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08/27/2020 Mania - Coggle Diagram
08/27/2020 Mania
Medication
Antipsychotics, 1st generation
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Antipsychotics, 2nd generation
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Important Assessments
A complete blood count with differential is used to rule out anemia as a cause of depression in bipolar disorder.
Client with mania experience psychomotor agitation and seem to be in perpetual motion; sitting still is difficult; this continual movement has many ramifications; clients can be exhausted or injure themselves.
The total value of performing MRI in a patient with bipolar disorder remains unclear; however a couple of reasons do exist for performing an imaging study.
Taking a history with a client in a manic phase often proves difficult; obtaining data in several short sessions, as well as talking to family members, may be necessary.
Patient Education
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Patients may also benefit from psychotherapy or group therapy. Therapy can help patients recognize the onset of a manic episode so they can seek help.
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Nursing Interventions
Decreasing environmental stimulation may assist client to relax; the nurse must provide a quiet environment without noise, television, and other distractions; finger foods or things client can eat while moving around are the best options to improve nutrition.
Clients with mania have short attention spans, so the nurse uses simple, clear sentences when communicating; they may not be able to handle a lot of information at once, so the nurse breaks information into many small segments.
Periodic serum lithium levels are used to monitor the client’s safety and to ensure that the dose given has increased the serum lithium level to a treatment level or reduced it to a maintenance level.
Behavioral Interventions
The nurse can direct their need for movement into socially acceptable, large motor activities such as arranging chairs for a community meeting or walking.
A primary nursing responsibility is to provide a safe environment for client and others; for clients who feel out of control, the nurse must establish external controls emphatically and nonjudgementally.
Pathophysiology
It’s a mood disturbance that makes you abnormally energized, both physically and mentally.