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13 Cards in this Set

  • Front
  • Back
What is a manic episode?
Distinct period of abnormally and persistently elevated, expansive or irritable mood and abnormally and persistently increased activity or energy LASTING AT LEAST 1 WEEK
How many symptoms are required for a diagnosis of manic episode?
3
What are the group of symptoms required for at least 3 for a manic episode?
DIG FAST
Distractibility
Irresponsibility
Grandiosity
Flight of Ideas
Inc Activity
Dec Sleep
Talkativeness
What is a hypomanic episode?
Like manic episode, but not severe enough to cause marked impairment
What is the definition of bipolar disorder?
1 manic or 1 hypomanic episode
Are depressive symptoms required for diagnosis of bipolar?
NO, depressive symptoms happen eventually, you only need the manic symptoms
What happens when you take antidepressants with bipolar disorder?
Increase in maniaepine
How do you treat bipolar disorder?
Mood stabilizers: Lithium, valproic acid, carbamazine
What is cyclothymic disorder?
Dysthymia and hypomania, midler bipolar disorder lasting AT LEAST 2 YRS
What is the possible mechanism for Lithium?
Possibly related to inhibition of phosphoinositol cascade
What are the four side effects of Lithium?
LMNOP
Lithium Side Effects
Movement (tremor)
Nephrogenic Diabetes Insipidus
hypOthyroidism
Pregnancy problems
What are some symptoms of toxicity of Lithium?
Tremor, sedation, edema, heart block, hypothyroidism, polyuria
Is the therapeutic window for Lithium wide or narrow?
Narrow therapeutic window