Exam 2 Mental Health Galen
Study online at https://quizlet.com/_4sd8o1
1. Lithium Mood stabilizer, used for treatment of bipolar disorder
Narrow therapeutic window
2. Lithium Levels 0.4-1.0 therapeutic
1.5 mild toxicity
1.5-2.0 advanced toxicity
2.0- 2.5 severe toxicity
> 2.5 death
3. Signs & Symp- Thirst, Tremors, Vomiting, Diarrhea, Muscle Weakness
toms of Lithium
Toxicity
4. Bipolar II Disor- Episodes of hypomania (elation, high energy, but less than bipolar I)
der
Does not experience psychosis
5. Bipolar I Disorder Episodes of mania (super elation, super energy, doesn't eat/drink/sleep, takes
risks, spends excessive, hypersexual)
May have hallucinations
6. What is a priori- 1. Medically evaluate
ty when a Manic 2. IVF
Bipolar I patient 2. Benzodiazepines
arrives at the ED?
7. Nursing Inter- Limit Stimuli, Safety, Encourage Sleep, Set Limits
ventions for Bipo-
lar I Disorder
8. Benztropine (Co- Used for treatment of EPS, pseudo-parkinson symptoms
gentin)
1/8
, Exam 2 Mental Health Galen
Study online at https://quizlet.com/_4sd8o1
9. Signs & Symp- Muscle rigidity, board-like, High temperature, diaphoretic, tachycardic
toms of Neu-
roleptic Malig-
nant Syndrome
10. Generation Three Aripiprazole (Abilify)
Antipsychotics
Better side effect profile than generation one or two
Treats positive and negative symptoms of schizophrenia
11. Generation Two First line treatment, less chance of EPS
Antipsychotics
(Atypical) Treats positive and negative symptoms of schizophrenia
Clozapine, Olanzapine, Quetiapine, Risperadone, Ziprasidone
12. Metabolic Syn- Occurs with generation two antipsychotics (atypical)
drom
Weight gain, hyperglycemia, hyperlipidemia
13. Generation One Treats positive symptoms of schizophrenia
Antipsychotics
Extrapyramidal Side Effects
Chlorpromazine, Haloperidol, Fluphenazine
14. Catonia Moves very little or not at all
Evaluate for hazards of immobility (edema, cyanosis, injury, skin impairment)
15. Nursing Inter- Do not say you believe the delusion, don't try to talk the patient out of the delusion
ventions for
Delusions Explore delusion and how they feel about it
2/8
Study online at https://quizlet.com/_4sd8o1
1. Lithium Mood stabilizer, used for treatment of bipolar disorder
Narrow therapeutic window
2. Lithium Levels 0.4-1.0 therapeutic
1.5 mild toxicity
1.5-2.0 advanced toxicity
2.0- 2.5 severe toxicity
> 2.5 death
3. Signs & Symp- Thirst, Tremors, Vomiting, Diarrhea, Muscle Weakness
toms of Lithium
Toxicity
4. Bipolar II Disor- Episodes of hypomania (elation, high energy, but less than bipolar I)
der
Does not experience psychosis
5. Bipolar I Disorder Episodes of mania (super elation, super energy, doesn't eat/drink/sleep, takes
risks, spends excessive, hypersexual)
May have hallucinations
6. What is a priori- 1. Medically evaluate
ty when a Manic 2. IVF
Bipolar I patient 2. Benzodiazepines
arrives at the ED?
7. Nursing Inter- Limit Stimuli, Safety, Encourage Sleep, Set Limits
ventions for Bipo-
lar I Disorder
8. Benztropine (Co- Used for treatment of EPS, pseudo-parkinson symptoms
gentin)
1/8
, Exam 2 Mental Health Galen
Study online at https://quizlet.com/_4sd8o1
9. Signs & Symp- Muscle rigidity, board-like, High temperature, diaphoretic, tachycardic
toms of Neu-
roleptic Malig-
nant Syndrome
10. Generation Three Aripiprazole (Abilify)
Antipsychotics
Better side effect profile than generation one or two
Treats positive and negative symptoms of schizophrenia
11. Generation Two First line treatment, less chance of EPS
Antipsychotics
(Atypical) Treats positive and negative symptoms of schizophrenia
Clozapine, Olanzapine, Quetiapine, Risperadone, Ziprasidone
12. Metabolic Syn- Occurs with generation two antipsychotics (atypical)
drom
Weight gain, hyperglycemia, hyperlipidemia
13. Generation One Treats positive symptoms of schizophrenia
Antipsychotics
Extrapyramidal Side Effects
Chlorpromazine, Haloperidol, Fluphenazine
14. Catonia Moves very little or not at all
Evaluate for hazards of immobility (edema, cyanosis, injury, skin impairment)
15. Nursing Inter- Do not say you believe the delusion, don't try to talk the patient out of the delusion
ventions for
Delusions Explore delusion and how they feel about it
2/8
