Mood disorder

It is a disturbance in mood or affect which can be Progesterone withdrawal

depression or elation.
- Frequently seen in females. Signs
Unipolar- -Anxiety
Bipolar- -Weeping
-Irritability
-Insomnia
Etiology -Decreased interest in any activity
-Manic stage= increase norepinephrine, serotonin
and dopamine 3. POSTPARTUM DEPRESSION
-Depressive stage= decrease norepinephrine, Appears in 3 to 6 months or a year
serotonin and dopamine
- Hormonal Changes Causes
- Circadian Rhythms ( naninibago like pag punta sa -Withdrawal of estrogen and progesterone
abroad iba ung time) -History of depression, anxiety or bipolar
- Depression as an anger that turned inward -Marital conflict
- Loss of person/object. -Lack of support, financial and emotional
-Unplanned pregnancy
Abandonment of the infant (oral needs) -Stress
-Unemployment
*always know the time of intake of infants

DEPRESSED 4. POSTPARTUM PSYCHOSIS

Anergia - is the lost of energy This is a severe and rarest postpartum disorder.
Signs Causes S/S
Worthless death -Insomnia
Guilt divorce -Hallucination
Helpless separation -Delusion
Neglect hygiene poverty -Bizarre feeling
Suicidal -Has the thought of killing the child
Insomnia
5. SEASONAL AFFECTIVE DISORDER (SAD)
DEPRESSIVE DISORDER: *it affect what they feel, it has to do with climate
1.DYSTHYMIA S/S
- A chronic depression and normal mood. The -Climate
person is overly sensitive, have intense guilty -Decrease activity
feelings, and have been experiencing chronic -Weight gain
anxiety. - Symptoms may persist for two years on -Increase appetite
and off. -Day time drowsiness
- The person is often unaware that they have an -Lack of energy
illness because their functioning is usually not
impaired. They go to work and managed their life 6. CYCLOTHYMIC DISORDER
but are frequently irritable and often A milder form of bipolar symptoms free, intervals
complaining of stress. are shorter than 2 months
• Symptoms: S/S
- poor appetite or overeating -temperamental
- insomnia -unreliable
- low energy or fatigue -unpredictable
- low self-esteem -inconsistent
- low concentration -moody
- problem solving difficulties
- hopelessness. NURSING CARE
*Safe environment (self harm)
2. POSTPARTUM BLUES/BABY BLUES *Suicidal prevention
A mood swings and decrease in daily activity. It *Communicate with the patient (encourage to
hinders interaction with the newborn verbalize of anger)
Starts 3 to 4 days *Build trust
Worst by 5 to 7 days *Provide simple activities
Goes away by 12 days *Encourage goal setting
*Meet physical needs sluggish
*Monitor I and O
(Nutrition/Elimination/Hygiene) MEDICATION
*Spend time with the client (trust) LITHIUM (antimanic/mood stabilizer)
*Teach client to use “thought-stopping technique” Lithane, Lithonate, Lithotab)-naninigas siya
or command STOP Normal level is SL 0.6 to 1.2
*Keep strict records of sleeping pattern Toxic effect 1.5 meq/l or increase
*Discourage sleeping in the morning (or after Death 2.5-5.0 meq/l
lunch) kasi baka di na makatulog sa gabi A Greek word that means “stone” was banned
*Photo therapy/ light therapy 2,500 lux previously but resumed in 1970’s.
Toxic effect
BIPOLAR DISORDER: Diarrhea
Types of Bipolar disorder Slurred speech
1. BIPOLAR MIXED Muscle twitching
-it is a manic and depressed alternately every after Coma TOXICITY MAY INCLUDE ORGANS
few days WHICH LEADS TO COMA.
2. BIPOLAR MANIC
A prolonged manic state for at least one week Effect of MEDICATIONS
S/S
-Flight of ideas (jumping of diff. ideas) Lithium do not use IM because of side effect
-Insomnia • Advice patient to take normal salt intake it
-Agitated/elated interferes with the blood result.
-Manipulative • If NA intake increases, plasma lithium level
-Demanding decreases and if NA intake is decrease, plasma
-Destructive lithium level increases.
-Combative • Avoid giving diuretics. (tea, coffee, cola) It
-Delusion of grandeur increases urine output and sodium output. May
3. BIPOLAR DEPRESSED provoke toxicity.
Depressed state at least 2 weeks duration • Avoid aminophylline causes decrease therapeutic
S/S effect of the Lithium because of increase urinary
Lost of motivation excretion.
Low self confidence • Avoid Iodine preparation causes hypothyroidism.
Hopelessness (Lugol’s sol. K iodine sol.)
Sadness • Avoid Haloperidol. (Causes neuron toxicity)
Helpless • Avoid giving to pregnant mother. (Teratogenic
Worthless effect) can cause cleft palte
Suicidal • Administer between meals. (Nausea, vomiting
4. BIPOLAR I and diarrhea) so that client will swallow it, 2000ml
A manic state with or without depression. water per day
S/S • Other side effects: Ataxia (involuntary
High mood movements), restlessness, tremors, jaundice,
Poor judgment abdominal pain, sweating, muscle weakness.
Impulsive
Sarcastic MANAGEMENT
Attention seeker *Diamox
Irritable *Gastric lavage is when you will insert nasogastric
Arrogant tube sa ilong na pupunta sa tiyan, get distilled
Insomnia water from autoclave and pump it to the stomach
Talkative para malinisan and stomach ng patient, aspirate
Manipulative water and check if it is clear and if it is clear, you
5. BIPOLAR II stop it. That’s why close watch the patient intake
A disorder with history of depression and especially the sodium intake because it can alter
hypomania. the result of serum lithium
S/S Note: before starting patient, take baseline
Loss of ambition laboratory and monitor patient
Decrease libido Low sodium intake-result will be high
Decrease self esteem *IVF (fast drip) pero bawal sa may sakit sa puso
Helpless *Hemodialysis
Crying
Worthless
Oculogyric- movement of the eyeballs into a fixed
position, usually upwards