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
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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