S/S of Lithium Toxicity
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Persistent N/V, diarrhea, ataxia, blurred vision, tinnitus, excessive urine
output, increasing tremors, mental confusion
Delirium Characteristics
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Usually begins abruptly and is brief in duration
Can have a slower onset if underlying etiology is systemic illness or
metabolic imbalance
Subsides completely upon recovery from underlying determinant
Delirious Mania
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A grave form of the disorder that is characterized by severe clouding of
consciousness and an intensification of the symptoms associated with
acute mania. The patient's safety is at stake.
Moderate Depression
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Dysthymia is an example. This is a more problematic disturbance.
Affective: feelings of sadness, dejection, helplessness, powerlessness,
hopelessness; gloomy and pessimistic outlook; low self-esteem; difficulty
experiencing pleasure in activities
Behavioral: slowed physical movements, slumped posture, slowed speech,
limited verbalizations, possibly consisting of ruminations about life's failures
or regrets, social isolation with a focus on the self, increased use of
substances possible, self-destructive behavior possible, decreased interest
in person hygiene and grooming
Cognitive: slowed thinking processes, difficulty concentrating and directing
attention, obsessive and repetitive thoughts, generally portraying
pessimism and negativism, verbalizations and behavior reflecting suicidal
ideation
Physiological: anorexia or overeating, insomnia or hypersomnia, sleep
disturbances, amenorrhea, decreased libido, headaches, backaches, chest
, pain, abdominal pain, low energy level, fatigue and listlessness, feeling best
early in the morning and continually worse as the day goes on. This may be
due to the diurnal variation in the level of neurotransmitters that affect
mood and level of activity
Nursing Diagnoses for Bipolar
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Risk for Injury
Risk for Violence (self-directed or other-directed)
Imbalanced Nutrition (less than body requirements)
Disturbed thought processes
Disturbed sensory-perception
Impaired social interaction
Insomnia
Apraxia
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Inability to carry out motor activities despite intact motor function
Patient/Family Education for Depression
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Persistent N/V, diarrhea, ataxia, blurred vision, tinnitus, excessive urine
output, increasing tremors, mental confusion
Delirium Characteristics
,Give this one a try later!
Usually begins abruptly and is brief in duration
Can have a slower onset if underlying etiology is systemic illness or
metabolic imbalance
Subsides completely upon recovery from underlying determinant
Delirious Mania
Give this one a try later!
A grave form of the disorder that is characterized by severe clouding of
consciousness and an intensification of the symptoms associated with
acute mania. The patient's safety is at stake.
Moderate Depression
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Dysthymia is an example. This is a more problematic disturbance.
Affective: feelings of sadness, dejection, helplessness, powerlessness,
hopelessness; gloomy and pessimistic outlook; low self-esteem; difficulty
experiencing pleasure in activities
Behavioral: slowed physical movements, slumped posture, slowed speech,
limited verbalizations, possibly consisting of ruminations about life's failures
or regrets, social isolation with a focus on the self, increased use of
substances possible, self-destructive behavior possible, decreased interest
in person hygiene and grooming
Cognitive: slowed thinking processes, difficulty concentrating and directing
attention, obsessive and repetitive thoughts, generally portraying
pessimism and negativism, verbalizations and behavior reflecting suicidal
ideation
Physiological: anorexia or overeating, insomnia or hypersomnia, sleep
disturbances, amenorrhea, decreased libido, headaches, backaches, chest
, pain, abdominal pain, low energy level, fatigue and listlessness, feeling best
early in the morning and continually worse as the day goes on. This may be
due to the diurnal variation in the level of neurotransmitters that affect
mood and level of activity
Nursing Diagnoses for Bipolar
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Risk for Injury
Risk for Violence (self-directed or other-directed)
Imbalanced Nutrition (less than body requirements)
Disturbed thought processes
Disturbed sensory-perception
Impaired social interaction
Insomnia
Apraxia
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Inability to carry out motor activities despite intact motor function
Patient/Family Education for Depression
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