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12 Cards in this Set
- Front
- Back
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Bipolar Disorder--describe
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*marked by shifts in a person's mood, energy and ability to function
*characterized by mania, hypomania, depression and concurrent mania and depression with periods of normal functioning in between *risk for harming self or others *onset usually before age 30 |
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Define Bipolar I
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At least one episode of mania alternating with major depression
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Define Bipolar II
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Hypomanic episodes alternating with major depression
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Define cyclothymia
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Hypomanic episodes alternating with minor depressive episodes (at least 2 years in duration)
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Define rapid cycling
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*Four or more mood episodes in a 12-month period
*poorer global functioning, high recurrence risk and resistance to conventional somatic treatments |
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Describe the DSM-IV-TR criteria for bipolar disorder
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1. distinct period of abnormality and persistently elevated, expansive or irritable mood for at least:
*4 days for hypomania *1 week for mania 2. Three or more of the following symptoms: *grandiosity *decreased need for sleep *more talkative than usual *flight of ideas *distractability *increased goal-directed activity *excessive involvedment in pleasurable activities that have a potential for painful consequences |
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What is lithium
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not a drug but a mineral that stabilizes the mood of the client with acute mania
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How often are lithium levels checked
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*initially drawn twice weekly and then every 2-3 months during long term treatment
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What are therapeutic lithium levels
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* 0.5-1.5 mEq
* above 2.0 for toxicity |
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What are clang associations
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stringing of words together because of their rhyming sounds instead of their meaning
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Describe lithium toxicity and treatment
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* toxicity signs include muscle weakness, confusion, seizures, tremor, flattened t waves (cardiac/respiratory changes), multiple organ failure
* treatment is normal saline |
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Other uses for lithium
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treatment for anorexia, bulemia, certain types of headaches and alcoholism with mood disorders
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