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% Document Info
\author{taylorballew11}
\pdfinfo{
  /Title (bipolar-disorder.pdf)
  /Creator (Cheatography)
  /Author (taylorballew11)
  /Subject (Bipolar Disorder Cheat Sheet)
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\noindent
\begin{multicols}{3}
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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Bipolar Disorder Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{taylorballew11} via \textcolor{DarkBackground}{\uline{cheatography.com/66419/cs/16577/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}taylorballew11 \\
  \uline{cheatography.com/taylorballew11} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 6th August, 2018.\\
   Updated 6th August, 2018.\\
   Page {\thepage} of \pageref{LastPage}.
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Bipolar Disorder I Criteria}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{1 or more manic/ mixed episode} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Elevated, expansive, or irritable mood, and increased goal-directed activity or energy lasting ≥1 week (any duration if hospitalized), present most of the day, nearly every day} \tn 
% Row Count 5 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Bipolar II Criteria}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Never had a full manic episode} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{At least 1 hypomanic episode and at least 1 major depressive episode} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Distinct period of abnormally and persistently elevated, expansive, or irritable mood, and increased goal-directed activity or energy lasting ≥4 but \textless{}7 days, and clearly different from usual nondepressed mood, present most of the day, nearly every day} \tn 
% Row Count 9 (+ 6)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Not severe enough to cause marked impairment, not due to substance or medical condition, and no psychosis} \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.38896 cm} x{2.58804 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Bipolar I and II- 3 or more of the following}}  \tn
% Row 0
\SetRowColor{LightBackground}
Grandiosity & Less sleep \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Pressured speech & Racing thoughts \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Distractibility & Increase activity \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Excessive pleasure taking/ risky activities} \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{4 required if irritable mood only}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Mania sx- GIDDINESS}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Grandiose} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Increased activity} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Decreased judgment and sleep} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Delusional} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Irritable} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Non- attentive} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Elevated mood and euphoria} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Speedy speech} \tn 
% Row Count 8 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Speedy thoughts} \tn 
% Row Count 9 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.78712 cm} x{2.18988 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Demographics}}  \tn
% Row 0
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0.7\% population at risk & 2.3 million adults \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Age of onset in 20s normally & = in males and females \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Treatment Guidelines}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Treat to remission regardless of the number of medications} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Mood stabilizer or mood stabilizer + SGA} \tn 
% Row Count 3 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Discontinue antidepressants} \tn 
% Row Count 4 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Relapse risk is highest in first few months after treatment initiation} \tn 
% Row Count 6 (+ 2)
% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Lithium gold standard- but less effective in rapid cycling and mixed episodes} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Meds}}  \tn
% Row 0
\SetRowColor{LightBackground}
Lithium & Depakote \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Lamictal & Tegretol \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{SGAs (acute mania or psychosis)} \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Lithium}}  \tn
% Row 0
\SetRowColor{LightBackground}
Normal level 0.5- 1.2 in acute phase & Normal level 0.6- 1.0 in maintenance phase \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Dose 1,200- 2,400mg in acute phase; 900- 1,200mg in maintenance phase & SEs: weight gain, fine hand tremors, nausea, increased urination, thirst \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Interactions: ACEs. ARBs, diuretics, NSAIDs, Topamax & Increase water intake \tn 
% Row Count 10 (+ 3)
% Row 3
\SetRowColor{white}
Antisuicidal properties & Toxicity: confusion, slurred speech, coarse hand tremors, severe GI effects \tn 
% Row Count 14 (+ 4)
% Row 4
\SetRowColor{LightBackground}
Avoid in pregnancy (especially 1st trimester) & Monitor KIDNEYS \tn 
% Row Count 17 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Depakote}}  \tn
% Row 0
\SetRowColor{LightBackground}
Normal level 50-125 & Dosage 15- 50 mg/kg/ day \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
SEs: nausea diarrhea, abd cramps, sedation tremor, alopecia, liver issues & Rare: Stevens Johnson \tn 
% Row Count 6 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Avoid in pregnancy & Interactions: Topamax (increased ammonium), tegretol (decreases levels of both drugs) \tn 
% Row Count 11 (+ 5)
% Row 3
\SetRowColor{white}
Increases levels of lamictal and SGAs & Monitor LIVER \tn 
% Row Count 13 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Tegretol}}  \tn
% Row 0
\SetRowColor{LightBackground}
Normal level 6- 12 & Dose 10- 20 mg/kg/ day \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
SEs: nausea, dizziness, sedation, headaches, dry mouth, constipation, skin rash, liver issues & Rare: agranulocytosis/ aplastic anemia, Stevens- Johnson (In asians especially due to HLA-B 1502 allele) \tn 
% Row Count 8 (+ 6)
% Row 2
\SetRowColor{LightBackground}
Avoid in pregnancy & Monitor LIVER \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Lamictal}}  \tn
% Row 0
\SetRowColor{LightBackground}
No level & Dosage 25- 600mg/ day \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
SEs: dizziness, ataxia, somnolence, diplopia, nausea, headache liver issues & Rares: Stevens- Johnson \tn 
% Row Count 6 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Maintenance only & Helps in depressive phases \tn 
% Row Count 8 (+ 2)
% Row 3
\SetRowColor{white}
Titrate super slow- 25mg q day x 2 weeks, then 50mg q day x 2 weeks etc & When added to depakote, lamictal level doubles \tn 
% Row Count 12 (+ 4)
% Row 4
\SetRowColor{LightBackground}
When added to tegretol, it is metabolized quicker & Often added to Lithium, SGAs or antidepressants \tn 
% Row Count 15 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}