NCP bipolar 1 disorder PDF

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NURSING CARE PLAN FOR BIPOLAR 1...

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Pt. Name:

Diagnosis: bipolar 1 disorder

Rm: ___14-1____ Obs. Level: q15min Goal of Care: R1 Voluntary Status: formal Vitals: T:_36.6_____ BP: _____122/74________ P: __64_____ O2: __98_____ Diet/Allergies: _____No known allergies_____ Mood Rating: __”Good”__________ SI/HI: ________None_____________ Orders:  VS daily  BG qid  No cell phone access (changed to no cell phone access after 2200)  Regular diet: Muslim style (changed to diabetic diet: muslim style)

Medications: Empagliflozin – lower blood sugar in type 2 diabetes Ezetimibe – Cholesterol absorption inhibitor – treat high blood cholesterol Lithium carbonate – mood stabilizers for bipolar 1 Metformin – for type 2 diabetes Semaglutide – anti-diabetic Olanzapine – atypical antipsychotic  bipolar 1 Pantoprazole – treatment of reflux and ulcers PRN Medications: haloperidol – severe agitation Side effects: Dizziness, lightheadedness, drowsiness, difficulty urinating, sleep disturbances, headache, and anxiety may occur lorazepam – severe agitation Side effects: Drowsiness, dizziness, loss of coordination, headache, nausea, blurred vision, change in sexual interest/ability, constipation, heartburn, or change in appetite may occur Admitting Diagnosis: Bipolar 1 disorder → A person affected by bipolar I disorder has had at least one manic episode in their life. A manic episode is a period of abnormally elevated or irritable mood and high energy, accompanied by abnormal behavior that disrupts life. Signs & Symptoms Excess energy, elation, euphoria or expansive mood, little sleep, lack of attention to consequences, low impulse control & mood regulation

Pt. Name:

Diagnosis: bipolar 1 disorder

History: - Admitted due to mania - Bipolar 1 disorder - Psychosis - Diabetes type 2 - Cardiovascular problems Assessments:  Activity / Rest / Sleep / Insomnia / Intake  Safety  Impulse control assessment / understanding of illness?  Assessment of current symptoms  Psychosocial history (any episodes of depression)  Previous treatment history  Patient’s strengths and coping abilities Planning/Priorities of care: 1. Safety 2. Activity regulation 3. Support system Nursing Interventions:  establish 1:1 relationship  maintain low level of stimuli  Improving coping and problem-solving skills: is not coping well as he slept most of the time during shift. He does not seem to demonstrate interest in daily activities of living, choose to sleep and be secluded to his room.  social supports – family: checked with patient to see whether he has support system at home. He was paranoid with his family.  MSE: finished an MSE on this patient. He is very slow in daily activities and exhibit anhedonic symptoms.  Control bed time: patient is spending extensive time in bed, order in SCM for patient to be out of bed by 0930 or 1000, otherwise bed is removed. I ensured that patient is out of bed by 0930 and participated in social activities. Evaluation:  Patient is out of bed by 0930, participated in stretch group activity. However, remained sleeping in common area and patient lounge.  Patient is cooperative to care.  Patient has improved connections with family, no paranoia observed toward them anymore.  Patient is not interested in doing MSE with me, his responses were slow and usually contains one-word answers.  He needed more stimuli instead of low stimuli as he is rather slow and has decreased interests in activities.

Pt. Name:

Diagnosis: bipolar 1 disorder...