front 14

mania is thought to be from the ?

Back 14

INCREASE IN NOREpineprine/dopamine

Front 15

bi polar is thought to be a problem in the imbalance of what four amines?

Back 15

norepineprine, dopamine, acetylcholine, seretonin

Front 16

What abnormality with the hippocamus is significant with bipolar?

Back 16

left side is larger

Front 17

what is shown with intracellular sodium and calcium in bipolar?

Back 17

increase in sodium and CA

Front 18

what type of intractive behavior is seen in people with bipolar

Back 18

in your face inrusive, attention seeking inflatted ego. judgement errors

Front 19

nursing interventions for risk for violence directed at others?

Back 19

assess escalation
set limits with consuwences
isolate if necessary
medicate for agitation

Front 20

nursing diagnoses for disturbed thought processes?

Back 20

short clear directions
simple tasks
quiet milieu
limit setting with consequences

Front 21

risk for violence directed at others related to>?

Back 21

labile mood, poor judgment, impulsivity, grandiose thinking

Front 22

number one treatment with bipolar is what?

Back 22

medication

Front 23

impaired social interactions what interventions would you use>?

Back 23

limit group activities
firm approach
politely break off hyper talkativness

Front 24

impaired social interactions as evidence by

Back 24

labile moods
grandiosity
intrusiveness
inappropriate sexual behavior
manipulative behavior

Front 25

altered nutrition

Back 25

simple small meals with snacks
monitor intake
cue to eat

Front 26

sleep pattern disturbance evidence by decreased amount of sleep.

Back 26

quiet milieu
rest peroids
some directed physical activity during the day
medication

Front 27

ineffective coping

Back 27

encourage to hold off decision making
stress and anger management
AA
family counseling

Front 28

anti seizure or mood stabilizers may produce this side effect

Back 28

rashes

Front 29

two types of anti seizure mood stabilizers are

Back 29

tagretol(carbamazepine)
depakote (valproic acid)

Front 30

liver toxicity is possible with this med

Back 30

depakote (valproic acid)

Front 31

this mood stabilizer may cause agranulocytosis, may be used in pregnancy and is not used very frequently

Back 31

tegretol (carbamazepine)

Front 32

mood stabilizer used very frequently but no FDA approval is

Back 32

neurontin, lamictal, tripleptal

Front 33

antipsychotic mood stabilizers in clude

Back 33

zyprexa, seroquel risperdal

Front 34

zyprexa, seroquel, risperdal
are atypical antipsychotics that have been found to have problems with what>

Back 34

late onset diabetes

Front 35

anxiolytic or benzodiazipine drug used is?

Back 35

klonopin

Front 36

lithium carbonate aka lithium side effects include>?

Back 36

alters electrical conductivity in body cardiac with dyrhythmia

alters fluid ecectrolyte balance fluid retention increase thirst, increase urinary output
narrows therapeutic window

Front 37

general appearance of a bipolar person

Back 37

may be neglected too distracted
flamboyant, bizarre
excessive make up change clothes all the time

Front 38

mood/affect

Back 38

cheerful, euphoric, elated
irritable, nasty angery
volatile