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please help me understand the importance of doing each assessment in detail. there are 5 baseline as

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please help me understand the importance of doing each assessment in detail. there are 5 baseline assessments. and 4 assessments to be done throughout. please please please use your own words and experience.

 

 

The baseline assessments prior to administration include the following: 

 

“Obtain a complete health history and drug history, including allergies, current prescription and OTC drugs, and herbal preparations. Be alert to possible drug interactions” (Adams et., al, 2020, p.197).

 

“Obtain a history of depression or mood disorder, including a family history of same and severity. Use objective screening tools when possible (e.g., Patient Health Questionnaire [PHQ-9]). If symptoms warrant, also consider use of the Mini Mental State Exam for dementia screening”(Adams et., al, 2020, p.197).

 

“Obtain baseline vital signs and weight”(Adams et., al, 2020, p.197).

 

“Evaluate appropriate laboratory findings (e.g., CBC, electrolytes, glucose, liver and kidney function studies)” (Adams et., al, 2020, p.197).

 

“the patient’s ability to receive and understand instruction. Include the family and caregivers as needed”(Adams et., al, 2020, p.197).

 

The assessments throughout administration include the following:

“Assess for desired therapeutic effects (e.g., increased or stabilized mood, lessening depression, increased activity level, return to normal activities of daily living [ADLs], appetite and sleep patterns; if used for other uses, e.g., neuropathic pain, assess for appropriate therapeutic effects)” (Adams et., al, 2020, p.197).

 

“Continue periodic monitoring of CBC, electrolytes, glucose, liver and kidney function studies, and therapeutic drug levels as needed. Frequent sodium levels may be required for patients taking lithium” (Adams et., al, 2020, p.197).

 

“Assess vital signs and weight periodically or as symptoms warrant”(Adams et., al, 2020, p.197).

 

“Assess for and promptly report adverse effects: dizziness or lightheadedness, drowsiness, confusion, agitation, suicidal ideations, palpitations, tachycardia, blurred or double vision, muscle weakness, slight tremors, thirst, nausea, vomiting, diarrhea, dry mouth, increased urinary output, short-term memory loss, skin rashes, bruising or bleeding, abdominal pain, jaundice, change in color of stool, flank pain, and hematuria” (Adams et., al, 2020, p.197).
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