Bipolar case study

Susan, a married 28-year-old woman, was diagnosed with an acute manic episode upon admission. Police were summoned to her apartment for a domestic incident before she was admitted. Susan started to undress in the front yard while she was playing in the street. She was out of control and would not take her medication, so her husband asked the cops to take her to the hospital. He said that Susan, who has a history of bipolar disorder, had not slept for four days and had eaten very little. Susan is a hypersexual, conceited, highly agitated person upon admission, and she disputes the need for hospitalization.

1, Right now, the HCP is issuing commands. Which types of drugs would you expect the HCP to provide on a regular basis to treat bipolar disorder? Bipolar case study.


  1. Why are the aforementioned drugs prescribed?

Antipsychotics are particularly useful in the treatment of bipolar disorders that are accompanied by episodes of psychosis during periods of extreme sadness or

  1. What more drugs would you require as PRNs in order to properly treat Susan’s symptoms?

Answer. Anxiety-reducing drugs: Benzodiazepines are typically used temporarily, though they may reduce anxiety and enhance sleep. Bipolar case study.

  1.  List three mood stabilizers that are used to treat bipolar disorder.
  1. Given Susan’s age and marital status, the following should be taken into consideration before beginning a mood stabilizer:
  1. The HCP directs the PO bid of 300 mg of lithium and the drawing of a lithium level four days before the morning dose. Describe the rationale behind the lithium level monitoring.

Answer. Lithium levels in the blood are measured to establish the therapeutic level when beginning lithium treatment, to track levels to make sure they stay within the therapeutic range, and occasionally to assess lithium toxicity. Weight gain can be avoided with regular exercise and a low-fat, low-sugar, high-fiber diet that includes fruits, vegetables, and bran.

7, Susan complained of mild nausea, increased thirst, and frequent urination two days after starting the lithium. She also had these symptoms before taking her morning dose of lithium. Susan is also suffering weariness and tiny tremors, according to additional evaluation. In what way would you address Susan’s complaints? Why?

IV fluids: they replenish your electrolyte levels; hemodialysis: these eliminate waste from your body; medication: these include anticonvulsant drugs. When experiencing seizures

  1. List the two nursing interventions that will be used to treat Susan’s symptoms.
  1. After four days The next dose is due to be given to Susan on schedule; her lithium level is 0.4. Right now, what step would you take? Bipolar case study.

Answer. There is a relatively small window of time in which lithium is safe and effective. A lithium concentration of 1.2 mEq/L can be problematic. levels ought to range between 0.6 to 1.2 mEq/L, but not above that amount. If the medication’s levels are too low, it might not improve your condition. Lithium levels in the blood can be impacted by both salt and liquids, therefore it’s critical to eat the same quantity each day. Consuming more salt can lower your lithium levels while consuming less salt can raise them. For this patent, reducing and restricting

  1. After her medication was reduced, Susan’s lithium level dropped to 0.8 two weeks later, and she was allowed to return home. Which pharmaceutical instruction on safe lithium administration would need to be included in her discharge instructions?