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I don’t know how to handle this Nursing question and need guidance.YOU ARE A NUR


I don’t know how to handle this Nursing question and need guidance.YOU ARE A NURSE PRACTITIONER TREATING THIS PATIENT AT YOUR CLINIC. Case study: Kim Remirez, a 20-year-old Native
American woman with no past medical history, comes to the mental health
clinic for medication management.The patient is a poor historian, and
information is obtained from her significant other of the past 2 years.
She reports that Kim has been sleeping for about 1 hour and then is up
for the rest of the day, and that she seems to have endless energy and
is “excessively cheery.” The significant other states that there have
been some episodes like this before that lasted a day or two, but this
is the longest (7 days) that she has ever seen Kim act like this.
Sometimes, Kim does not make sense when she talks, and it seems like her
thoughts are not connecting in her head. Kim has run up a large amount
of credit card debt in the past 2 days, buying things that the couple
did not need or want. Kim sometimes talks so much, her partner says,
that “I can’t get a word in, and she hasn’t gone to work all week
because she can’t function.” She reports that usually Kim “crashes”
after episodes like this, will not get out of bed for several days, and
is “depressed.”Kim herself denies suicidal or homicidal
ideation in the clinic, but she does say that when she gets really down,
she thinks about “ending it.”Kim’s partner states that neither of them drinks nor smokes.Kim is clean but untidy, and she paces
the room, making poor eye contact. When she does speak, her sentences
appear forced and do not always align with the conversation.Allergies/adverse drug reactions: NKDACurrent medication list: NoneDiagnosis: Bipolar Disorder Answer the following questions in APA 7th edition writing formart:1. Medication regimen:
Based on evidence-based clinical guidelines, choose and prioritize the
first-line, second-line (using brand and generic names), and any other
common medications for the identified psychiatric mental health
condition or diagnosis, including:
Mechanism of action and neurotransmitters involved (pathophysiology)
Drug/food/other interactions
Ongoing monitoring parameters (for safety and efficacy)
Common formulations/doses available, including routes
Prescreening labs or treatment requirements
Discontinuation, including tapering of medication if applicable or preparation for a change of therapy/new medication
Patient teaching/education (common side-effects, self-monitoring, time to efficacy, etc.)
Considerations related to scheduled/controlled substances, if applicable
2. CAM (complementary/alternative medicine):
Identify 1–2 possible complementary/alternative medications for the
identified psychiatric mental health condition or diagnosis, including:
Mechanism of action and neurotransmitter involved (pathophysiology)
Drug/food/other interactions
Expected and unexpected side effects and/or warnings
Ongoing monitoring parameters
Common formulations/doses available, including routes
Patient teaching/education (common side-effects, self-monitoring, time to efficacy, etc.)
3. Response: Promote safety
and continuous quality improvement by identifying expected and possible
unexpected patient responses, and describe how the plan may need to be
modified, with documentation thereof (what would you do, based on the
patient’s response?).4. Lab monitoring: Identify
any labs utilized for safety and efficacy (drug levels, complete
metabolic profile (CMP), etc.) specific to the medications you chose. 5. RX: Based on your recommendations for therapy, write out your full prescription (just like you would on a prescription pad) for one of
the medications you picked. Ensure that you meet the minimum
requirements for prescribing as set forth by the Texas Board of Nursing
for APRNs.6. Population considerations: What dose adjustments or other considerations would you make, based on the following populations:
Complex medical comorbidities (Case Study grading Rubric): Proficient
all aspects of the case study by providing original and critical
analysis. Suggests actions appropriate for the clinical setting and best
practices. Prescription follows standards of practice and includes all components of a valid prescription as directed. Case study content is supported with more than two professional, evidence-based sources. Follows correct APA format; is free of grammatical or spelling errors;
uses an articulate, scholarly tone, with well-organized ideas; follows
the format provided. Suggested Textbooks:
B.J., Sadock, V.A., & Ruiz, P. (2015).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences clinical
psychology (11th ed.). Wolters Kluwer. ISBN 9781609139711
S.M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and
practical application (4th ed). Cambridge. ISBN: 9781107025981
Psychological Association. (2020). Publication
manual of the American Psychological Association (7th ed.). Author.
ISBN: 978-1-4338-3216-1
Requirements: 2 pgs paper