Bipolar Disorder Assessment
- Neurotransmitter Dysregulation and Genetic Factors
- Euphoric Mood
- Nonstop Physical Activity
- Flight of Ideas
- Rapid Speech
- Mood Changes
- Sad Affect
- Psychomotor Retardation
- Suicidal Thoughts
Bipolar Disorder Interventions
- Lithium
- Valproic Acid (Valproate)
- Lamotrigine
- Hospitalization
- Nutrition
- Hygiene
- Monitor for Vegetative Signs
- Suicide Precautions
Hallucinations, Illusions, Delusions
- No External Stimulus
- Auditory
- Visual
- Olfactory
- Gustatory
- Tactile
- Misinterpretation of Stimulus
- Fixed, False Belief
Lithium
- Mood Stabilizer
- Unknown Mechanism
- Bipolar Disorder
- Nephrogenic Diabetes Insipidus
- Hypothyroidism
- Tremor
- Heart Block
- Pregnancy
- Monitor Plasma Levels
Peak and Trough
- Peak
- Highest Concentration
- Trough
- Lowest Level of Therapeutic Range
- Obtain Before Next Dose
- Half-Life
Valproic Acid (Depakote)
- Blocks Na+ Channels
- Increases GABA Concentration
- Tonic-clonic Seizures
- Bipolar Disorder
- Migraine Prophylaxis
- Hepatotoxicity
- Blood Dyscrasias
- GI Distress
- Tremor
- Pancreatitis
Carbamazepine (Tegretol)
- Inactivates Na+ Channels
- Seizures
- Bipolar Disorder
- Trigeminal Neuralgia
- Nystagmus
- Ataxia
- Hepatotoxicity
- Blood Dyscrasias
- Water Retention
- Stevens-Johnson Syndrome
- Avoid Grapefruit Juice
Lamotrigine (Lamictal)
- Blocks Na+ Channels
- Seizures
- Bipolar Disorder
- Diplopia
- Stevens-Johnson Syndrome
- Headache
- Aseptic Meningitis
- Nausea and Vomiting
- Screen for Suicide Risk
Risperidone (Risperdal)
- Atypical Antipsychotic
- Schizophrenia
- Bipolar Mania
- Autism-Associated Irritability
- Extrapyramidal Symptoms
- Hyperprolactinemia
- Gynecomastia
- Galactorrhea
- Amenorrhea
- Prolonged QT
- Intramuscular Long Acting (Depot) Form
Depression Assessment
- Anergia
- Self Neglect
- Decreased Libido
- Vegetative Signs
- Sad Affect
- Worthlessness
- Guilt
- Anger and Irritability
- Ineffective Problem Solving
- Slowed Thinking
Use of Restraints
- During Emergency
- Protecting From Harm
- For Limited Time
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie