Exam 2 Study Guide- Final1.docx - Exam 2 Study Guide Mood...

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Exam 2 Study GuideMood DisordersBipolaroSigns and SymptomsManiafeeling very happy, elated or overjoyedtalking very quicklyfeeling full of energyfeeling self-importantfeeling full of great new ideas and having important plansbeing easily distractedbeing easily irritated or agitatedbeing delusional, hallucinating and disturbed or illogical thinkingnot feeling like sleepingnot eatingdoing things that often have disastrous consequences – such as spending largesums of money on expensive and sometimes unaffordable itemsmaking decisions or saying things that are out of character and that others see asbeing risky or harmfuloLithiumLevelsClosely monitor therapeutic range---has narrow therapeutic indexInitially it is checked q 3-7 dayso(0.6-1.2mEq/L- healthy adult)ofor elderly or renal impaired (0.5-1.0)oif levels are low, consider noncomplianceMonitor for Signs of Toxicity SymptomsoTremoroIncreased reflexesoTrouble walkingoKidney problemsoAltered level of consciousnessoNursing CareImportant to provide structurePotential for injuryPotential for violenceImpulsivityAltered thought processImpaired social functioningImpaired ADL’sHow to communicate with manic patient?DepressionoMajor Depressive Disorder SymptomsDepressed MoodAnhedoniaAnergia
Hopeless, helplessInsomnia, HypersomniaIncreased or Decreased AppetiteSlow, Memory LossAnxious AppearingPsychotic SymptomsCatatoniaMelancholyMay be postpartum periodMay be seasonal in natureoSuicide- How are these different?Suicidal IdeationSuicidal ThreatSuicidal Ideation with planoNursing Care for DepressionCoping SkillsSuicide PreventionADL supportSleepMedication managementSelf EsteemoMedicationsSSRI’sSSRI most commonly usedoZoloftoProzacoPaxiloLuvoxoCelexaCan take 4-6 weeks to take effectBe cautious of increased energy, how is this a risk for suicide?Serotonin SyndromeMay occur quicklyCan be caused by interaction with MAOI’s, Tryptophan, and St. John’s WortSymptoms:Hyperactivity/restlessness,Tachycardia,HTN,Malaise,Mood swings,Mania,Hyperthermia,Profuse diaphoresis,Seizures,Myoclonus/rigidity/incoordination,Apnea leading to death
AnxietyLevels of AnxietyoMildSeen in normal functioning. Able to see/hear/grasp more information, problem solvingmore effectiveoModerateLess than optimal ability to learn and problem-solve; may only see/hear certain things inthe environment. Possibly still able to be constructive. Sympathetic nervous systemsymptoms beginoSevere

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Term
Spring
Professor
MaryLeveillee
Tags
Major depressive disorder, Antidepressant, Body dysmorphic disorder

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