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cce_psychiatry_bipolar affective disorder ((risks) admit (childcare…
cce_psychiatry_bipolar affective disorder
history
(risks) admit
childcare (children)
harmful to self/others (suicide, violence, driving)
reckless behaviour (overspending)
acute treatment of behavioral disturbance
physical (safety vest, physical restraint if needed)
drug (IM haloperidol, IM lorazepam)
environment (quiet single room, comforting staff)
investigations
(dehydration, exhaustion: fasting glucose, electrolyte, urea creatinine) CBC, LFTRFT, TFT
urine toxicology
CT brain
physical examination
neurological (SOL)
endocrine (hyperthyroidism)
general (vitals, self harm, substance)
psychoeducation
cognitive behavioral therapy
close suicide watch
management
biological (STOP ANTIDEPRESSANTS) (mood stabilizer: lithium, antipsychotic: risperidone)
psychological (cognitive behavioral therapy)
social (psychoeducation, family support, family counselling) (medical social worker) (occupational therapist: functional rehabiliation)
compulsory admission???
lithium: side effects, toxicity, monitor (hydration, thiazide/NSAID/ACEI, contraception)