This includes considering lack of fluids, and availability to swallow among other different issues. With this in mind appropriate preparation needs to be taken to avoid unexpected complications. Dosage plays another important role in effectiveness of medication, in fact can only be done by a professional trained and capable of giving the medication. Always give it as prescribed, remember that patient’s health…
In Carly’s Voice, you can find quite a few examples of the authors discussing different medications that have worked, some that worked but caused horrible side effects, or some that didn’t work at all. For example, on pages 138-140 it discusses the countless amount of doctors and medications that Carly took and visited for her violent “fits.” In the midst of the family’s frustrations, doctors prescribed Carly medications that were doing more harm than good. Dr. Stein, a physician who would look after Carly prescribed her “gabapentin.” Prior to her new medication schedule, Carly started experiencing abnormal side effects such as stomach aches, getting up in the middle of the night and staying up all night, waking up & spinning in circles while…
Status - uncontrolled Drug therapy problem - safety: dose too high - LS's pain medication dose is too high and at risk for opioid overdose. Drug therapy problem - indication: needs additional drug therapy - LS is at high risk for opioids overdose, a rescue medication for opioids overdose is recommended; LS needs optimal pain medications to control her symptom. Drug therapy problem - compliance: noncompliance - LS is not compliance with taking her MS Contin tablet and oxycodone IR tablet. Rationale:…
At today’s visit, she is awake, alert and oriented. She reports chronic, dull, constant, sharp left hip pain. She rates her pain as 7/10. She states that the pain affects her mobility and makes it difficult to ambulate. She takes Percocet…
Considering these journals are what tell doctors about the latest studies on diseases and drugs, how to correctly use these drugs and their efficacy. In Dr. Abramson’s book, he recalls a moment of revelation. One in which he scooped up his most trusted of medical journals while on his lunch, in between patients. The New England Journal of Medicine in one of the most sought-after journals and is trusted to provide accurate information on modern medicine. While Dr. Abramson was skimming the journal, he began to read about a new study that intrigued him.…
Another key trial I investigated is a meta-analysis of 150 double-blind trials.(18) A substantial 21 533 people participated across these mostly, short-term trials. The main aim of this study was to compare and contrast the overall effectiveness of 9 second-generation antipsychotics with the first-generation drug, Haloperidol. Due to the limitations of this SSM I will be interpreting results concerning Clozapine and Risperidone exclusively. The comparisons made were regarding efficacy in symptoms, relapse rates, quality of life, side-effects (including EPS and weight gain) and sedation.…
D- According to the patient, she is stable at her current dose. She appears to be surprised about her dose. The patient had thought she was receiving 39mgs, not aware about her decrease to 33mgs. The patient then informed this writer that she had completed the dose change request form and spoke with Nursing regarding to the decrease and is pleased that she had actually gotten her request.…
It is recommended that all patients received a ECG prior to treatment 30 days before and annually afterwards. All patients should follow the prescribed amount, if exceeded, they are at risk for an overdose. Although the medication has a stigma to it, it is important to note for the purpose of hospice or palliative care we use it for pain relief. That being said, it is an issue whether or…
Treatment Guidelines For Complex Regional Pain Syndrome The paper will describe treatment recommendations for a 43-year-old white male diagnosed with Complex Regional Pain Syndrome (CRPS). The paper will have three different decision points, and at each decision point, the psychiatric mental health nurse practitioner (PMHNP) will have to choose one of the treatment options available and explain the rationale of each choice that was preferred. The paper will describe why starting with Amitriptyline is a better option than Savella or Neurontin. Next, the paper will explain why the PMHNP chose to continue therapy with Amitriptyline and continue towards reaching the daily dose of 200 mg per day instead of reducing the dose or adding other medications…
Does your restless mind keep you up at night? If the answer is yes, then one of the first medications that might come to mind when speaking with your doctor may include Lunesta. Lunesta, also known through its drug name eszopiclone, is a nonbenzodiazepine sleep aid that was mass-produced in December of 2004 by a pharmaceutical company called Sepracor (now known as Sunovion). This medication was created to help treat sleep problems, such as insomnia, over a short term. Lunesta can help an individual fall asleep faster and longer, while also lessening how often the person wakes up during the night.…
Biologically, benzodiazepines bind to GABA receptor sites in the brain. GABA is an important inhibitory neurotransmitter that if in excess amounts in the brain or regulated can cause seizures and sleep problems respectively. Previously, scientists have tried medication substitution to anxiolytics, agonist substitution to mimic the effect, or abstain completely. Liebrenz and his team of five scientists suggest that, “patients’ subjective views are of clinical importance because past research indicates that individuals should be presented with a variety of treatment alternatives, rather than simply being informed about what is obtainable or easiest; in addition, this prior research has found interventions to be most beneficial when patients…
Preparing for this exam was unlike any other exam for me. I have recently accepted a job at Easter Maine Medical Center, as a nursing tech, and the hours of orientation have been challenging to balance with my studies. My new job has required even greater time management than I have previously implemented. I worked a thirteen-hour shift the day before the exam, worked immediately after the exam, and then completed an online midterm for my socio-cultural nursing class that evening. Although I have not received my exam grade, I felt very prepared and confident due to my strict time management.…
The article focuses on Peter Borden and his experience using Modafinil (known as Provigil in the U.S.), during a period in his life when concentration, speed and accuracy were crucial in helping him organize himself in order to succeed at two jobs. By day, Borden was conducting qualitative analysis's and acting as project manager for a B2B start-up, and by night he was busy working on developing a high-frequency Wall-Street-esque trading system. Borden desperately needed more time to work, and to continually perform well, he started using the new drug, Modafinil. Modafinil has recently been dubbed "the Limitless pill" after the movie, Limitless, starring Bradley Cooper. Borden (after taking the maximum dosage the first time) explains how the pill shifted his senses, making his auditory sense lessened while simultaneously increasing his visual sense.…
Built in 1927, the Cecil Hotel has a grim history of murders, suicides, and even serial killers, but no anomaly was perhaps more shocking than the mysterious death of Elisa Lam. Called an “accidental drowning” by the Los Angeles Police Department (LAPD), the college student’s death baffled and fascinated the public. Elisa was seen as a normal girl, but when she checked into the Cecil Hotel she went missing, and was later found in the hotel's water tank with no evidence to suggest how she got there. Elisa Lam was a seemingly usual girl. Loved by her family and friends, Elisa never showed any unusual behavior before the incident; she was a 21 year old Canadian college student studying at British Columbia University in Vancouver Canada.…
Personalized Medicine In recent years, the growth and changes in medicine has been exponential than linear. With the innovations of new cutting edge technologies, medicine is not only changing through technological perspective but through human perspective as well. While millions of lives have been saved with the traditional one –size-fits-all blockbuster medicine, some drawbacks are still preventing an effective treatment for each individual. An individual’s response to any medications are influenced by many socio-biological factors such as age, weight, medical history, daily lifestyle but it is also affected by their genetic makeup.…