Professional Documents
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Disorder
Jessica Stoefen, MN, RN, CCRN
Bipolar Disorder
• Lifetime rate in US is 4.4%
• 2 poles
• Depression
• Bipolar I Disorder
• Bipolar II Disorder
• Cyclothymia
• Rapid Cycling
• poor attention span and poor “I don’t know what I’m going
executive functioning to do about Tony. Well
there’s the neighbor’s dog
• Flight of Ideas
barking again. Did you
• continuous flow of accelerated realize there are three weeks
speech left until June? Man it’s hot in
• jumps from topic to topic here. There’s a sale down at
the mall I just can’t miss.”
• usually does not make sense
Bipolar Disorder Symptoms
Disorganized Speech
“that boat
• typically incoherent and pressured
hope floats”
• content sexually explicit
• Neurobiological Factors
Assessment
Determine if patient dangerous to self or others
Presence of physical exhaustion
Poor impulse control
Uncontrolled spending of money
Implementation
safe milieu
• Seclusion and restraints may be
used if patient becomes
nutrition
dangerously out of control and
other least restrictive
hydration measures failed
• Purposes: reduces
sleep overwhelming stimuli,
protects patient and others
hygiene from injury, prevents
destruction of property
elimination
Drug Therapy for Bipolar Disorder
>2.5 mEq/L
• Symptoms may progress rapidly; coma, cardiac
dysrhythmia, peripheral circulatory collapse,
proteiniuria, oliguria, and death.