Exam 2: NUR 253 Mental Health Questions with Verified Answers|
Latest Update
Lithium
Mood stabilizer, used for treatment of bipolar disorder
Narrow therapeutic window
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
Signs & Symptoms of Lithium Toxicity
Thirst, Tremors, Vomiting, Diarrhea, Muscle Weakness
Bipolar II Disorder
Episodes of hypomania (elation, high energy, but less than bipolar I)
Does not experience psychosis
Bipolar I Disorder
, 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?
1. Medically evaluate
2. IVF
2. Benzodiazepines
Nursing Interventions for Bipolar I Disorder
Limit Stimuli, Safety, Encourage Sleep, Set Limits
Benztropine (Cogentin)
Used for treatment of EPS, pseudo-Parkinson symptoms
Signs & Symptoms of Neuroleptic Malignant Syndrome
Muscle rigidity, board-like, High temperature, diaphoretic, tachycardic
Generation Three Antipsychotics
Aripiprazole (Abilify)
Better side effect profile than generation one or two
Treats positive and negative symptoms of schizophrenia
Latest Update
Lithium
Mood stabilizer, used for treatment of bipolar disorder
Narrow therapeutic window
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
Signs & Symptoms of Lithium Toxicity
Thirst, Tremors, Vomiting, Diarrhea, Muscle Weakness
Bipolar II Disorder
Episodes of hypomania (elation, high energy, but less than bipolar I)
Does not experience psychosis
Bipolar I Disorder
, 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?
1. Medically evaluate
2. IVF
2. Benzodiazepines
Nursing Interventions for Bipolar I Disorder
Limit Stimuli, Safety, Encourage Sleep, Set Limits
Benztropine (Cogentin)
Used for treatment of EPS, pseudo-Parkinson symptoms
Signs & Symptoms of Neuroleptic Malignant Syndrome
Muscle rigidity, board-like, High temperature, diaphoretic, tachycardic
Generation Three Antipsychotics
Aripiprazole (Abilify)
Better side effect profile than generation one or two
Treats positive and negative symptoms of schizophrenia
