Mr. G, age is obese with body mass index 37 kg/m2 and has a history of schizoaffective disorder. He
Mr. G, age is obese with body mass index 37 kg/m2 and has a history of schizoaffective disorder. He is recovering from a sleeve gastrectomy, a surgical weight-loss procure in which a large portion of the stomach is removed. Seven weeks after his surgery, he experiences a sudden onset of “low mood” and fears that he will become suicidal; he has a history of multiple suicide attempts. Mr. G calls his long-term outpatient clinic and is advised to go to the emergency department. In the ED, Mr. G’s vitals are normal, but his serum valproic acid (VPA) level is 33.68 ug/ml despite being compliant with the medication. He is currently taking Divalproex sodium ER 2,500mg/day, iloperidone 8mg twice a day, escitalopram 10mg/day and omeprazole 40mg/day.What is the cause of his low valproic acid level? Its therapeutic range is 50 to 120 ug/ml.Please post the initial discussion by Wednesday and a reply by Friday, each in 100+words. Also, to receive full credit, you must cite at least one-peer-reviewed journal article in each posting. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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