QUESTIONS AND CORRECT ANSWERS
◉ Symptoms must last _______ to meet diagnostic criteria of mania.
Answer: 1 weeks
◉ Key nursing interventions for manic episodes.
Answer: - be consistent
- provide finger foods
- provide a quiet place to sleep
- reduce stimuli
reinforce reality
keep away from exits
◉ Sign of manic relapse.
Answer: no sleep
◉ Rapid Cycling.
Answer: 4 manic episodes in a year
,◉ Hypomanic Episodes.
Answer: - patients feel good about themselves and their life
- still functional
- length of episode must be 4 days
- at least three manic symptoms
- usually not treated
◉ Symptoms of depressive episodes.
Answer: withdrawal, passivity, insomnia, daytime sleepiness,
anorexia, sluggish thinking, difficulty concentrating, diminished
interest in activities, sleep a lot, weight loss
◉ Bipolar I Disorder.
Answer: - patient experiences swings between manic episodes and
major depression
- will experience the most severe symptoms of both mania and
depression
- often requires hospitalization
◉ dysthymic disorder.
Answer: severe depression which is persistent and lasts for years
◉ Neurotransmitter changes in bipolar.
,Answer: increase in norepinephrine and dopamine
◉ Bipolar 2.
Answer: - hypomanic episode with severe depression
- patient will only be hospitalized for depression
◉ Cyclothymic Disorder.
Answer: A swing between hypomanic episode and dysthymia
◉ Problems often faced by people with bipolar.
Answer: failed relationships, job loss or failure, overbearing
behavior, increased sex drive, alienation from family
◉ 3 treatment goals of bipolar.
Answer: - getting acute mania under control
- preventing relapse when remission occurs
- returning to prior level of functioning
◉ What antipsychotic is often given to anorexic patients to promote
weight gain?.
Answer: Olanzapine
, ◉ What drug is often used to treat bipolar/mania and what is the
usual dosage?.
Answer: Lithium, 600mg
◉ ALWAYS assess for.
Answer: suicide
◉ Lithium.
Answer: - usually requires multiple doses per day
- short half-life (24 hours)
- take with meals
- drink 10 to 12 glasses of water per day
◉ Therapeutic range of Lithium.
Answer: 0.6-1.2
◉ Therapeutic range of Lithium for older adults.
Answer: 0.4-0.8
◉ When to draw blood level for Lithium.
Answer: in the AM