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(Answered) NURS 6630 week 5 Assignment: Assessing and Treating Patients With Bipolar Disorder > The client is a 26-year-old woman of Korean descent who presents to her first appointment following a 21-day hospitalization for onset of acute mania. $13.99   Add to cart

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(Answered) NURS 6630 week 5 Assignment: Assessing and Treating Patients With Bipolar Disorder > The client is a 26-year-old woman of Korean descent who presents to her first appointment following a 21-day hospitalization for onset of acute mania.

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(Answered) NURS 6630 week 5 Assignment: Assessing and Treating Patients With Bipolar Disorder > The client is a 26-year-old woman of Korean descent who presents to her first appointment following a 21-day hospitalization for onset of acute mania. Assignment: Assessing and Treatin...

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(Answered) NURS 6630 week 5 Assignment: Assessing and
Treating Patients With Bipolar Disorder > The client is a 26-
year-old woman of Korean descent who presents to her first
appointment following a 21-day hospitalization for onset of
acute mania.




Assignment: Assessing and Treating Patient With Bipolar Disorder

Manvir Pannu

Walden University

NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology

Dr. Aaron Weiner

December 3, 2020

, 2


Assignment: Assessing and Treating Patient With Bipolar Disorder

The patient is 26 yr. An old female of Korean descent came to her first appointment

following 21 days of hospitalization for acute mania onset. The patient is alert, oriented with

impaired insight. The patient denies any suicidal and homicidal ideation. The patient denies any

delusional and paranoid thinking. The patient mood is happy and euthymic. Patient judgment is

intact. Speech is rapid, pressured, tangential. Affect Board. The patient is dressed in an evening

gown for her appointment. The patient is hyperactive and energetic. The patient has noted with

flights of the idea. The patient slept 5 hours last night. The patient is physically healthy, and lab

studies are within the normal range. Genetic testing comes back positive for the CYP2D6*10

allele. The patient is non-compliant with medication. The patient stopped taking her lithium since

she was discharged from the inpatient hospital. The young mania rating scale score is 22.

Introduction

Bipolar disorder is a recurrent and chronic disorder characterized by fluctuation in mood

and energy(Bonnin et al., 2019). People with bipolar frequently experience persistent residual

symptoms. The patient with bipolar disorder has problems in psychosocial functioning,

cognitive impairment, and poor quality of life(Bonnin et al., 2019). Patient with bipolar disorder

exhibit symptoms of mania with extremely elevated mood, energy, unusual thought pattern and

sometimes psychosis and depression(Martinowich et al., 2009).Patient in given scenario is

positive with CYP2D6*10 allele. The CYP2D6 allele plays a vital role in the metabolism if 20

to 30 % of therapeutic important drugs mainly including antipsychotics, antiarrhythmic, tricyclic

antidepressants, beta blockers and opioids(Zheng et al., 2017). The genetic polymorphisms in

CYP2D6 cause the tremendous variation in CYP2D6 enzymes activities(Zheng et al., 2017).

The purpose of paper is to explain the three treatment decision points, factors that might impact

the

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