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:
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Decision #1
Which decision did you select?
Of the probable options –Lithium 300 mg, Risperdal and Seroquel XR 100 mg, – I chose Risperdal (Risperidone) 1mg orally BID…
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
First and foremost, beginning Lithium 300 mg would be a bad idea because of its high toxicity levels which often lead to undesirable side effects such as diarrhea and vomiting. Seroquel XR too is not preferable as it can cause irreversible side effects such as movement disorder …
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
By administering Risperidone, I hoped to address the bipolar symptoms depicted by the patient. Risperdal is an antipsychotic medication that works by altering the effects of chemical substances in the human brain. It is used to treat symptoms of manic depression (bipolar disorder) in grown-ups and children who are ..
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
I expected the Risperdal to work correctly as long as the patient adhered to all the instructions provided. However, the outcome was totally different. The patient came back inactive and unable to move on her own. She also appeared sedated and lethargic. Two possible explanations for this turn of events…
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.