Past psychiatric hospitalizations: N/A
Date __06/21/17__________, Reason _____Repeated suicide attempts____________________________________
Allergies: (Food and / or drug) _Seafood and bananas_______________________________________________
Legal status of admission: _____Voluntary_______________________________________
Reason for admission: __Repeated suicide attempts__________________________________________
Anticípated LOS: ___6-8 weeks_________________________________________
Treatment plans for the client: __DBT, a program in Canada__________________________________________
DSM-IV TR Multi Axial Diagnosis:
Axis I __Depression and anxiety Alcohol and drug addiction ________________________________________________________________ …show more content…
Lithium levels, Drug screens, Pregnancy test, etc.)
Date/Test Result Interpretation Nursing Implications
06/21/17 Drug Test Negative The patient does not have levels of drug in her system. The patient does not have concentrations of drug in the urine sample below the designed cut- off levels. A negative drug test result does not always mean there are no drugs present in the person being tested, it means there are not drugs present above the cut off limit.
Patient’s Current Medications
Class Trade/Generic name Dose Dose ranges Route Freq. Rationale for taking drug Side effects Nursing implications
Opioid antagonist Naltrexone
(Revia) 100mg n/a oral Once per day at bedtime Alcohol addiction, self- harm muscle cramps, muscle rigidity, muscle spasm, stiffness, depression, and