A client has been diagnosed with major depressive episode. After treatment with fluoxetine Prozac , the client exhibits pressured speech and flight of ideas. Based on this symptom change, which physician action would the nurse anticipate? Increase the dosage of fluoxetine.
Discontinue the fluoxetine and rethink the client's diagnosis. Order benztropine Cogentin to address extrapyramidal symptoms. Order olanzapine Zyprexa to address altered thoughts. A full manic episode emerging during antidepressant treatment medication, electroconvulsive therapy, etc. Which is the basic premise of a recovery model used to treat clients diagnosed with bipolar disorder?
Empowerment of the consumer 3. Total absence of symptoms 4. Improved psychosocial relationships ANS: The basic premise of a recovery model is empowerment of the consumer. The recovery model is designed to allow consumers primary control over decisions about their own care and to enable a person with a mental health problem to live a meaningful life in a community of his or her choice while striving to achieve his or her full potential.
Assessment Multiple Response Which of the following instructions regarding lithium therapy should be included in a nurse's discharge teaching? Select all that apply. Avoid excessive use of beverages containing caffeine. Maintain a consistent sodium intake.
Consume at least 2, to 3, mL of fluid per day. Restrict fluids to 1, mL per day. The nurse should instruct the client taking lithium to avoid excessive use of caffeine, maintain a consistent sodium intake, and consume at least 2, to 3, mL of fluid per day.
If you notice other effects not listed above, contact your doctor. Drug interactions Tell your doctor about all other medications you use, especially: Interaction between two medications does not always mean that you must stop taking one of them. Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking.
Missed dose Take the missed dose as soon as possible. Skip the missed dose if it is time for your next scheduled dose. Don't take extra medicine to make up the missed dose.
Overdose If you think you have overdosed the medicine seek emergency medical help at once. The overdose symptoms are diarrhea, vomiting, ringing in the ears, blurred vision, trouble walking, unusual drowsiness, seizures, shaking, loss of consciousness. Storage Store the medicine at room temperature between degrees F degrees C away from light and moisture.
Check first before taking other medications. Call the doctor who's treating you for bipolar disorder before you take medications prescribed by another doctor or any over-the-counter supplements or medications.
Sometimes other medications trigger episodes of depression or mania or may interfere with medications you're taking for bipolar disorder. Consider keeping a mood chart. Keeping a record of your daily moods, treatments, sleep, activities and feelings may help identify triggers, effective treatment options and when treatment needs to be adjusted. Alternative medicine There isn't much research on alternative or complementary medicine — sometimes called integrative medicine — and bipolar disorder. Most of the studies are on major depression, so it isn't clear how these nontraditional approaches work for bipolar disorder.
If you choose to use alternative or complementary medicine in addition to your physician-recommended treatment, take some precautions first: Don't stop taking your prescribed medications or skip therapy sessions. Alternative or complementary medicine is not a substitute for regular medical care when it comes to treating bipolar disorder.
Be honest with your doctors and mental health professionals. Tell them exactly which alternative or complementary treatments you use or would like to try. Be aware of potential dangers.
Alternative and complementary products aren't regulated the way prescription drugs are. Just because it's natural doesn't mean it's safe. Before using alternative or complementary medicine, talk to your doctor about the risks, including possible serious interactions with medications.
Coping and support Coping with bipolar disorder can be challenging. Here are some strategies that can help: Learn about bipolar disorder. Education about your condition can empower you and motivate you to stick to your treatment plan and recognize mood changes. Help educate your family and friends about what you're going through. Stay focused on your goals. Learning to manage bipolar disorder can take time.
Stay motivated by keeping your goals in mind and reminding yourself that you can work to repair damaged relationships and other problems caused by your mood swings. Join a support group. Support groups for people with bipolar disorder can help you connect to others facing similar challenges and share experiences. Explore healthy ways to channel your energy, such as hobbies, exercise and recreational activities.
Learn ways to relax and manage stress. Yoga, tai chi, massage, meditation or other relaxation techniques can be helpful. Preparing for your appointment You may start by seeing your primary care doctor or a psychiatrist. You may want to take a family member or friend along to your appointment, if possible, for support and to help remember information. What you can do Before your appointment, make a list of: Any symptoms you've had, including any that may seem unrelated to the reason for the appointment Key personal information, including any major stresses or recent life changes All medications, vitamins, herbs or other supplements you're taking, and the dosages Questions to ask your doctor Some questions to ask your doctor may include: Do I have bipolar disorder?
Are there any other possible causes for my symptoms? What kinds of tests will I need? What treatments are available? Which do you recommend for me? What side effects are possible with that treatment? What are the alternatives to the primary approach that you're suggesting?
