Medications for bipolar disorder during pregnancy
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-lamotrigine (Lamictal) is considered safe during pregnancy for may not be
effective for manic episodes
-lithium exposure during the 1st trimester may cause cardiac malformations,
and risk increases with higher doses.
-valproic acid and carbamazepine are considered teratogenic during the
first trimester, avoid, taper to discontinue, if the drug must be continued
monitor clotting parameters and test to detect birth defects, and consider
vitamin k during the last 6 weeks of pregnancy, encourage folic acid during
1st trimester
-atypical antipsychotics and anticonvulsants such as valproic acid may be
after lithium during the postpartum period when breastfeeding
-carbamazepine decreases the levels/efficacy of hormone contraction, the
client should use an alternative contraceptive to avoid pregnancy,
especially since carbamazepine is teratogenic during the 1st trimester
, Example of public stigma
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-attitudes, beliefs, and behaviors of groups or individuals which form a
stereotype that creates an emotional reaction or prejudice and results in
discrimination.
-Ex. a doctor believing a patient with a Hx of substace use disorder is
simply seeking pain medication when presenting to the ER for pain
Mandatory reporting in pediatric mental health
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-The Federal Child Abuse Prevention and Treatment Act (CAPTA) requires
each State to have provisions or procedures for requiring certain
individuals to report known or suspected instances of child abuse and
neglect.
-PMHNPs (...all nurses) are mandatory reporters.
What to do when a mental health client informs you of pregnancy
Give this one a try later!
Give this one a try later!
-lamotrigine (Lamictal) is considered safe during pregnancy for may not be
effective for manic episodes
-lithium exposure during the 1st trimester may cause cardiac malformations,
and risk increases with higher doses.
-valproic acid and carbamazepine are considered teratogenic during the
first trimester, avoid, taper to discontinue, if the drug must be continued
monitor clotting parameters and test to detect birth defects, and consider
vitamin k during the last 6 weeks of pregnancy, encourage folic acid during
1st trimester
-atypical antipsychotics and anticonvulsants such as valproic acid may be
after lithium during the postpartum period when breastfeeding
-carbamazepine decreases the levels/efficacy of hormone contraction, the
client should use an alternative contraceptive to avoid pregnancy,
especially since carbamazepine is teratogenic during the 1st trimester
, Example of public stigma
Give this one a try later!
-attitudes, beliefs, and behaviors of groups or individuals which form a
stereotype that creates an emotional reaction or prejudice and results in
discrimination.
-Ex. a doctor believing a patient with a Hx of substace use disorder is
simply seeking pain medication when presenting to the ER for pain
Mandatory reporting in pediatric mental health
Give this one a try later!
-The Federal Child Abuse Prevention and Treatment Act (CAPTA) requires
each State to have provisions or procedures for requiring certain
individuals to report known or suspected instances of child abuse and
neglect.
-PMHNPs (...all nurses) are mandatory reporters.
What to do when a mental health client informs you of pregnancy
Give this one a try later!
