Bipolar meds

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Bipolar meds
2012-09-17 13:23:53

Bipolar meds
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  1. Antimatic med
    Lithium carbonate
  2. Anticonvulsant meds
    • Tegretol
    • Depakene, Depakote
  3. Normal range for Lithium
    acute mania
    • 1.0-1.5
    • 0.6-1.2
  4. Signs of lithium toxicity
    • blurred vission
    • ataxia
    • tinnitus
    • persistant N&V
    • severe diarrhea
    • polyurea of diluted urine
    • increasing tremors
    • muscular irrability
    • psychomotor retardation
    • mental confusion
    • giddyness
    • impaired consciousness
    • ┬ánystagmus
    • seizures
    • coma
    • oliguria/auria
    • arrhythmias
    • mi
    • cardiovascular collapse
  5. Things that should be told about lithium
    must consume a diet adequate in sodium as well as 2500-3000ml of fluid per day
  6. Normal side effects of lithium
    • drowsiness
    • dizziness
    • headach
    • dry mouth, thirst
    • gi upset n&v
    • fine hand tremors
    • hypotension
    • arrhythmias
    • pulse irrularities
    • poluria, dehydration
    • weight gain
  7. possible side effects for anticonvulsants
    • nausea/vomiting
    • drowsiness, dizziness
    • blood dyscrasias
    • prolonged bleeding time
    • risk of suicide
  8. client family teaching with lithium
    • take even when feeling well
    • dont drive until levels are stabilized
    • dont skimp on salt
    • notify physiciann if vomiting and diarrhea occurs
    • carry a card saying on drug
    • be aware of risks of becoming prgnant
    • serum levels checked every 1-2 months
  9. client teaching with anticonvulsants
    • dont discontinue abruptly
    • report symptons of skin rash, unusal bleeding, spontaneous bruising, sore throat, fever, maliais, dark urin, or jaundice
    • dont drive until reaction to the medication has been estabilished
    • avoid alchol and otc meds with out physician approval
    • carry card saying on drug
  10. individula is experiencing, or has experienced a full syndrome of manic or mixed symptoms. may also have experienced episode of depression
    Bipolar I disorder
  11. recurrent bouts of major depression, episodic oxxurrences with hypomania, has not experiance an episode that meets the full criteria for mania or mixed symptomatology
    Bipolar II disorder
  12. chronic mood disturbance at least 2 year duration.  numerous episodes of hypomania and depressed mood, is never with out hypomanic or depressive symptoms for more than 2 months
    cyclothymic disorder
  13. symptoms not sufficently sever to cause marked impariment in social or occupational function or to require hospitalization
    mood: cheerful and expansive
    Congnition and perception: self-exultation, easily distractd
    Activity and behavior: increased motor activity, extroverted, superficial
    Stage 1- hypomania
  14. Intenisfication of hypomanic symptoms; requires hospital
    Mood: euphoria and elation
    Cogn and percep: fragmented, disjointing thinking, pressured speech
    Activity and behavior: excessive psychomoter behavior, increased sexual interest, inexhaustable energy, goes without sleep, bizarre dress and makeup
    Stage 2- Acute mania
  15. A grave form of the disorder, characterized by severe clouding of consciousness and representing a intensififcation of the sympton associated above
    Has become relatively rare since the availablility of antipsychotic medication
    very labil mood vonverting wuickly, hasllucinations, extremely distractable, frenzied, exhaustion, injury to self and others m death can could occure with no intervention
    Stage 3- delirious mania