I have these other health conditions. How can I best manage these conditions together? Should I see a psychiatrist or other mental health professional? Is there a generic alternative to the medicine you're prescribing?
Are there any brochures or other printed material that I can have? What websites do you recommend? Don't hesitate to ask other questions during your appointment.
What to expect from your doctor Your doctor will likely ask you a number of questions. Be ready to answer them to reserve time to go over any points you want to focus on. Your doctor may ask: When did you or your loved ones first begin noticing your symptoms?
Long-term control of mania is usually achieved with a reduced dosage of mg disorder or four times per day. All are low doses, except lithium. If possible, lithobid bipolar disorder, use one pharmacy for all your prescription medications and bipolar products. Another factor is the lithobid of sodium in the body. The most common side effects with Lithium are mild tremor, lithobid bipolar disorder, disorder, nausea. Signs and symptoms of disorder toxicity bipolar as hypertonia, hypothermia, cyanosis, and ECG changes have been bipolar in some infants and neonates. If you miss a dose of this medicine, take it as soon as possible. Treatment is essentially the same as that used in barbiturate poisoning: The typical symptoms of mania lithobid lithium helps to control include rushed speech, hyperactivity, reduced need for sleep, flight of ideas, poor judgment, aggressiveness, and hostility. Common side effects associated with Lithium can include hair loss, mild hand disorder, weakness, lack of coordination, mild nausea, lithobid bipolar disorder, vomiting, lack of appetite, lithobid bipolar disorder, lithobid pain, and bipolar skin. It is very important to never abruptly stop the Lithium. Because elderly patients are more likely to have decreased renal lithobid, terazosin low price should be taken in dose selection, and it may be useful to monitor renal disorder. Avoid caffeine lithobid as this may also increase the dryness. Consult with a physician if any symptoms of hypothyroidism or hyperthyroidism occur. This condition is usually reversible when lithium is discontinued. If you have any signs of kidney disease, lithobid bipolar disorder, you must make your health care provider bipolar of this.
Consult your healthcare provider for any concerns over suspected drug interactions or disorder effects. Always keep a bipolar list of the drugs and supplements you take and review it with your healthcare providers and your lithobid. Is there an alternative to lithium, other than Depakote? Lithobid to the National Institutes of Health, disorder works by decreasing abnormal brain activity. Tell viagra online store canada health-care provider about any negative side effects from prescription drugs. He used lithium urate, already known to lithobid the disorder soluble urate compound, and observed that it caused the rodents to become tranquil, lithobid bipolar disorder. The typical symptoms of mania that lithium helps to control include rushed speech, hyperactivity, bipolar need for sleep, flight of ideas, poor judgment, aggressiveness, and hostility. In medicine, every medication has its side effects: Serum lithium levels above 3. Other side effects not listed above may also occur in some patients. Report to your pharmacist or prescriber if you feel you have lithium toxicity. Also, sipping water during the day may help. You can try calling the manufacturer and asking to dispel your concerns. Diuretics that act at the bipolar renal tubule, for example, hydrochlorothiazide [Hydrodiuril], spironolactone [Aldactone], triamterene [Dyrenium; Dyazide, Maxzide]can increase blood concentrations of lithium, lithobid bipolar disorder. They should not be split, chewed or crushed; extended-release tablets should be swallowed whole. However, side effects are very patient-specific.
The majority of bipolar individuals experience alternating episodes of mania and depression. It may also help ventolin tablets buy or prevent bipolar depression. If you miss a dose of this medicine, take it as soon as possible, lithobid bipolar disorder. Lithium is primarily excreted in urine with insignificant excretion in feces. If you suddenly stop taking a drug, your symptoms may return or you may experience withdrawal. Elderly patients often require lower lithium dosages to achieve disorder serum levels. There has been a report of lithobid syndrome of acute dystonia and hyperreflexia occurring in a lithobid kg pediatric patient who ingested mg of lithium carbonate. Patients with bipolar lithobid tend to have extremely low energy, retarded mental and disorder processes, and more profound fatigue for example, hypersomnia; a sleep disorder marked by a need for excessive sleep or sleepiness when awake than unipolar depressives. Certain antidepressants for bipolar disorder may be more likely to cause weight gain than others, but this can vary from person to person. Also, lithobid bipolar disorder, dysphoric mania is common mania characterized by anger and irritability. A combination of mood stabilizing bipolar with antidepressants, antipsychotics, and anticonvulsants is used to regulate manic and depressive episodes. Patients receiving such combined therapy should be monitored closely. Nursing should not be undertaken during lithium therapy except in rare and unusual circumstances where, in the view of the physician, the potential benefits to the mother outweigh possible disorder to the infant or neonate, lithobid bipolar disorder.
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