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13 Cards in this Set
- Front
- Back
What is the overall goal in Phase I: Acute Phase of Bipolar disorder?
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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.
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What is involved in Phase II: Continuation of treatment of Bipolar disorder.
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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.
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What are some outcomes of Phase III; maintenance treatment.
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Focus on limitation of severity and duration of future episodes.
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What meds are used in treating mania and depressive episodes?
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Lithium Carbonate
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What is the maintenance blood level range for lithium?
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Between 0.4 and 1.3 mEq/L
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What is the toxic level of lithium therapy?
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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. |
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What are some adverse reactions to lithium therapy?
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expected side effects; fine hand tremors, polyuria, mild thirst, nausea, weight gain.
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What are some early signs of toxicity?
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N/V/D, slurred speech, muscle weakness.
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What are some advanced signs of toxicity?
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Coarse hand tremor,GI upset, mental confusion, muscle hyperirritability, incoordination.
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What are some signs of severe toxicity?
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Ataxia, serious electroencephalographic changes, blurred vision,large output of dilute urine, seizures, severe hypotension, coma. Death is usually secondary to pulmonary complication.
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What is a vital nursing disgnosis for bipolar disorder?
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Interrupted family process
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What are some s/s of depression?
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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.
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What are some risk factors for depression?
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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 |