NURS 6630 WEEK 8 ASSIGNMENT: MOOD STABILIZER

NURS 6630 WEEK 8 ASSIGNMENT: MOOD STABILIZER

NURS 6630 WEEK 8 ASSIGNMENT: MOOD STABILIZER

This Assignment is designed to help you analyze the many considerations for prescribing mood stabilizers, as well as organizing the many different lab components to consider when prescribing to a patient.

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RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Readings

Goldin, D. S. (2023). Fast facts for psychopharmacology for nurse practitioners. Springer Publishing.

Chapter 8, “Mood Stabilizers “(pp. 150—178)

American Psychiatric Association. (2010). Practice guideline for the treatment of patients with bipolar disorderLinks to an external site. (2nd ed.). APA. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar.pdf

comLinks to an external site.. (2023). https://www.drugs.com/

Note: Please use the following resource to check the most up-to-date box warnings, FDA approvals and indications, recommendations for follow-up evaluations, changes, etc.

Approved Medications for Bipolar and Related Mood Disorders

Note: Utilize the following medication table to familiarize yourself with the medications aligned with the topics presented this week.

Lithium

Valproate
Lamotrigine

Carbamazepine

Lurasidone

Aripiprazole
Cariprazine
Lumateperone

Quetiapine
Risperidone

Olanzapine

Ziprasidone

Asenapine

Media & Lecturio Resources

Note: Although this resource page displays as an Assignment, it will not be counted towards your final grade. Your progress through the Lecturio resources will be reported as a percentage in the gradebook that will only be used as reference.

TO PREPARE

Review the Required Learning Resources.

Review indications and considerations for traditional mood stabilizer psychopharmacology treatments, including carbamazepine, lamotrigine, lithium, and valproate products.

THE ASSIGNMENT

Construct a 5- to 6-page paper discussing each of the four traditional mood stabilizer medications: carbamazepine, lamotrigine, lithium, and valproate products. Support your answers with five (5) evidence-based, peer-reviewed scholarly literature.

Note: APA style format will apply.

Your paper should include the following for each:

Proposed mechanism of action

Baseline assessment, laboratory considerations, and frequency of ongoing labs and assessments

Note: Discuss the importance of assessment and labs.

Special population considerations (birth assigned gender, age, other medical comorbidity considerations)

FDA approval indications

Typical dosing with discussion on therapeutic endpoints for psychiatric use

Major drug–drug interaction considerations

For each of these medications, please review potential drug–drug interactions listed below. Consider alternative dosing schedules, clinical implications for the drug interactions, additional patient education needed, any additional monitoring recommended, or collaboration needed with other medical professions (such as, primary care providers)

Lamotrigine + Valproate

Lamotrigine + Rifampin

Valproate + Estrogen containing birth control.

Valproate + Amitriptyline

Lithium + Furosemide

Lithium + Lisinopril

Carbamazepine + Lurasidone

Carbamazepine + Grapefruit juice

Discuss the ethical, legal, and social implications related to prescribing bipolar and other related mood-disorder diagnoses therapy for patients.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. For this Assignment, you are only required to include a title page. The Walden Writing Center Sample PaperLinks to an external site. provides an example of those required elements.

BY DAY 7 OF WEEK 8

Submit by Day 7 of Week 8.

SUBMISSION INFORMATION

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Rubric

NURS_6630_Week8_Assignment_Rubric

NURS_6630_Week8_Assignment_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeFor each of the four (4) traditional mood stabilizers, response includes proposed mechanism of action, baseline assessment, laboratory considerations, and frequency of ongoing. Discusses the importance of assessment and labs. Indication of special population considerations FDA approval. Discusses typical dosing with focus on therapeutic endpoints for psychiatric use of major drug-drug interaction considerations.
50 to >36.0 pts

Excellent

The response comprehensively and clearly describes all of the elements for each of the four (4) mood stabilizers.

36 to >24.0 pts

Good

The response clearly describes at least 75% the Assignment elements for three to four (3–4) mood stabilizers.

