What Are Specific Signs And Symptoms Of Concern And Why? Essay examples

What Are Specific Signs And Symptoms Of Concern And Why? Essay examples

Length: 1587 words (4.5 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

2. What are specific signs and symptoms of concern and why? (15pts)
The diagnosis of bipolar I disorder with acute manic phase is made for Ms. IC after rule out medical condition and substance abuse.
It is concerning that Ms. IC presents with little sleep for days, also might not consume food or fluids for days, poor judgment and behavior, plus her medical history of mania. Due to dehydration, faulty judgment and unable to meet her own physiologic need as well as to set limits on her own behavior, she is at risk for injury. In addition, her communication patterns (speaking readily and overly talkative), inappropriate dress and amusing behaviors show that she is decreasing defensive coping skills, therefore, she is not in a stable physical and mental status.
These signs and symptoms might escalate the manic state and then to cause possible exhaustion as well as cardiac collapse. The medical interventions, such as, medication regimens and/or admission are needed immediately. These interventions will help deescalate Ms. IC’s activity to minimize potential physical injury through the use of medication and provide a non-stimulating environment.

3. What changes might the NP make in the patient’s medications and why? (25pts)
Patients with bipolar one and manic episodes usually require psychiatric hospitalization to provide them a safe environment for treatments. A combination of mood stabilizer with a second generation antipsychotic (SGA) medication is recommended regimen to treat acute bipolar mania. The mood stabilizers for bipolar disorder include Lithium, Depakote, Tegretol, Trileptal and Lamictal. And the SGA use to treat bipolar disorder include Risperdal, Zyprexa, Seroquel, Geodon, Abilify, and Invega (McCarro...

... middle of paper ...

...iarrhea, vomiting polyuria, fatigue, acne, tremor diabetes insipidus, worsening psoriasis and ECG changes. She should be monitored lithium level five to seven days after each dose has been changed. She should also be checkup for her lithium level, TSH and metabolic panel each three months (McCarron, Xiong, & Bourgeois, 2009). Additional, the side effects of Olanzapine include extrapyramidal symptoms, metabolic abnormalities, orthostatic hypotension and sedation. Ms. IC should be closely monitored of her weigh, any signs and symptoms of extrapyramidal symptoms, vital signs, and prolactin level in the first four weeks (McCarron, Xiong, & Bourgeois, 2009). Besides, to notify patient the side effects of Depo-Provera include amenorrhea, weight changes, unscheduled bleeding, abdominal pain or discomfort, headache, dizziness, nervousness and asthenia (Lexicomp, 2015).

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

What Clinical Signs And Symptoms Can Better Inform The Np About The Diagnosis And Why?

- 1. What clinical signs and symptoms can better inform the NP about the diagnosis and why. (10pts) Answer: Bipolar disorders are chronic and recurrent mental illnesses. Patients with bipolar disorders often report interpersonal and/or occupational difficulties during the episodes (Blairy et al., 2004). People who are suffering from bipolar disorders often report that they have attempted suicide during their lifetime. Bipolar disorders are one of the leading causes of disability for people aged 15 to 44 years (McCarron, Xiong, & Bourgeois, 2009)....   [tags: Bipolar disorder, Mania, Mood stabilizer]

Better Essays
962 words (2.7 pages)

Essay on The Warning Signs Of Anorexia Nervosa

- Anorexia Nervosa: (2) A serious, potentially life-threatening eating disorder characterized by self-starvation and excessive weight loss. Symptoms: Inadequate food intake leading to a weight that is clearly too low Intense fear of weight gain, obsession with weight and persistent behavior to prevent weight gain Self-esteem overly related to body image Inability to appreciate the severity of the situation Binge-Eating/Purging Type involves binge eating and/or purging behaviors during the last three months Restricting Type does not involve binge eating or purging Eating disorders experts have found that prompt intensive treatment significantly improves the chances of recovery....   [tags: Bulimia nervosa, Eating disorders]

Better Essays
1047 words (3 pages)

Symptoms And Symptoms Of Anxiety Disorders Essay

- When it comes to anxiety disorders, is something that everyone experiences. There are many situations that cause anxiety such as presenting in front of people but facing our fears helps us become a better person. Having the feeling of fear and distress are overwhelming and stops people from doing normal things and with the fear and distress causes the anxiety disorder. It appears that anxiety disorders are the most common mental health concern in the United Sates. Statistically, there is an estimated of forty million in the United States that have an anxiety disorder....   [tags: Anxiety, Panic disorder, Anxiety disorders]

Better Essays
1165 words (3.3 pages)

