bipolar disorder consists of episodes of _____ - Answers recurring depression and/or elevated,
expansive and irritable mood
bipolar I vs bipolar II - Answers bipolar II is less intense and is not accompanied by psychosis
bipolar symptoms range from ____ to _____ - Answers severe mania; severe depression
What is bipolar (mania)? - Answers period of abnormal & elevated, expansive, or irritable mood
that interferes with functioning
How long does bipolar (mania) last? - Answers at least 1 week
What is hypomania? - Answers less severe form of mania; may not interfere with functioning
prevalence of bipolar disorder related to age and gender - Answers -affects males & females
equally
-affects younger men/women (average onset 18-20s)
comorbidities related to bipolar disorder - Answers -cardiovascular
-metabolic diseases
-endocrine disorders
-T2D
-obesity
factors that can contribute to bipolar disorders - Answers -family history
-environmental stimuli
-social rhythm theory (sleep wake cycle)
-cultural differences and beliefs
according to DSM 5 criteria, at least 3 of the following symptoms must occur during a manic
episode - Answers -euphoria or irritability and anger
-impulsive, high-risk behavior
-increased energy and rapid speech
-disorganized thoughts
-decreased appetite and increased sleep
, -delusions & hallucinations
considerations when diagnosing bipolar related disorders - Answers -current episode (manic,
hypomanic, depression)
-severity (mild, moderate, severe)
-presence of psychosis
-episode is active or in remission
behavior manifestations related to mania - Answers -hyperactive
-starts but does not finish projects
-activities that can have serious consequences (ex: excessive spending)
-manipulative
-nonstop physical activity (pt is too busy to eat or sleep)
-bizarre or inappropriate dress or makeup
-sexually explicit
somatic manifestations (physical symptoms) - Answers -psychomotor acceleration (ex: pacing,
rapid speech)
-dehydration and weight loss (not drinking or drinking)
-cardiac changes (dehydrated and not sleeping)
-exhaustion from not sleeping
nursing assessment for bipolar individuals - Answers -level of depression or mania
-danger to self or others
-medical status (cardiovascular, nutrition, fatigue)
first line treatment (med) for bipolar disorder - Answers lithium carbonate (alkali metal)
How does lithium carbonate work? - Answers alterneurotransmitters in the CNS and stabilizes
mood
therapeutic lithium level - Answers <0.4-1.0 mEq/L
possible adverse effects of lithum - Answers -hand tremors
-thirst