24 to >11.0 pts

Fair

The response describes at least 50% the Assignment elements for each mood stabilizer or only two (2) mood stabilizers discussed.

11 to >0 pts

Poor

The response includes inaccurate and vague examples that describe 25% or less of the Assignment elements for one (1) mood stabilizer, or some or all are missing.
50 pts

This criterion is linked to a Learning OutcomeReviews the potential drug–drug interactions of the following: *Lamotrigine + Valproate; *Lamotrigine + Rifampin; *Valproate + Estrogen containing birth control; *Valproate + Amitriptyline; *Lithium + Furosemide; *Lithium + Lisinopril; *Carbamazepine + Lurasidone; *Carbamazepine + Grapefruit juice. Consider alternative dosing schedules, clinical implications for the drug interactions, additional patient education needed, any additional monitoring recommended, or collaboration needed with other medical professions.

20 to >18.0 pts

Excellent

Reviews all seven (7) of the potential drug–drug interactions with clear and accurate Discussion of alternative dosing, patient education, monitoring recommendation, and when to collaborate.

18 to >15.0 pts

Good

Reviews five to six (5–6) of the potential drug–drug interactions with clear and accurate Discussion of alternative dosing, patient education, monitoring recommendation, and when to collaborate.

15 to >10.0 pts

Fair

Reviews three to four (3–4) of the potential drug–drug interactions with some Discussion and minor inaccuracies of alternative dosing, patient education, monitoring recommendation, and when to collaborate.

10 to >0 pts

Poor

Reviews all seven (7) of the potential drug–drug interactions with vague and major inaccuracies noted in Discussion including alternative dosing, patient education, monitoring recommendation, and when to collaborate.

20 pts

This criterion is linked to a Learning OutcomeDiscusses ethical, legal, and social implications related to prescribing these medications to patients.
10 to >7.0 pts

Excellent

The response accurately and clearly discusses ethical, legal and social implications. The response includes relevant, specific, and appropriate examples that fully support the Discussion.

7 to >4.0 pts

Good

The response accurately discusses ethical, legal and social implications. The response includes relevant, specific, and accurate examples that support the Discussion.

4 to >1.0 pts

Fair

The response inaccurately or vaguely discusses ethical, legal and social implications. The response includes inaccurate and irrelevant examples that may support the Discussion.

1 to >0 pts

Poor

The response inaccurately and vaguely discusses ethical, legal and social implications, or it is missing. The response includes inaccurate and vague examples that do not support the Discussion, or it is missing.

10 pts

This criterion is linked to a Learning OutcomeThe paper is succinct and is 5–6 pages. Five (5) evidence-based, peer- reviewed scholarly references outside of course resources.

5 to >4.0 pts

Excellent

The paper is succinct and is 5–6 pages. Five (5) evidence-based, peer- reviewed scholarly references outside of course resources

4 to >3.0 pts

Good

The paper is succinct and is 7–8 pages. Four (4) evidence-based, peer- reviewed scholarly references outside of course resources

3 to >1.0 pts

Fair

The paper is somewhat succinct and is 8–9 pages. Two or three (2 or 3) evidence-based, peer- reviewed scholarly references outside of course resources

1 to >0 pts

Poor

The paper is not succinct and is 10+ pages. One (1) or no evidence-based, peer- reviewed scholarly references outside of course resources
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the Assignment is stated yet is brief and not descriptive.

3 to >1.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the Assignment is vague or off topic.

1 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. No purpose statement, introduction, or conclusion was provided.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English writing standards: Correct grammar, mechanics, and proper punctuation.
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains one or two grammar, spelling, and punctuation errors.

3 to >1.0 pts

Fair

Contains three or four grammar, spelling, and punctuation errors.

1 to >0 pts

Poor

Contains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.0 pts

Good

Contains one or two APA format errors.

3 to >1.0 pts

Fair

Contains three or four APA format errors.

1 to >0 pts

Poor

Contains five or more APA format errors.
5 pts

Total Points: 100