Reference no: EM133510321

Question

Sarah, a 47-year-old university professor, is brought to the emergency department by her roommate due to erratic behavior, increased energy, and decreased need for sleep. She reports feeling on top of the world and having grandiose ideas. Upon assessment, her speech is rapid, she exhibits pressured speech, and her thoughts jump from one topic to another. The healthcare team suspects a manic episode and decides to admit her to the psychiatric unit for further evaluation and treatment. Please answer these following questions.

1. What initial assessments should be conducted to confirm the diagnosis and determine the severity of Sarah's manic symptoms?

2. What are the potential risks or complications associated with untreated or inadequately managed manic episodes?

3. Inpatient Treatment and Stabilization

Sarah is admitted to the psychiatric unit and is initially placed on a one-to-one observation to ensure her safety. The healthcare team initiates medication treatment with a lithium and haloperidol to manage her manic symptoms. Sarah's vitals are monitored regularly, and her sleep patterns are closely observed. Psychoeducation sessions are conducted to help her understand her condition and the importance of medication adherence.

What is the rationale for placing Sarah on one-to-one observation initially?

4. What are the mechanism of action Lithium and haloperidol? What critical interaction between the two medications should the nurse assess for?