NR546 Actual Final Exam |Recent
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Terms in this set (272)
Pharmacologic Treatment of Bipolar Lithium
Disorder Anticonvulsants
Second generation antipsychotics
Unipolar depression major depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had
episode in last year, prevalence highest (13.1%)
among individuals aged 18-25
S/S
-depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy,
concentration, or self-worth
-severe depression: may experience thoughts of
suicide or psychotic symptoms.
,Bipolar disorder (BD) Chronic condition characterized by extreme
fluctuations in mood, energy, and ability to
function
-Moods may be manic, hypomanic, or depressed
and may include mixed mood or psychotic
features
-many have only experienced only one manic
episode in their lifetime
-Mood fluctuations may be separated by periods
of high stability or may cycle rapidly
-diagnosed when a client has one or more
episodes of mania or hypomania with a history of
one or more major depressive episodes
-high risk for suicide
mania characterized by a persistently elevated,
expansive, or irritable mood. Related symptoms
may include inflated self-esteem, increased goal-
directed activity or energy, including grandiosity,
decreased need for sleep, excessive
talkativeness, racing thoughts, flight of ideas
(FOI), distractibility, psychomotor agitation, and a
propensity to be involved in high-risk activities.
Mania leads to significant functional impairment
and may include psychotic features or
necessitate hospitalization
Bipolar Type I: requires at least one episode of mania for at least
one week (or any duration if hospitalization due
to symptoms is required)
,Bipolar Type II: diagnosis requires a current or past hypomanic
episode and a current or past major depressive
episode. Symptoms last for at least 4 days but
fewer than seven.
-Hypomanic symptoms are not of sufficient
duration or severity to cause significant functional
impairment, psychosis, or hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and
are reluctant to report these symptoms, making
bipolar more difficult to diagnose if the client
presents in the depression phase.
Cyclothymia: involves the chronic presentation of hypomanic
and depressive symptoms that do not meet the
diagnostic criteria for a major depressive or
manic/hypomanic episode.
If bipolar depression is mistaken for antidepressant therapy may precipitate a manic
MDD: episode or induce rapid-cycling bipolar
depression
-may contribute to the increased incidence of
death by suicide in children and adults younger
than 25
Antidepressants are used cautiously monotherapy
in clients with bipolar disorder and -Antidepressants should be combined with a
never as ________________. mood stabilizer to prevent the onset of a
hypomanic or manic episode
, DA, NE Dysfunction causes what Decreased positive affect:
mood related symptoms depressed mood
loss of joy
lack of interest
loss of energy
decreased alertness
decreased self-confidence
appetite changes
5HT, NE Dysfunction causes what Increased negative affect:
mood related symptoms depressed mood
guilt
fear/anxiety
hostility
irritability
loneliness
appetite changes
monoamine hypothesis of -depression occurs as a result of a deficiency of
depression one or all three monoamine transmitters
• serotonin, norepinephrine, and dopamine
-while mania may result from an excess
Medication Management for • Selective Serotonin Reuptake Inhibitors (SSRIs)
Depression, First-Line Treatment: • Serotonin Norepinephrine Reuptake Inhibitors
(SNRIs)
• Norepinephrine Dopamine Reuptake Inhibitors
(NDRI)
• Serotonin Antagonist and Reuptake Inhibitors
(SARIs)
update|COMPLETE QUESTIONS AND VERIFIED
ANSWERS|GET IT 100% ACCURATE |SCORE A+
Save
Terms in this set (272)
Pharmacologic Treatment of Bipolar Lithium
Disorder Anticonvulsants
Second generation antipsychotics
Unipolar depression major depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had
episode in last year, prevalence highest (13.1%)
among individuals aged 18-25
S/S
-depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy,
concentration, or self-worth
-severe depression: may experience thoughts of
suicide or psychotic symptoms.
,Bipolar disorder (BD) Chronic condition characterized by extreme
fluctuations in mood, energy, and ability to
function
-Moods may be manic, hypomanic, or depressed
and may include mixed mood or psychotic
features
-many have only experienced only one manic
episode in their lifetime
-Mood fluctuations may be separated by periods
of high stability or may cycle rapidly
-diagnosed when a client has one or more
episodes of mania or hypomania with a history of
one or more major depressive episodes
-high risk for suicide
mania characterized by a persistently elevated,
expansive, or irritable mood. Related symptoms
may include inflated self-esteem, increased goal-
directed activity or energy, including grandiosity,
decreased need for sleep, excessive
talkativeness, racing thoughts, flight of ideas
(FOI), distractibility, psychomotor agitation, and a
propensity to be involved in high-risk activities.
Mania leads to significant functional impairment
and may include psychotic features or
necessitate hospitalization
Bipolar Type I: requires at least one episode of mania for at least
one week (or any duration if hospitalization due
to symptoms is required)
,Bipolar Type II: diagnosis requires a current or past hypomanic
episode and a current or past major depressive
episode. Symptoms last for at least 4 days but
fewer than seven.
-Hypomanic symptoms are not of sufficient
duration or severity to cause significant functional
impairment, psychosis, or hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and
are reluctant to report these symptoms, making
bipolar more difficult to diagnose if the client
presents in the depression phase.
Cyclothymia: involves the chronic presentation of hypomanic
and depressive symptoms that do not meet the
diagnostic criteria for a major depressive or
manic/hypomanic episode.
If bipolar depression is mistaken for antidepressant therapy may precipitate a manic
MDD: episode or induce rapid-cycling bipolar
depression
-may contribute to the increased incidence of
death by suicide in children and adults younger
than 25
Antidepressants are used cautiously monotherapy
in clients with bipolar disorder and -Antidepressants should be combined with a
never as ________________. mood stabilizer to prevent the onset of a
hypomanic or manic episode
, DA, NE Dysfunction causes what Decreased positive affect:
mood related symptoms depressed mood
loss of joy
lack of interest
loss of energy
decreased alertness
decreased self-confidence
appetite changes
5HT, NE Dysfunction causes what Increased negative affect:
mood related symptoms depressed mood
guilt
fear/anxiety
hostility
irritability
loneliness
appetite changes
monoamine hypothesis of -depression occurs as a result of a deficiency of
depression one or all three monoamine transmitters
• serotonin, norepinephrine, and dopamine
-while mania may result from an excess
Medication Management for • Selective Serotonin Reuptake Inhibitors (SSRIs)
Depression, First-Line Treatment: • Serotonin Norepinephrine Reuptake Inhibitors
(SNRIs)
• Norepinephrine Dopamine Reuptake Inhibitors
(NDRI)
• Serotonin Antagonist and Reuptake Inhibitors
(SARIs)
