Question

John is a 58 year old male patient with Bipolar 1 disorder and has been stable for 5 years on valproate and Seroquel. He was recently started on Flonase by his primary care. As the PMHNP, you are concerned that the addition of the Flonase may cause

a. A hypertensive crisis
b. SJS
c. NMS
d. a manic episode

Answer 1

The addition of Flonase to John's medication regimen may cause a manic episode due to his bipolar 1 disorder.

Step-by-step explanation:

The addition of Flonase to John's medication regimen may cause a manic episode due to his bipolar 1 disorder. Flonase contains fluticasone, which is a corticosteroid. Corticosteroids can potentially induce or worsen manic symptoms in individuals with bipolar disorder. It is important for the PMHNP to monitor John closely for any signs of mania, such as increased energy, irritability, impulsivity, and decreased need for sleep.