NURS 663 - Exam 1 Questions And Solutions.
Hypomanic episode - answers Manic symptoms that don't meet full criteria -Same symptoms but only 4 days instead of a week -No hospitalization -No severe impairment
Bipolar Type 1 - answers At least 1 manic episode (can have a major depress...
Hypomanic episode - answers Manic symptoms that don't meet full criteria
-Same symptoms but only 4 days instead of a week
-No hospitalization
-No severe impairment
Bipolar Type 1 - answers At least 1 manic episode (can have a major depressive
episode but not required)
Bipolar Type 2 - answers At least 1 hypomanic episode, and at least 1 major
depressive episode
-NO manic episodes ever
Cyclothymia - answers Less severe/intense bipolar
-At least 2 years, periods of hypomania and depressive symptoms
-Never without symptoms for more than 2 months
Dysthymia - answers Less severe MDD that's more chronic
-Always sad baseline
-Depressed mood for at least 2 years but not full MDD criteria (only 2 symptoms
needed)
-Never without symptoms for more than 2 months
Major Depressive Disorder (MDD) - answers -At least 2 weeks and is a change from
baseline
-At least 1 symptom is either depressed mood, or anhedonia (lack of interest/pleasure)
-4 or more other symptoms:
-Weight loss/gain, appetite change
-Psychomotor agitation/retardation
-Insomnia/hypersomnia
-Fatigue/lack of energy
-Decreased concentration
-Suicidal ideation
Bipolar - Rapid Cycling - answers 4 or more mood episodes in a year
Treatment for Bipolar (quick list) - answers Mood stabilizers
Big things to know with mood stabilizers - answers Indicated for: bipolar, cyclothymia,
schizoaffective, impulse control, intermittent explosive disorders
, -Check pregnancy test for all!
-Lab work for levels of most of the meds
-Steven Johnson's syndrome common side effect
-Tremors common side effect
-Liver or kidney toxicity (depending which med)
1st choice med for Bipolar - answers Lithium
2nd choice med for Bipolar - answers Anticonvulsants as mood stabilizers
Valproic acid
Lamotrigine
Carbamazepine
3rd choice med for Bipolar - answers Antipsychotics
Lithium - Side Effects - answers LITHIUMS
L - levels (0.6-1.2)
I - increased urination
T - thirsty, tremors
H - hair thinning, hypothyroidism
I - interactions - NSAIDS, ACE/ARBs, diuretics
U - upset stomach (N/V/D)
M - muscle weakness
S - skin effects (acne, psoriasis)
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