NURS 663 (NURS663)

Patient comes in with symptoms of mania followed by periods of depression; what is it? - bipolar 1 patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is it? - bipolar 2 how many symptoms of mania must you have to have "full" mania? - seven of thirteen what is the difference between mania and hypomania? - hypomania has less severe symptoms; 3 symptoms over shorter period of time (hypomania) Cyclothymia - a disorder that consists of mood swing...

Patient comes in with symptoms of mania followed by periods of depression; what is it? - bipolar 1 patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is it? - bipolar 2 how many symptoms of mania must you have to have "full" mania? - seven of thirteen what is the difference between mania and hypomania? - hypomania has less severe symptoms; 3 symptoms over shorter period of time (hypomania) Cyclothymia - a disorder that consists of mood swing...

Bipolar one disorder DSM five criteria - Manic episode: 1+ week of a colon elevated, expansive or irritable mood and increase energy. 3+ symptoms from B: distractibility, indiscretion, irresponsible, grandiosity, flight of ideas, activity (Increase goal-orient), decreased need for sleep, talkativeness or pressured speech. Bipolar two DSM five criteria - Hypo mania and major depressive disorder: hypo mania same as mania with decreased severity and duration and no functional impairment for episod...

Lithium labs - level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH bipolar meds: depression - lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax) bipolar acute and mixed mania - aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+) classic mood stabilizers - Lamotrigine (excellent medication to use), lithium, Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no evidence for true Bipolar disorder) anti-depressa...

DIGFAST – Bipolar disorder acronym D- distractibility I-impulsivity G-grandiosity F-flight of ideas A-activity, hyperactive S- sleep; requiring less T- talkativeness BPD type 1 timing - mania lasts at least 1 week rapid cycling definition - at least 4 cycles per year with 8 weeks of well periods BPD 2 definition - current or past hypomanic episode AND current or past major depressive episode cyclothymia definition - episodes of weeks to months of being happy and energetic followe...

NURS 663 Test 4 substance use disorder specifier criteria – Mild: 2-3 symptoms Moderate: 4-5 symtpoms Severe: >6 symptoms DSM for substance use disorder - over 12 months use increase amount persistant desire or can't cut down lots of time spent on substance craving failure to fill roles social/personal problems activities given up/reduced use when physically hazardous continue despite problem tolerence withdrawal abuse - use of any drug in a manner that deviates from app...

Difference in conduct disorder and ODD - Conduct try to control others, ODD doesnt. Conduct disorder often progresses to - Antisocial disorder This diagnosis does not include torchering animals - ODD This is a screening tool for OPIOIDs - COWS Drugs for Opioid withdrawal - Clonidine, Methdaone, Naltrexone This drug causes paranoia, hallucinations, sensory disorientation, sweating, dehydration, increased body temp - LSD What part of the brain does PTSD have an effect on - Amygdala, Prefro...

pharmacologic agents for PTSD - med tx is focused on diminishing intrusive thoughts, hyperarousal, and avoidance, with some success and mixed results PTSD frequent comorbidity - depressive disorder, anxiety disorders, and behavioral problems associated with ______________ sertraline and paroxetine - that __________and ______________ are approved by the Food and Drug Administration (FDA) in the treatment of PTSD in adults, there is scant evidence to support its use for the core symptoms of ...

Phases of Grief · Shock and denial (days-weeks) acute anguish, lost patterns of conduct, resolution (months-year) · Denial, bargaining, depression, anger, acceptance · No real timeline, comes in waves Grief vs. MDD · Grief- Sx may meet syndromal criteria for MDD episode, but survivor rarely has morbid feelings of guilt, worthlessness, SI, or psychomotor retardation o Considers self bereaved o Dysphoria often triggered by thoughts or reminders of the deceased o Onset within 2 months...

Functions of the Endocrine System -Growth and development -Sex differentiation -Metabolism -Adaptation to an ever-changing environment -Regulation of digestion -Use and storage of nutrients (Electrolyte and water metabolism) -Reproductive functions The mechanism of hormones Hormones interact with high-affinity receptors. These are linked to one or more effector system in the cell. Some receptors are located on the surface of the cell. These act through second messenger mechanisms. O...