Essay: An Asian American Woman With Bipolar Disorder.

Assignment: Assessing and Treating Clients with With Bipolar Disorder

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.

Instruction: When you provide me 6 pages of discussion on diagnosis and only 1 page on your decisions during the decision tree, you will probably fail the assignment. Remember this is a Pharmacology class that incorporates Pharmacotherapy and not a class on diagnosing disease. I want you to tell me why you selected an option (why is it the best option- using clinically relevant and patient specific data) and why you did not choose the other options (I want you to defend your decision as if you were in open court- with clinically relevant and patient specific data). I would like 7 references cited with every assignment. I deduct 1 point per reference missing. Credible reference material only will be accepted. Sites such as WebMD and drugs.com (among others) will not be counted.

Answer

Decision 1

Of the probable options –Lithium 300 mg, Risperdal and Seroquel XR 100 mg, – I chose Risperdal (Risperidone) 1mg orally BID.

Justification

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 (Torrent et al., 2013).

Risperdal is usually biotransformed to its active metabolite state known as xxxxxxxxxxxxxxxxxxxxx come into contact with the polymorphic CYP2D6 in Caucasians. According to Fortino, (2015), there is a relationship between plasma levels of risperidone and CYP2D6*10 allele. Therapeutic indications show that Risperdal is most suitable for the treatment of bipolar xxxxxxxxxxxxxxx testing showed that the woman had CYP2D6*10 allele and that no other type of medication xxxxxxxxxxxxxx…………..

Expectations

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 10 years old and xxxxxxxxxxxxxxxxxxxxxxxcatalyzes the metabolism of Risperidone, which is among the antipsychotics that are highly recommended clinically. Risperdal is known to have potent antipsychotic activity and is easily transformed biologically to active metabolite without any serious side effects.  

Deviations

I expected the Risperdal to work correctly as long as the patient adhered to all the instructions xxxxxxxxxxxxxxxxxr, the outcome was totally different. The patient came back inactive and xxxxxxxxxxxxxxxxxx appeared sedated and lethargic. Two possible explanations for this turn of events could be one; the patients experienced unforeseen side effects of the medication or two, she used other drugs such as clozapine simultaneously. Risperdal has side effects such as uncoordinated muscle movements and dizziness (Torrent et al., 2013). Taking other …………..