Schizophrenia Assessment
- Hallucinations
- Delusions
- Associative Looseness
- Flat Affect
- Poverty of Thought
- Absence of Something that Should be Present
- Illogical Thinking
- Impaired Judgment and Memory
- Dysphoria
Schizophrenia Interventions
- Antipsychotics
- Build Trust
- Assistance with Self-care
- Reality Testing
- Monitor for Neuroleptic Malignant Syndrome
- Monitor for Tardive Dyskinesia
- Family Therapy
Hallucinations, Illusions, Delusions
- No External Stimulus
- Auditory
- Visual
- Olfactory
- Gustatory
- Tactile
- Misinterpretation of Stimulus
- Fixed, False Belief
Bipolar Disorder Assessment
- Neurotransmitter Dysregulation and Genetic Factors
- Euphoric Mood
- Nonstop Physical Activity
- Flight of Ideas
- Rapid Speech
- Mood Changes
- Sad Affect
- Psychomotor Retardation
- Suicidal Thoughts
Bipolar Disorder Interventions
- Lithium
- Valproic Acid (Valproate)
- Lamotrigine
- Hospitalization
- Nutrition
- Hygiene
- Monitor for Vegetative Signs
- Suicide Precautions
Documentation Guidelines
- Objective Information
- Subjective Information from Patient
- Objective Supports Subjective
- Avoid Unnecessary Words and Details
- Exact Measurements
- Assessments
- Document ASAP
- Treatment and Response
- Change in Status
- Admission, Transfer, Discharge or Death
- Document in a Logical Order
- Ensure Information Recorded is Complete
SIG E CAPS for Major Depressive Disorder (MDD)
- Sleep Problems
- Interest Deficit
- Guilt or Worthlessness
- Energy Loss or Fatigue
- Concentration Difficulty
- Appetite Changes
- Psychomotor Retardation or Agitation
- Suicidal Ideation
- 5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
Major Depressive Disorder with Peripartum Onset
- Sleep Problems
- Interest Deficit
- Guilt or Worthlessness
- Energy Loss or Fatigue
- Concentration Difficulty
- Appetite Changes
- Psychomotor Retardation or Agitation
- Suicidal Ideation
- 5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
- Onset No Later Than 1 Year After Delivery
Suicide Assessment
- SAD PERSONS Scale
- Direct (Overt) Statements
- Indirect (Covert) Statements
- Giving Away Prized Possessions
- Sudden Improvement in Mood
- Putting Personal Affairs in Order
- Detail of Plan
- Availability of Means
- Proposed Method
- Safe Environment
- One-on-One Monitoring
- No Suicide Contract
Suicide Risk Factors
- Depression
- Previous Attempt
- No Support System
- Access to Firearms or Medications
- Substance Abuse
- Physical or Sexual Abuse
- Chronic Illness or Pain
- Extremes of Age
Lithium
- Mood Stabilizer
- Unknown Mechanism
- Bipolar Disorder
- Nephrogenic Diabetes Insipidus
- Hypothyroidism
- Tremor
- Heart Block
- Pregnancy
- Monitor Plasma Levels
Valproic Acid (Depakote)
- Blocks Na+ Channels
- Increases GABA Concentration
- Tonic-clonic Seizures
- Bipolar Disorder
- Migraine Prophylaxis
- Hepatotoxicity
- Blood Dyscrasias
- GI Distress
- Tremor
- Pancreatitis
Valproic Acid (Valproate) Side Effects
- Vomiting
- Alopecia
- Liver Toxicity
- Pancreatitis/Pancytopenia
- Retain Fat (Weight Gain)
- Oedema (Edema)
- Appetite Increase
- Tremor
- Enzyme Inhibitor (P450)
Carbamazepine (Tegretol)
- Inactivates Na+ Channels
- Seizures
- Bipolar Disorder
- Trigeminal Neuralgia
- Nystagmus
- Ataxia
- Hepatotoxicity
- Blood Dyscrasias
- Water Retention
- Stevens-Johnson Syndrome
- Avoid Grapefruit Juice
Lamotrigine (Lamictal)
- Blocks Na+ Channels
- Seizures
- Bipolar Disorder
- Diplopia
- Stevens-Johnson Syndrome
- Headache
- Aseptic Meningitis
- Nausea and Vomiting
- Screen for Suicide Risk