Lecture on Bipolar Disorder

Introduction

• Professor D hosts a lecture on bipolar disorder via YouTube, focusing on manic and depressive phases, as well as medications.

Promotion

• Encourages subscriptions across all social media platforms under the handle Nexus Nursing.
• Advertises NCLEX review sessions, audio lessons, and private tutoring available on nexusnursinginstitute.com.

Bipolar Disorder Overview

• Manic Phase:
  • Exhibits grandiosity and inflated self-esteem.
  • High risk of overstimulation and irritability.
  • Nursing priority: Establish a calm, structured environment.
• Depressive Phase:
  • Feelings of worthlessness and hopelessness.
  • Depression is described as anger, resentment, and hostility turned inwards.
  • Signs of recovery include the expression of anger outwardly as a sign of self-worth.

Key Nursing Interventions

• Monitor for suicidal ideation when transitioning from a manic to a depressive phase.
• Directly ask about suicidal thoughts and plans to assess lethality.

Medications

• Lithium:
  • Treats bipolar disorder.
  • Side effects include excessive thirst and urination (polydipsia, polyuria).
  • Normal levels: 0.6 - 1.2 mEq/L. Toxicity occurs above 1.4 mEq/L.
  • Must monitor sodium levels as hypo- or hypernatremia can affect lithium levels.
• Carbamazepine: (Tegretol)
  • Monitor liver function closely.
  • Common side effects include drowsiness and dizziness.
  • Adverse effects can include aplastic anemia, CHF, and ataxia.

Communication Techniques

• For manic episodes, use simple direct statements.
• Avoid open-ended questions and humor.
• For drug compliance, encourage patients to express concerns.

Important Points

• Safety is a priority in nursing.
• Always check for lethality in suicidal ideation.
• Monitor lab values associated with medications (e.g., liver function with carbamazepine).

Conclusion

• Ended with personal note regarding time with family, indicating the importance of balancing work and family life.