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Nursing Intervention Nursing

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1. Definition: o Periods of depression and mood changes in which in which a person experiences extreme highs and lows in their activity and energy levels. Defined as rapid cycling, in which a person has at least three or more episodes a year. 2. Possible Cause/Risk Factors: o The exact cause is not known but there are a variety of risk factors that could trigger disorder o Risk Factors:  Genetic and/or environmental factors  Death or a loss  Divorce  Life changing event  Serious illnesses  Substance abuse  Physical abuse in the past or present 3. S/S: o Physical  Trouble breathing  Physical agitation  Insomnia  Suicide thoughts or attempts  Restlessness  Unable to concentrate o Behavioral  Obsessive worries  Racing thoughts  Sadness or feeling of hopelessness  …show more content…

Goal of Treatment: o To enable client to improve quality of life, to reduce symptoms, and manage cycling of mania and depression. o To monitor client’s progress through treatment, adding or maintaining medications and/or therapeutic interventions. 6. Nursing Interventions: o Examination and assessment to determine past medical/family history of client o Question client on symptoms, such as intense anxiety, mania, psychosis, or rapid cycling in order to have correct diagnosis o Ask questions relating to mania symptoms, usually three or more cycles to determine disorder o Determine if client is depressed all the time, helps to distinguish the difference between bipolar depression and depression o Assess client to determine which route of treatment is best suited for client and his/her symptoms o Medication:  Mood stabilizers  Lithium  Monitor for side effects such as dizziness, nausea, muscle weakness and tiredness.  Let client know that after use of medication, side effects should decrease.  Do not take if pregnant or breastfeeding, toxic to fetus and/or causes birth defects  Monitor clients who have kidney or heart problems, can cause heart

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