NURS 3130 Lecture Notes - Lecture 24: Boxed Warning, Liver Function Tests, Mania
Document Summary
Mania: primary symptoms of bipolar disorders; recognized by an elevated, expansive, or. Chapter 24: bipolar disorder irritable mood: grandiosity: elevated self-esteem; speech is pressured, more talkative, and difficult to interrupt; flight of ideas; distractibility increases, the need for sleep is deceased and energy is increased. The individual stays up late or wakes up late full of energy. If body fluid decreases, then lithium levels rise sharply. Be careful especially in the summer to watch sodium and liquid intake. Patient should increase salt intake when its lost. If symptoms of lithium toxicity are noticed- withhold medication, immediately obtain blood sample, and push fluids if the patient can tolerate it. Then call hcp for further direction: divalproex sodium: an anticonvulsant and benefits patients with pure mania. Liver function test and cbc should be obtained before starting therapy. Levels should be obtained weekly until stable- then every 6 months. Levels are 50-150: carbamazepine: anticonvulsant and also has mood-stabilizing effects.
