NURS 663 - Exam 1 Questions & Verified Answers Latest Updates

NURS 663 - Exam 1 Questions & Verified Answers Latest Updates Manic Episode - ANSWER -Elevated, expansive, or irritable mood for at least 1 week -Usually hospitalization -Severe impairment -3 of the following symptoms (4 if the mood is only irritable): D-distractibility I-indiscretion or irresponsibility G-grandiosity or inflated self-esteem F-flight of ideas, racing thoughts A-activity increased S-sleep need is decreased T-talkative, pressure of speech DIGFAST - ANSWER D-distractibility I-indiscretion or irresponsibility G-grandiosity or inflated self-esteem F-flight of ideas, racing thoughts A-activity increased S-sleep need is decreased T-talkative, pressure of speech Hypomanic episode - ANSWER Manic symptoms that don't meet full criteria -Same symptoms but only 4 days instead of a week -No hospitalization -No severe impairment Bipolar Type 1 - ANSWER At least 1 manic episode (can have a major depressive episode but not required) Bipolar Type 2 - ANSWER At least 1 hypomanic episode, and at least 1 major depressive episode -NO manic episodes ever Cyclothymia - ANSWER Less severe/intense bipolar -At least 2 years, periods of hypomania and depressive symptoms -Never without symptoms for more than 2 months Dysthymia - ANSWER Less severe MDD that's more chronic -Always sad baseline -Depressed mood for at least 2 years but not full MDD criteria (only 2 symptoms needed) -Never without symptoms for more than 2 months Major Depressive Disorder (MDD) - ANSWER -At least 2 weeks and is a change from baseline -At least 1 symptom is either depressed mood, or anhedonia (lack of interest/pleasure) -4 or more other symptoms: -Weight loss/gain, appetite change -Psychomotor agitation/retardation -Insomnia/hypersomnia -Fatigue/lack of energy -Decreased concentration -Suicidal ideation Bipolar - Rapid Cycling - ANSWER 4 or more mood episodes in a year Treatment for Bipolar (quick list) - ANSWER Mood stabilizers 1st choice - lithium 2nd - anticonvulsants (valproic acid, carbamezapine, lamotrigine) 3rd - antispychotics Big things to know with mood stabilizers - ANSWER Indicated for: bipolar, cyclothymia, schizoaffective, impulse control, intermittent explosive disorders -Check pregnancy test for all! -Lab work for levels of most of the meds -Steven Johnson's syndrome common side effect -Tremors common side effect -Liver or kidney toxicity (depending which med) 1st choice med for Bipolar - ANSWER Lithium 2nd choice med for Bipolar - ANSWER Anticonvulsants as mood stabilizers Valproic acid Lamotrigine Carbamazepine 3rd choice med for Bipolar - ANSWER Antipsychotics Lithium - Indication - ANSWER "Gold standard" treatment for bipolar depression Manic episodes