Examine Case Study: An Asian American Woman With Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

• Decision #1
  • Which decision did you select?
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
• Decision #2
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
• Decision #3
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Solution:

According to Mostafavi et al. (2014), bipolar disorder is a chronic and episodic disease characterized by recurring manic episodes or symptoms of depression. Initially, bipolar patients present at the primary care but they are often misdiagnosed following the symptom diversity and low suspicion index among care providers. As such, it is highly crucial to perform through patient checkup for a mental disorder to avoid misdiagnosis. Taking this into consideration, this paper includes an assessment and treatment for a patient bipolar disorder.

Patient Assessment

The case study by Laureate Education (2016) presents an Asian American woman with Bipolar disorder diagnosis. The client has been previously admitted to the healthcare with the acute manic episode where she was prescribed with lithium. However, she reports that she was non-compliant to taking the lithium medication. The patient was diagnosed positive for CYP2D6*10 allele through genetic testing. Upon giving the patient Young Mania Rating Scale (YMRS), she records a score of 22 which indicates she is suffering mild bipolar disorder.

Patient Treatment

The PMHNP is presented with three medications choices to prescribe in consideration to the corresponding outcomes and consequences as well as the patient’s pharmacokinetic and pharmacodynamic processes.

Decision point one options:

Begin Lithium 300 mg orally BID

Begin Risperdal 1 mg orally BID

Begin Seroquel XR 100 mg orally at HS…..Please click the icon below to purchase full solution at $10