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13 Cards in this Set

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What is the overall goal in Phase I: Acute Phase of Bipolar disorder?
Prevent injury. The client will be well hydrated, maintain stable cardiac status, maintain adequate tissue integrity, get plenty of rest, demonstrate self-control, make no attent to harm self.
What is involved in Phase II: Continuation of treatment of Bipolar disorder.
Lasts 4 to 9 months, relapse prevention, patient and family need knowledge of disease process. meds, consequences of substance abuse, knowledge of s/s of relapse.
What are some outcomes of Phase III; maintenance treatment.
Focus on limitation of severity and duration of future episodes.
What meds are used in treating mania and depressive episodes?
Lithium Carbonate
What is the maintenance blood level range for lithium?
Between 0.4 and 1.3 mEq/L
What is the toxic level of lithium therapy?
should not exceed 1.5 mEq/L.
early signs of toxicity; 1.5 to 2.0. advanced signs of toxicity; 2.0 to 2.5 are considered life threatening.
What are some adverse reactions to lithium therapy?
expected side effects; fine hand tremors, polyuria, mild thirst, nausea, weight gain.
What are some early signs of toxicity?
N/V/D, slurred speech, muscle weakness.
What are some advanced signs of toxicity?
Coarse hand tremor,GI upset, mental confusion, muscle hyperirritability, incoordination.
What are some signs of severe toxicity?
Ataxia, serious electroencephalographic changes, blurred vision,large output of dilute urine, seizures, severe hypotension, coma. Death is usually secondary to pulmonary complication.
What is a vital nursing disgnosis for bipolar disorder?
Interrupted family process
What are some s/s of depression?
Loss of interest in any life activities, no energy, decreased self-esteem, anhedonia, significant weight loss or gain, crying spells. Irritable due to decreased serotonin.
What are some risk factors for depression?
Family history of depression,
History of suicide attempts.
Female gender
Age 40 or younger
Postpartum period
Medical illness
Absence of social support.
Negative, stressful life events.
Alcohol/substance abuse