Nursing care Plans for Bipolar disorder. Bipolar disorder these disorders are characterized by mood swings from profound depression to extreme euphoria (manic), with intervening periods of normalcy. Some patients suffer from acute attacks of mania only.
Bipolar I Disorder
Bipolar I disorder is the diagnosis given to an individual who is experiencing, or has experienced, a full syndrome of manic or mixed symptoms. The client may also have experienced episodes of depression.
Bipolar II Disorder
Bipolar II disorder is characterized by recurrent bouts of major depression with the episodic occurrence of hypomania. This individual has never experienced a full syndrome of manic or mixed symptoms.
A variant of bipolar disorder, numerous episodes of hypomania and depressive symptoms are too mild to meet the criteria for major depression or bipolar illness. The essential feature is a chronic mood disturbance of at least 2 years’ duration, involving numerous periods of depression and hypomania
Treatment for Bipolar disorder
Lithium proves highly effective in relieving and preventing manic episodes. But has a narrow therapeutic range, so treatment must be initiated cautiously and the dosage adjusted slowly. The drug curbs the accelerated thought processes and hyperactive behavior without the sedating effect of antipsychotic drugs. In addition, it may prevent the recurrence of depressive episodes; however, it’s ineffective in treating acute depression.
Valproic acid is an alternative to lithium. Antidepressants occasionally are used to treat depressive symptoms. However, these drugs may trigger a manic episode.
Nursing diagnosis nursing care Plans for Bipolar disorder
Common nursing diagnosis found in Nursing care Plans for Bipolar disorder:
- Risk for suicide
- Chronic low self-esteem
- Disturbed personal identity
- Disturbed thought processes
- Impaired social interaction
- Ineffective coping
- Ineffective health maintenance
- Ineffective role performance
Nursing interventions nursing care Plans for Bipolar disorder
Nursing interventions for Bipolar disorder With nursing diagnosis Risk for suicide
|Risk for suicide||
Client will not harm self.
Patient teaching nursing care Plans for Bipolar disorder
- Drugs may cause adverse reactions If the patient is taking lithium, teach him and his family to discontinue the drug and notify the physician if signs of toxicity occur, including diarrhea, abdominal cramps, vomiting, unsteadiness, drowsiness, muscle weakness, polyuria, and tremors.
- Lithium may impair mental and physical function; caution against driving or operating dangerous equipment while taking the drug.
- Teach the patient the importance of continuing his medication regimen even when he doesn’t feel a need for it.
- Advise the patient to discontinue medications only with the physician’s approval because abrupt withdrawal could cause severe symptoms.
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