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February 5, 2023

Patient came from ALF for monthly appointment with case manager…

Patient came from ALF for monthly appointment with case manager yelling, irritable and stating he is hungry and with no shoes. He was previously discharge from the hospital 01/11. He was admitted due to having multiple seizures and head injury due to a seizure. ALF staff reports pt to be agitated, fighting with them refusing to allow staff to clean him, yelling. Pt has been has been refusing his Depakote 500mg that is taken twice a day PO for the past 4 days. Pt has been off of his psych meds. In order to begin psych meds what labs would you order prior and why?

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