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Xicheng Wong is a 53-year-old widowed Asian male who comes to see you in your office after he was hospitalized for 14 days for a manic episode. Yicheng has bipolar I disorder

Xicheng Wong is a 53-year-old widowed Asian male who comes to see you in your office after he was hospitalized for 14 days for a manic episode. Yicheng has bipolar I disorder

Xicheng Wong is a 53-year-old widowed Asian male who comes to see you in your office after he was hospitalized for 14 days for a manic episode. Yicheng has bipolar I disorder. He is currently prescribed 1500 mg of divalproex sodium (Depakote ER). He is 5’ 11” and 210 lbs. His most recent VPA level was 45 µg/ml.

Questions

From your perspective as Yicheng’s psychiatric nurse practitioner, answer the following questions in a paper no longer than two double-spaced pages (not including the reference page) and in APA format. Include at least three peer-reviewed, evidence-based references.

  1. Explain why Depakote ER was prescribed for Yicheng.
  2. Articulate how Depakote ER is metabolized and the mechanism of action, as well as how Depakote is excreted.
  3. Describe the baseline laboratory and other monitoring that should be done when a patient is prescribed Depakote ER.
  4. Based on Yicheng’s current Depakote level, describe how you would adjust the Depakote dose, including what dose you would prescribe and the scheduling/time of the dose.
  5. When would you order the next Depakote level? What additional laboratory tests would you order? How often should the Depakote level be ordered?
  6. What side effects of Depakote should you discuss with Yicheng?

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