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NUR 253/NUR253 Galen College Of Nursing -NUR 253 Exam 2 Questions With Complete Solutions.

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NUR 253/NUR253 Galen College Of Nursing -NUR 253 Exam 2 Questions With Complete Solutions.

Institution
Galen College Of Nursing
Course
NUR 253/NUR253

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NUR 253 Exam 2 Questions With Complete Solutions


Mania Interventions
Communication
Safety
Nutrition
Sleep
Hygiene
Elimination
Restraints & Seclusion
Document
Every 15 minutes- pt behaviors
Every 30 to 60 minutes- offered food & fluids
Every 1-2 hours- offered restroom & take vital signs
Lithium
0.5-1.5
*take with food
Maintain Sodium & Water
Stop & Call MD- excessive diarrhea, vomiting or sweating can
lead to dehydration
Early Sign Lithium Toxicity
GI upset, confusion, sedation
Advanced Lithium toxicity
Ataxia, seizures, coma, decreased BP

, Severe Lithium Toxicity
convulsions, oliguria, death
Anticonvulsants
Valproate (Depakote)
Carbamazepine (Tegretol)- Monitor for SJS
Lamotrigine (Lamictal)- Monitor for SJS
*Monitor LFT, & PLT Count
Mood Stabilizers are taken with
Antidepressants
Treat Mania, depression, and bipolar
Persistent depressive disorder
Depressed most days for 2 years
Plus:
Increased or decreased appetite or sleeping
Decreased energy & self-esteem
Difficulty thinking
Hopelessnesses
Tx: antidepressants & CBT
Anhedonia
Loss of joy, decreases pleasure in daily activities
Depression Age Considerations
Depression is not normal in older adults
Young Child: Cry
Adolescent: Withdrawal
Teenager: Irratiable
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NUR 253/NUR253
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