Pmhnp is treating a patient with bipolar mania


Problem: The PMHNP is treating a patient with Bipolar Mania with Depakote (Valproate). The patient is in for a follow up appointment. He reports he is having difficulty sleeping, is cleaning all night, and is noted to be talkative. The PMHNP reviews the Valproate Level which is 35 mcg/ml. Which of the following would be the best course of action? Group of answer choices Immediately stop the Depakote as the patient is becoming toxic Continue the same dose as the Valproate Level is therapeutic Increase the Depakote as Valproate Level is sub-therapeutic Repeat the lab stat as it is inconclusive

 

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