What do you provide for a patient if they lost their job or house
Brief supportive therapy
Cultural expected responses to a stressor = meaning/context
Cultural syndrome
3 steps to cultural formulation of interviews
Clarify meaning of illness/predicament
Contextualize their situation in th...
A patient on Depakote presents with abdominal pain in the RUQ, reddish/brown urine,
yellowing of skin, fatigue
✓ Signs of hepatotoxicity
Intervention for a pt on depakote and presenting with hepatotoxicity
✓ D/C, check LFT (AST, ALT)
AST and ALT levels
✓ AST: 5-40
ALT: 5-35
Therapeutic range for depakote
✓ 50-125, toxicity starts at what level
S/S of depakote toxicity?
✓ Disorientation, lethargy, decreased respiratory rate, and N/V
Intervention for depakote toxicity
✓ DC, check depakote level, LFT, and ammonia
A patient on depakote presents with upper abd pain radiating to back, abd tenderness,
fever, rapid pulse, NV, oily stools
✓ Pancreatitis
What can depakote cause if a pregnant patient is taking it
1 | P a g e | G r a d e A + | 2 0 0 2 5
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