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21 Cards in this Set
- Front
- Back
At least 1 hypomanic episode alternating with major depression is called?
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Bipolar II disorder
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At least 1 episode of mania alternating with major depression is called?
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Bipolar I disorder
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Hypomanic alternating with minor depressive episodes at least 2 years in duration is called?
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Cyclothymia
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When a person with bipolar is experiencing increased energy with feelings of elation (feel high), they are experiencing?
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Hypomanic episode
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What can a person who is experiencing a manic episode die from other than suicide?
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Not sleeping and eating
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What is the term for emotions that swing, which can occur during a manic episode?
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Labile
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Outcome criteria for phase I: acute mania?
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Hydration
Rest & Sleep Prevent injury to self and others Some degree of self-control |
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Outcome criteria for phase II: Continuation of Tx phase
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Relapse prevention
Teach S&S of relapse to patient and family Educate of disease process, meds, support |
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Outcome criteria for phase III: Maintenance Tx phase?
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Continuation of phase II
Limit severity and duration of future episodes |
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What is a 1st line mood stabilizer for treatment of bipolar?
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Lithium carbonate
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What level should lithium carbonate not exceed?
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1.5 mEq/L
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What side effects of lithium may persist?
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Weight Gain
Fine hand tremor Polyuria Mild thirst |
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What side effects of lithium may subside?
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Mild nausea
General discomfort |
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Lithium Toxicity can occur at?
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Therapeutic levels
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Levels of lithium above 2.0 can?
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Be life threatening
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What is dangerous about sodium levels in a patient with bipolar disorder?
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Low sodium can increase the risk of lithium toxicity
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Other concerns with Lithium
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Have to regularly monitor levels
OTC meds Cannot just quit |
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What antiepileptic drugs are used to treat bipolar disorder?
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Tergetol
Depakene Lamictal |
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What anxiolytics are used to treat bipolar disorder?
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Klonopin
Ativan |
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What anitpsychotics are used to treat bipolar disorder?
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Zyprexa
Seroquel |
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What non-pharmacological treatments are used to treat bipolar?
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ECT
Seclusion |