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J.D.
13 y/o
Female, Key:
Purple - Psychiatric Disorders
Orange -…
J.D.
13 y/o
Female
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Hypothyroidism
Levothyroxine
Side Effects: (usually only seen when too high of doses cause hyperthyroidism reaction), Insomnia, irritability, weight loss.
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The symptoms of hypothyroidism could be mistaken for side effects of patients psychiatrics medications or a relapse of depression. It is important to pay close attention to what may be causing fatigue, coldness, constipation, and weight gain.
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Asthma
Albuterol
Side Effects: Restlessness, tremors, palpitations.
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Outbursts related to Oppositional Defiant Disorder and Disruptive Mood Dysregulation Disorder could trigger an anxiety attack and potentially an asthma exacerbation.
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Nursing Diagnosis 1: Risk for self-mutilation related to history of physical, sexual, and emotional abuse and impulse behavior as evidenced by fresh superficial scarring on wrists and statements of history of self-mutilating behaviors.
Nursing Diagnosis 2: Impaired Social Interaction related to unacceptable social behaviors as evidenced by dysfunctional interactions with peers and destructive behaviors towards self and others.
Nursing Diagnosis 3: Powerlessness related to consistent negative feedback in hospital stays as evidenced by dependence on others and verbal expressions of having no control with irritability and anger.
Having advanced medical conditions to try and understand/manage while also dealing with psychiatric conditions likely contributes to feelings of powerlessness, confusion, and overall irritability at medical staff.
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Key:
Purple - Psychiatric Disorders
Orange - Psychiatric Medications
Teal - Medical Diagnoses
Yellow -Medical Medications
Red - Side Effects
Blue - Patient
Green -Nursing Diagnoses
Pink Lines - Important Connections (Psych to Non-Psych)