Bipolar I Disorder Admitting Orders

Admit to: Acute Psychiatric Unit

Diagnosis: Bipolar I Disorder, Manic with psychotic features

Legal Status: Involuntary (legal hold, 5150 in California)

Condition: Actively Psychotic

Allergies: No known allergies

Vitals: q shift x 3, then q day if stable

Activity: Restrict to unit

Precautions: Elopement precautions

Diet: Regular

Labs: Chem 20, CBC with diff, UA with toxicology screen, urine pregnancy test, RPR, thyroid function, valproate level. Medications: Olanzapine (Zyprexa) 10 mg po qhs.

Lorazepam (Ativan) 2 mg po q 4 hours prn agitation (not to exceed 8 mg/24 hours.

Depakote 500 mg po tid.

Zaleplon (Sonata) 10 mg po qhs prn insomnia.

Tylenol 650 mg po q 4 hours prn pain or fever.

Milk of magnesia 30 cc po q 12 hours prn constipation.

Mylanta 30 cc po q 4 hours prn dyspepsia.

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