Bipolar

Medications that can be given for bipolar patients: Anticonvulsant drugs such as valproate can help prevent future manic episodes. Lurasidone (Latuda) and quetiapine (Seroquel) are also FDA approved drugs to help treat bipolar disease.

No medications taken at home recently. The last remembered medication was taken 3 years prior. The patient stated that he did not remember the exact medication that was taken at the time but stated that it was an antidepressant.

No medications taken or given at the hospital. No medications were indicated to be given by the orders or the mar.

Nursing Diagnosis: Sleep Deprivation

Goal/Outcome: The patient is able to sleep for 4-6 hours during the hospital visit and reports feeling well rested upon waking up.

Maintain a low level of stimuli such as lowering bright lights.Keep the volume of the room TV to a minimum.Encourage frequent chances for rest.Provide soothing music.Avoid caffeine.

Goal Partially Met: Patient was able to sleep for 4 and a half hours, but the patient stated that he did not feel well rested and that he never needed the sleep in the first place.

Nursing Diagnosis: Self-Care Deficit

Goal/Outcome: The patient will complete 2 full meals (dinner and breakfast), shower, and have clean clothing by the end of the hospital stay.

Give reminders to shower.Provide soap, shampoo and other toiletries for shower.Call or offer for him to call a friend to bring a change of clothing. Encourage the patient to eat their food.Give frequent reminders to eat their dinner and breakfast. Monitor intake and output. Monitor for dehydration. Offer high protein snacks such as sandwiches or fruits.

Goal Partially Met: Patient ate at both dinner and breakfast time, but did not complete all of the food at dinner. The patient stated that he wasn't very hungry and that he did not need to finish because he didn't need food to feel good. In the morning the patient did eat all of his food before he was discharged.

Age: 25DOB:3/27/1997Reason for visit: Brought to the ED by the police department due to erratic behavior. Has had past suicidal ideation with self harm.

What am I?Bipolar disease, or bipolar 2 disorder is a condition in which a patient experiences at least one hypomanic episode (low-level and less dramatic mania) and at least one major depressive episode.

What causes me?Certain drugs such as cocaine and genetics. Norepinephrine, dopamine, and serotonin all play a role in bipolar disorder. An overabundance will bring mania and too few will bring depression.

Signs and Symptoms? Fast speech, poor hygiene, clothing unclean, illogical thinking and behavioral patterns, insomnia, inflated self-esteem, grandiosity, flight of ideas, distractibility, excessive involvement in activities that have a high potential for painful consequences, mood disturbance, altered thought processes, minimal calorie intake due to poor appetite, loud and crass speech, and dysfunctional interaction with others.

Complete Blood Count Thyroid Stimulating Hormone Thyroxine-binding globulin Complete Metabolic Panel Urinalysis Urine Drug Screening

Pollard, C. L., Jakubec, S. L., & Halter, M. J. (2018). Bipolar and Related Disorders . In Varcarolis's Canadian Psychiatric Mental Health Nursing: A clinical approach (8th ed., pp. 222–241). essay, Saunders Canada.