Levels of sedation are also detailed in the guidelines. In these guidelines ketamine is described in terms of procedural, dissociative and deep sedation. Procedural sedation involves administering sedatives or dissociative agents with or without analgesics to intentionally suppress a patient’s level of consciousness. Dissociative sedation is reserved for ketamine, reaching that cataleptic state with immobilization and loss of sensation, but with retention of cardiopulmonary function and…
Opioids: Opium, Morphine, Heroine and Codeine Opium What are the street names of the drug? Some of the common names or slang words used on the street to acquire this drug are names such as, Aunti Emma, Big O, Black Pill, Dream Gun, Dream Stick, Dreams, God’s Medicine, Gondola, Toxy, Toy, Gumma, Chandu, Buddah, Emerald City, and midnight oil. How does the drug work? Opium works by mimicking the effects of neurotransmitters located int he brain. This neurotransmitters are know as endorphin.…
bedrest should be maintained and bleeding precautions should be instituted. Rationale for medication: Treatment of acute ischemic stroke Trade name: Acetylsalicylic acid Generic name: Aspirin Classification: Therapeutic: antipyretics, nonopioid analgesics; Pharmacologic: salicylates Therapeutic use: Slows the blood’s clotting action by reducing the clump of platelets, this helps to put a stop to or reduce blood clots. Major adverse effects: Gastrointestinal bleeding, dyspepsia, epigastric…
During my clinical rotation as a student nurse on medical floor, 5 North, I experienced a wonderful learning situation that would definitely help me throughout my nursing career. I was assigned a female patient, AB, 45 years old, whose medical diagnosis was L1 burst fracture. I read her whole chart a day prior to receiving her in my care. I did my research on her diagnosis and her medications. Her admitting diagnosis was Motor Vehicle Collision (MVC) trauma. Therefore, I read couple of articles…
The writer intends to reflect on and critically analyse the provision of palliative care within her clinical setting, a twenty-one bedded medical unit, with reference to one case study in particular, as well as on a more general level based on her experiences to date. The writer intends to discuss one case study in reference to the guiding principles of palliative care and the concept of a good death in relation to that individuals care and the setting in general. A high proportion of patients…
Figure 5. Rosiglitazone (highlighted in green) forms three salt bridges with neighboring atoms at the hydrophilic end of the LBD. Rosiglitazone binding to PPARγ causes a conformational change within the complex that causes the dissociation of the endogenous ligand and the recruitment of a nuclear receptor coactivator 2, NCoA-2. This similarly occurs in the other half of the complex: RXRα Receptor A type II nuclear receptor as well, RXR-α heterodimerizes with PPARγ. The ligand that…
An estimated 110,000 students between the ages of 18-24 are arrested every year for an alcohol-related violation, such as public drunkenness or driving under the influence, 80 percent of U.S. college students have abused alcohol, and the amount of students who abuse prescription drugs has increased by 450 percent over the last decade (“Facts and Statistics of College Drug Abuse”). Medications used to cure diseases, ease pain, and overall benefit society are the same medications that misused, can…
Type I Non-Insulin-Dependent Diabetes Mellitus (NIDDM) is a chronic illness where the body is unable to produce insulin due to an autoimmune destruction of the beta cells in the pancreas. Insufficient amount of insulin in the blood means inadequate amounts of glucose leading to high blood sugar level. NIDDM is a genetic disease that usually occurs in children or young adults, there is no cure found yet, but it can be managed. Symptoms may include polyuria, polydipsia, polyphagia, dry skin,…
Morphine (MS Contin®, Avinza®, Kadian®, Embeda®, others) Morphine treats moderate-to-severe pain and is a Schedule 2 opioid. Although once available only as a rapidly acting formulation, long-acting products are now routinely prescribed to treat chronic pain. Morphine is the most prominent and active ingredient in opium. It was first extracted from opium some 200 years ago. Morphine is as easy to abuse as heroin and carries the same risks as heroin. To reduce the potential for abuse, the newer…
Sickle Cell Disorder [ICD-10 D57] Sickle Cell Disorder (SCD) may be one cause to this child’s previously listed symptoms. SCD is an inherited disease in which an abnormal hemoglobin S [HbS] leads to chronic hemolytic anemia, pain, and organ failure (Grossman & Porth, 2014). SCD is transmitted by a recessive gene and can manifest as a sickle cell trait or sickle cell disease. The sickle cell trait may manifest as a heterozygote with one HbS gene [HbS], and SCD may manifest as a homozygote with…