PIPRAMS

LESSON PLAN ON
TOPIC: Anti-manic
SUBJECT: Mental health nursing
Submitted to:MS. Garima Submitted by:Sakshi (Asistant professor)
Bsc nursing 3rd year

Submitted on: 6 . Jan. 2023

 IDENTIFICATION DATA:
 NAME OF THE STUDENT TEACHER: Sakshi
 NAME OF THE SUBJECT: Mental health nursing
 NAME OF THE TOPIC: anti - manic
 GROUP OF THE STUDENTS: 1
 SIZE OF THE GROUP: 45
 DATE AND TIME OF PRESENTATION: 6. Jan. 2023
 VENUE/PLACE OF PRESENTATION: classroom
 DURATION OF TEACHING:45 minutes
 AV AIDS: blackboard, chart , flashcards, phamphlet
 PREVIOUS KNOWLEDGE ABOUT THE TOPIC: Yes
 GENERAL OBJECTIVES: At the end of the seminar the student will gain knowledge regarding
“ Anti- manic “ drugs , to improve the knowledge.

 SPECIFIC OBJECTIVES: At the end of the seminar the group will be able to :

 To introduce the anti manic drugs.

 To explain the mode of action of antimanic drugs
 To enumerate the indications of antimanic
 To listdown the side effects of antimanic
 To Enlist the contraindications of antimanic
 To explain the nursing roles
 To describe the treatment of mania
 To define carbamazepin
 To define valproate
S TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
N OBJECTIVE ACTIVITY/
O AV AIDs
To introduce Introduction:
1. 3 min the anti manic  Anti – manic drugs, any drug that
drugs stabilizers moods by controlling
symptoms of mania , the abnormal Lecture method/ What is the
pyschological state of excitement. Blackboard introduction of
 Mania is a severe form of emotional anti-manic
disturbance in which a person is drugs?
progressively and inappropriately
euphoric and simultaneously
hyperactive in speech and locomotor
behaviour.
 In Some persons , periods of depression
and mania alternate , giving rise to
bipolar disorder.
S TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
N OBJECTIVE ACTIVITY/
O AV AIDs
2. 3 min To explain mode Mode of action :
of action of anti  Anti manic agent produce many
manic neurological changes in the brain. Lecture method/
 These changes many affect blackboard What are the
norepinephrine and serotonin in the mode of action
part of CNS involved in emotions. of antimanic
 It may decrease the nerve impulses drugs?
resulting in depression or mania.
S TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
N OBJECTIVE ACTIVITY/
O AV AIDs
3. 2min. To enumerate INDICATIONS:
the indication of I. Treatment of acute mania
anti manic II. Prophylaxis of bipolar disorder What are the
III. Treatment of shizoaffected disorder Lecture method/ indications of
IV. Prophylaxis of unipolar mood disorder Chart antimanic
V. Treatment of cyclothymia. drugs?
VI. Treatment of acute depression.
VII. Treatment of chronic alcoholism.
S TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
N OBJECTIVE ACTIVITY/
O AV AIDs
4. 2min. To listdown the SIDE EFFECTS:
side effect of  Drowsiness What are the
antimanic  Dizziness Lecture cum side effects of
 Headache disscussion/flashcard antimanic
 Dry mouth s drugs?
 Thirsty
 Nausea and vomiting
 Fine hand tremors
 Hypotension
 Pulse irregularities
 Arrythmias
 Polyuria
  Dehydration
 Weight gain
 Thyroid enlargement.

To Enlist the CONTRAINDICATION :

5. 3min. contraindication  Hypersensitivity to drugs
s of anti- manic  Renal impairment Lecture cum
 Cardiovascular problems disscussion/ What are the
 Pregnancy blackboard contraindication
 And lactation s of anti manic
 Severe dehydration drugs?
 Sodium depletion or receiving
diuretics
 Brain damage

S TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION

N OBJECTIVE ACTIVITY/
O AV AIDs
6. 4min. To explain the
nurse’s NURSING ROLES:
responsibilities  Give medicine during or after meal Lecture method
to decrease gastric irritation.
 Make observe of the side effect. What are the
 Instruct patient to drink 10-12 nursing roles of
glasses of water everyday. antimanic drug?
 Make intake and output chart to
 note the kidney functioning.
 Monitor vital signs in regular
basis .
 Weekly weight record.
 Emphasize importance of
maintaining adequate intake of
sodium.

S TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION

N OBJECTIVE ACTIVITY/
O AV AIDs
7. 2 To describe the COMMONLY USED DRUGS FOR TREATMENT
min. treatment of OF MANIA : What are the
mania  Carbamazepine ( tegretol ) Lecture method/ treatment of
 Lithium carbonate ( eskalith, lithane, Blackboard mania?
lithobid )
 Lithium citrate ( cibalith )
 Sodium valporate
  Valporate chorono

8. To define 1. CARBAMAZEPINE
1 carbamazepin Mechanism of action:
min. Carbamazepine is a medication that affects
nerves and brain and works by a decreasing
impulses in nerves that cause seizures and plan What is
. It appears to decrease polysynaptic Lecture method / Carbamazepine?
responses and block post tetanic potentiation .
Indications:
9. o Bipolar disorder
o Seizures
1 o Nerve pain
min. o Diabetic neuropathy
o Neurogenic pain Pamphlet
o Pyschotic behavior with dementia
10.
Contraindications:
1.Hypersensitivity to carbamazepine
2. Kidney ,liver,heart disease
11. 1
Serious Side effects
min. 1. An allergic reaction such as difficulty in
breathing, closing your throat , swelling
of your lips, tongue or face or hives .
3min. 2. Chest pain, high blood pressure, or
congestive heart failure
3. Numbness or tingling in the hand , feet ,
 arms or legs
4. Body or muscular jerks
5. Confusion, slurred speech
6. Hallucination or depression
Route: oral route
12.  NURSE’s RESPONIBILITIES
 Since the drug may cause dizziness and
drowsiness advise him to avoid driving
and other activities requiring alertness.
3min.  Advice patient not to consume alcohol
when he is on the drug Blackboard
 Emphasize the importance of regular
follow up visits and periodic examination
of blood count and monitoring of cardiac
,renal, hepatic and bone marrow
functions
S TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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13. 2min. To define 2. VALPROATE Lecture method
. valproate  Valproic acid (depakene), sodium What is
valporate (depacon) and valproate?
divalpreoex sodium have been
used as antiepileotic agents , and
these drugs were approved for
treatment of mania and are
considered first line agents.
14. Mechanism of action:
2min. Valproate increase levels
 of gamma amino butyric What are the
acid (Gaba)in the brain , mechanism of
which decrease seizure action of
activity. valproate?
15. Uses:
2 a. Manic episodes associated
min. with bipolar disorder
b. Prophylaxis of migraine What are the
c. Adjunct for schizophrenia uses of
d. Tardive dyskinesia valproate?
e. Organic brain syndrome ,
mania..
Doses: 15 mg/ kg day
16 Contraindications: Lecture cum What are the
 Hypersensitivity to drug disscussion doses of
1  Liver disease valproate?
min.  Pregnancy What are the
 Renal disease contraindication
Side effects: s of valproate?
17.  CNS: sedation,drowsiness,
 ,depression,coma. What are the
 GI: nausea vomiting , side effects of
2 anorexia,dyspepsia,cramps valoroate?
min.
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18. 3min.
Nursing consideration: Lecture method
o Assess seizure disorder: location ,
duration. What are the
o Migraine: frequency , intensity, nursing
alleviating factors considerations
o Blood studies: RBC , serum folate, of valproate?
serum ammonia,PT
o Blood levels: therapeutic level 50
– 100 mcg/ ml
o Respiratory dysfunction:
respiratory depression , character,
rate, rhythm.

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19. 3 To summarize SUMMARY: Lecture method
min. the Topic  Anti- manic drugs or mood
stabilizers are medications used
supress swings between mania
and depression.
 They are effective in treatment
mania and mood cycling , but are
not effective in treating
depression
 Anti manic agents help to calm
episodes of mania in people with
bipolar , and they may be used in
other conditions where people
periodically display periods of
great excitement or euphoria,
delusions, or over activity.
20. CONCLUSION:
2 o During the last decade,significant
min. progress in the knowledge of bipolar
disorder has been achieved, mainly
derived from the better understanding
of the molecular targets of mood
stabilizing drugs .
21. BIBLIOGRAPHY:
 Sreevani R “ A textbook of
1min. Pyschiatric nursing “ 4th edition
published by Jaypee brothers page no.
130 – 133.
 https//www.slideshare.net/
LUSU7/
Antimanic - agents