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Asked by samantha77

HPI: WG, a 31-year-old female, has been admitted to your inpatient unit from the ED where she presented unwillingly and accompanied by her husband. She is unable to provide a history right now, but her husband is able to give you the following information: He reports over the past 2 weeks the patient has been uncharacteristically energetic, starting tasks and not finishing them, exhibits hypersexuality, is highly distractible with a speech that is “nonsensical”. Her speech has also been rapid and pressured. She only sleeps every second or third night and has abdicated all attempts at self-care such as hygiene or grooming.

The ED diagnosed her with a manic episode.

Substance Hx: There is no documented history of smoking, alcohol, or illicit substance use.

PPH: There is no history of any psychiatric illness in the patient or her family.

Labs: A full workup has been completed and all was normal with the exception of the abnormal findings listed in the table below:

Lab/Vitals Today
Blood pressure 150/90 (H)
Sodium 120 (L)

Include in your discussion:

What do you recommend for treatment (focus on psychopharmacologic treatment) and monitoring of WG’s current symptoms?
What, if any, considerations should be made?

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NSG 552