A patient with bipolar disorder is prescribed sodium valproate and says, “I may become pregnant while taking this medicine.” Which response by the nurse is best?
Correct answer: C. “Discuss safer treatment options and effective contraception promptly.”
- A. “Valproate is safe throughout pregnancy when taken with food.”
- B. “Stop the medicine today if you miss one menstrual period.”
- C. “Discuss safer treatment options and effective contraception promptly.”
- D. “Double the dose during pregnancy to prevent mood episodes.”
Explanation
Valproate is associated with important fetal risks, including neural tube and other congenital abnormalities, so pregnancy planning requires prompt specialist review. It should not be stopped abruptly or doubled without medical advice.
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About Psychopharmacology
Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.
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