Periodontal Disorders and Stress Essay

- Introduction: Although the correlation between anxiety states, stress, and occurrence of periodontal disorders has been reported, more research on other psychological signs seems to be necessary. The objective of this study was to compare the psychological signs in patients with chronic periodontitis with healthy people. Method: In a cross sectional study, 40 patients with chronic periodontitis and 40 healthy individuals aged between 20 to 40 years who were able to read and write, were participated....   [tags: psychological disorders, signs]

Better Essays
2482 words (7.1 pages)

Renal Failure, its Types and Symptoms Essay

- Renal failure comes in two different forms, acute and chronic. Acute is when the signs and symptoms last for less than 3 months, and chronic is when they last for longer than 3-6 months. The pathophysiology of acute renal failure is the sudden stopping or slowing down of renal function that occurs due to blood flow to the kidneys is compromised. There are three phases in which acute renal failure is categorized, prerenal, intrarenal, and postrenal. The pathophysiology for the three stages are as followed....   [tags: Kidney, Dialysis, Diet]

Better Essays
1242 words (3.5 pages)

Signs, Symptoms, and Treatments for Candidiasis Essay

- ... In the most severe cases, candida can travel throughout the body, causing a type of blood poisoning called candida septicemia”(Silverman 1). “ Candidiasis of the blood and inner organs are extremely rare. The effects of candida on the endocrine, immune, and nervous systems are caused by changes in absorption of nutrients rather than by the candida itself” (Silverman 1).Some of the signs and symptoms are: a cottony feeling of the mouth, loss of taste, creamy white patches of the mouth, difficulty swallowing, pain, burning mouth or tongue, painful cracks at the corners of the mouth and thick whitish patches on the oral mucosa....   [tags: thrush, infection, yeast]

Better Essays
2043 words (5.8 pages)

Physical Abuse : A Description Of The Possible Signs, Symptoms, Indicators And Behavior That May Cause Concern

- 4.1: A description of the possible signs, symptoms, indicators and behaviour that may cause concern in the context of safeguarding. There are four typed of abuse: • Physical Abuse • Emotional Abuse • Sexual Abuse • Neglect “Abuse is defined as any action that intentionally harms or injures another person” http://medical-dictionary.thefreedictionary.com/abuse) Physical abuse is when injury is inflicted upon a child and young person or does not prevent the injury to a child; harm can also be caused when parents invents symptoms or deliberately cause ill health to children....   [tags: Child abuse, Abuse, Childhood, Human behavior]

Better Essays
1212 words (3.5 pages)

Essay Detecting the Signs and Symptoms of Lung Cancer

- ... So even if you are a non-smoker but the people around you do, you are still at risk. When someone puffs cigarette and a person breathes the smoke, consider yourself smoking. Some chemicals also predispose lung cancer. These include radon, arsenic, chromium and asbestos. Exposure to these chemicals becomes more challenging because some of them are impossible to sense. Radiation therapy or of any kind destroys both abnormal and normal cells which makes the exposed individual at risk. 2. Other Parameters in Lung Cancer Screening Genetic Make-Up and Family History People who have first and second degree relatives diagnosed with lung cancer have greater risk of the disease....   [tags: Prevention, Smoking, Radiation]

Better Essays
748 words (2.1 pages)

Essay about Understanding Rhabdomyolysis: Causes, Signs and Symptoms

- Understanding the Syndrome, Complications, and Nursing Considerations Introduction Mild muscle pain can be a common side effect of physical means, such as intense workouts, over usage of muscle, and/or blocked blood vessels, or by chemical means, such as toxins, heat or drugs. Oftentimes, people who experience muscle aches can easily pinpoint the cause due to their knowledge of the stress, tension, or physical activity they have endured. Rhabdomyolysis, or dissolution of skeletal muscle, is a syndrome caused by injury to skeletal muscle and involves the leakage of large quantities of potentially toxic intracellular contents into plasma (Muscal, 2013)....   [tags: nursing considerations, muscle pain]

Better Essays
1617 words (4.6 pages)

SYMPTOMS Signs and Symbolism in Medical Discourse Essay

- SYMPTOMS Signs and Symbolism in Medical Discourse Whether it is regarded as disease or illness, whether it occurs in a society practicing biomedicine or a culture practicing indigenous medicine, sickness is universal. Diseases and illnesses of all types plague each and every society throughout the world. Central to the idea of sickness is the diagnostic element of the symptom. Although many cultures have unique ideologies regarding sickness, healing, and efficacy, these cultures use the symptom as the primary instrument to maintain their culturally constructed idea of health....   [tags: Essays Papers]

Free Essays
3723 words (10.6 pages)