Exam
2
Mental
Health
Galen
Lithium
-
ANSWER-Mood
stabilizer,
used
for
treatment
of
bipolar
disorder
Narrow
therapeutic
window
Lithium
Levels
-
ANSWER-0.4-1.0
therapeutic
1.5
mild
toxicity
1.5-2.0
advanced
toxicity
2.0-
2.5
severe
toxicity
>
2.5
death
Signs
&
Symptoms
of
Lithium
Toxicity
-
ANSWER-Thirst,
Tremors,
Vomiting,
Diarrhea,
Muscle
Weakness
Bipolar
II
Disorder
-
ANSWER-Episodes
of
hypomania
(elation,
high
energy,
but
less
than
bipolar
I)
Does
not
experience
psychosis
Bipolar
I
Disorder
-
ANSWER-Episodes
of
mania
(super
elation,
super
energy,
doesn't
eat/drink/sleep,
takes
risks,
spends
excessive,
hypersexual)
May
have
hallucinations
What
is
a
priority
when
a
Manic
Bipolar
I
patient
arrives
at
the
ED?
-
ANSWER-1.
Medically
evaluate
2.
IVF
2.
Benzodiazepines
Nursing
Interventions
for
Bipolar
I
Disorder
-
ANSWER-Limit
Stimuli,
Safety,
Encourage
Sleep,
Set
Limits Benztropine
(Cogentin)
-
ANSWER-Used
for
treatment
of
EPS,
pseudo-parkinson
symptoms
Signs
&
Symptoms
of
Neuroleptic
Malignant
Syndrome
-
ANSWER-Muscle
rigidity,
board-like,
High
temperature,
diaphoretic,
tachycardic
Generation
Three
Antipsychotics
-
ANSWER-Aripiprazole
(Abilify)
Better
side
effect
profile
than
generation
one
or
two
Treats
positive
and
negative
symptoms
of
schizophrenia
Generation
Two
Antipsychotics
(Atypical)
-
ANSWER-First
line
treatment,
less
chance
of
EPS
Treats
positive
and
negative
symptoms
of
schizophrenia
Clozapine,
Olanzapine,
Quetiapine,
Risperadone,
Ziprasidone
Metabolic
Syndrom
-
ANSWER-Occurs
with
generation
two
antipsychotics
(atypical)
Weight
gain,
hyperglycemia,
hyperlipidemia
Generation
One
Antipsychotics
-
ANSWER-Treats
positive
symptoms
of
schizophrenia
Extrapyramidal
Side
Effects
Chlorpromazine,
Haloperidol,
Fluphenazine
Catonia
-
ANSWER-Moves
very
little
or
not
at
all
Evaluate
for
hazards
of
immobility
(edema,
cyanosis,
injury,
skin
impairment)
Nursing
Interventions
for
Delusions
-
ANSWER-Do
not
say
you
believe
the
delusion,
don't
try
to
talk
the
patient
out
of
the
delusion
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