Bipolar Disorder

• Bipolar Disorder

  Increased Dopamine, Serotonin, and Dopamine
• Mania

  Manifestations last for more than 1 week
• Hypomania – manifestations last for only 4days
• Bipolar 1

  Manic Episodes with or without depression
• Manic

  Mask of depression in Bipolar Disorder
• Bipolar 2

  Major depression with hypomanic episodes
• Cyclothymia- alternating periods of depressed mood and hypomania for 2 years
• Dysthymia- persistent mild depression for 2 years
• Antimanic

  choice of drug : Lithium Carbonate ( Valproic Acid)
• Antimanic Drugs

  Carbolith

  Eskalitith

  Lithotab

  Lithobid

  Lithane
• Hyponatremia= Increase serum lithium
• Hypernatremia= Drecrease serum Lithium
• Lithium

  Monitor for BUN and Sodium electrolyte
• Lithium

  Therapeutic Level: 0.6 to 1.2 meq/ L but can extent up to 1.5 meq/L
• Anticonvulsants

  ADHD is the Bipolar Disorder in children
• As a nurse what do you expect to give in a child with autism ?

  ans: Haldol/ Haloperidol ( due to 4A’s in schizo)