Guide Mosbys 2013 Nursing Drug Reference (26th Edition)

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Goal dysregulation is a feature of Bipolar Disorder can be found outside of individual episodes of mania. Past research of this attribute has been focused primarily on the pleasure the patient with Bipolar Disorder experiences after goal attainment, but recent studies have also found that patients experience a greater sense of frustration when goals are not met Johnson et al. The quantification of these attributes has led researchers to conclude that patients with Bipolar Disorder show an increased ambition, and goal emphasis in contrast to the population at large.

Further the increased reward sensitivity can create hyper-reactivity to success, which may precipitate a period of mania.


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The hyper-reactivity also provides rationale for the irritable symptoms of mania, when the patient perceives failure in accomplishing a goal. In conclusion goal dysregulation can cause a manic state created by goal attainment Johnson et al. Schedule Disruption.

Beyond the issue of sleep deprivation patients may be effected with a diverse set of zeitgebers [2] that interfere with neurological rhythms. In summary there are many precipitating events that can lead into either a depressive or manic state. Some of these predictors may be managed pharmacologically and other may be mitigated with psychosocial intervention. Recognition of specific triggers may propel the patient towards a higher satisfaction and treatment and an approved level of functioning Johnson et al.

The standard pharmacologic intervention in the United States is the use of a mood stabilizing agent for the management of bipolar disorder. These medications include lithium which may balance neurotransmitters has been used as a mood stabilizer for over 30 years. Other mood stabilizing agents include anticonvulsants such as divalproex and Lamotrigine, and atypical antipsychotics including olanzapine and risperidone.

15 references gulanick m myers j l 2013 nursing care

Treatment guidelines suggests that either lithium, valproate, or an antipsychotic medication be administered for acute symptoms Johnson et al. The use of antidepressants, or benzodiazepines are counter indicated since they both have been shown to be only as effective as a placebo when taken with a mood stabilizing agent, and antidepressants may trigger manic episodes in the patient who is not taking a mood stabilizing agent Halter, Adams, M.

Drugs for emotional and mood disorders. Conner Ed.

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Halter, M. Bipolar and related disorders. Louis, MO: Elsevier-Saunders. Louis, MO: Elsevier-Mosby. Johnson, S. Bipolar disorder. Oltmanns Eds. Skidmore-Roth, L. Venes, D. Venes Ed.


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    You are commenting using your Facebook account. Notify me of new comments via email. Notify me of new posts via email. Search for:. Early onset bipolar disorder that starts in childhood or adolescents, is more severe that the forms that develop several years later in early adulthood or late adolescents Halter, Bipolar disorders are based on the presentation, and severity of manic episodes. Share this: Twitter Facebook. Like this: Like Loading Leave a Reply Cancel reply Enter your comment here Fill in your details below or click an icon to log in:. Email required Address never made public.

    Name required. By continuing to use this website, you agree to their use. To find out more, including how to control cookies, see here: Cookie Policy. Alphabetical listing of drug monographs by generic drug name.

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    Emphasis on safety and safe drug administration. Safety Alert icons call out the most critical interactions and side-effects that nurses must watch for. IV drug information , including special considerations and Y-site, syringe, and additive compatibilities. Common and life-threatening side effects are organized by body system for easy identification. We are always looking for ways to improve customer experience on Elsevier.

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