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Concept Map Worksheet: Describe disease affecting the Patient (pathophysiology): Bipolar disorder is characterized bythe dysregulation of the dopamine and serotonin systems, and by the systems in the brain that regulateemotion. Any psychosocial stressors can significantly influence the person and how it will affect thedisorder. In Bipolar I disorder, they specifically have to have at least one manic/mixed episode in theirlifetime, and last up to a week and require hospitalization. Diagnostic test: -Physical exam-Psychiatric assessment- Mood chartingPatient Info: -Sharon Cole-31 years old-Female-Surgical repair of right ankle fracture-Diagnosed with Bipolar I disorder-NKAAnticipated Physical findings: -Manic episodes-Major depressive episodesAnticipated Nursing Interventions: -Minimize environmental stimuli-Medication administration as prescribed by PCP-Strict limitations with patient to provide consistency. -Supplementation of diet as needed. -Assessment of mental status and behaviors-Physical assessment
-Suicide precautions as needed-
vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hi this is Taylor Weldon, student RN with Concordia, I’m on the inpatient orthopedic unitYour name, position (RN), unit you are workingon SITUATION I’m here with Sharon Cole, 31 years old, and just had surgical repair for right ankle fracture. Patient’s name, age, specific reason for visit BACKGROUND Diagnosed with bipolar I disorder, admitted 7/9/2020, a mental assessment was ordered to determine if patient needs to be moved to inpatient psychiatric unit. Patient’s primary diagnosis, date of admission,current orders for patient ASSESSMENT Patient states she has zero pain from surgery. She is very agitated and feels she needs to get out of the hospital immediately. Patient HR is 104, RR: 24, BP: 155/90. Current pertinent assessment data using head to toe approach, pertinent diagnostics, vital signs RECOMMENDATION I recommend that the patient be moved to the inpatient psychiatric unit. Any orders or recommendations you may havefor this patient Medication: Lithium CarbonateClassification: Mood stabilizer
Prototype: Safe dose or dose range, safe route: Extended release tablets: 450-900 mg twice daily or 300-600 mg 3 times daily initially; Maintenance dose: 450 mg twice daily or 300 mg 3 times daily.