Page 1 of 5 - About 43 Essays
  • Klonopin Vs Ambien

    This is a 57-year-old female with 8/01/06 date of injury, due to a slip and fall. Diagnosis: chronic pain syndrome primary OA-L ankle and foot, MDD, Single Episode and Generalized Anxiety disorder. 12/08/15 progress note by Mehtani documented that the claimant had been seeing Dr. Desai for a period of time. She has been on a complex medication regimen. The provider is trying to cut down the use of Klonopin and Ambien. The patient was told this was her last prescription. In the meantime, he will try her on Vistaril 25 mg 2-3 times a day for anxiety and panic attacks #90 and trazodone 50 mg at bedtime #30. She will stay on Geodon 80 mg at bedtime #30 and Lexapro 20 mg a day #30. The patient will be seen once a month for medication and psychotherapy. The patient needs ongoing psychiatric care. She remains totally disabled from employment. A prior review from 12/16/15 indicated, a12/15/2015 2:56 PM Phone conversation with Dr. Mehtani. He stated that the current plan is to keep the patient on Ziprasidone, as this is effective to control the patient 's symptoms. However, the physician also stated that clonazepam and zolpidem needed to be weaned and discontinued. He requested reducing the medications by 50% and stated that these will not be prescribed anymore, this being the last prescription. Therefore, an agreement was reached to proceed with a modified treatment plan, consisting of Clonazepam tab 0.5 mg #30, Zolpidem 10mg #15, Ziprasidone cap 80 mg #30. No further…

    Words: 944 - Pages: 4
  • My Reflection On The Diazepam Scenarios

    In the Diazepam video, I thought that my responsibility was to make sure that the patient received all of the information promptly. I was very focused on stating all of the points relevant for that counseling session. I was also nervous in this video because I had never counseled anyone before. Therefore, I was not confident in my ability to effectively counsel the patient. In the second video, I was still concerned about giving the information to the patient promptly. However, I knew that it…

    Words: 1225 - Pages: 5
  • Alcohol Withdrawal Syndrome Case Studies

    presenting to the hospital frequently to treat the withdrawal symptoms. Most of the patients admitted with Alcohol Withdrawal Syndrome (AWS) have multiple management problems such as withdrawal symptoms, anxiety, liver disorders, electrolyte imbalances, seizures, poly substance abuse and depression (McKeon, Frye & Delanty, 2008). I have taken care of alcoholic patients who present with AWS because they had to stop drinking due to lack of money to buy alcohol. These patients are discharged from…

    Words: 2311 - Pages: 10
  • Psychotropic Medication Case Study

    Once given there is no going back, the patient may have to deal with the side effects and/or the potentially detrimental effects on both the hepatic and renal systems. 5. Why should diazepam be avoided in the elderly? Diazepam should be avoided in the elderly population due to increased sensitivity to benzodiazepine and decreased metabolism of this long acting mediation. All benzodiazepines carry the risk of cognitive impairment, delirium, falls, fractures, and MVCs. Diazepam may be…

    Words: 1037 - Pages: 5
  • Paranoid Personality Disorder Case Study

    Diagnosis(es): paranoid personality disorder Treatment Recommendation(s): psychotherapy cognitive behavioral therapy interpersonal therapy medications such as diazepam or thioridazine (to help with symptoms such as anxiety or delusions) Justification: According to the DSM-5, paranoid personality disorder is defined as the extreme distrust and suspiciousness of others to a point where an individuals motives may be construed as malignant. Thus, an inidividual must meet four or more of the…

    Words: 595 - Pages: 3
  • Public Health And Disease Essay

    of quality, safety and efficacy ii) Jim has insomnia. He has difficulty falling asleep and staying asleep most nights of the week. He works very hard as a real estate agent and drinks a lot of coffee and is busy talking to clients all day long. He is currently taking Valium (diazepam) sleeping tablets prescribed by his doctor. He also wants to buy Valerian tablets and Dozile (doxylamine) capsules from you. He says that the Valium is not working well enough even though he has been taking more…

    Words: 1485 - Pages: 6
  • Reflective Essay On Pain Assessment

    with the nurse, I dispensed the medication and informed him that I would check back with him to ensure it was effective. However, after 20 minutes it became apparent that it had not as Peter stated that his intensity rating had increased to an 8. Visually, he was pale and writhing in bed. Upon examination of his back, I noticed that whilst his wound dressing was intact, I could feel the muscles surrounding his spinal cord contracting. Peter mentioned that the pain had suddenly increased when he…

    Words: 805 - Pages: 4
  • Continuous Oxygen Therapy Case Studies

    chronic usage, and extremely high daily dosages. 7. Lorazepam is a short acting benzodiazepine that binds to the allosteric site located on the GABA-A receptors, which heightens the effect of the inhibitory neurotransmitter GABA. It is used for the treatment of anxiety, status epilepticus, and as a sedative. 8. Lorazepam did not control this patient’s seizure because it is a short acting benzodiazepine. As the patient develops tolerance the GABA receptors become less responsive and there is…

    Words: 1132 - Pages: 5
  • Heath Ledger Case Study

    Heath Ledger died at the age of 28 in the year of 2008 because of the combination of six prescription drugs. (Drug abuse, 2017) Drugs such as Cocaine and heroin were frequently used by Heath. According to Peta Hellard, Heath Ledger died from an acute intoxication from the combined of oxycodone, hydrocodone, diazepam, temazepam, alprazolam, and doxylamine. These drugs are a combination of painkillers, anti-anxiety drugs, and sleeping drugs. This particular blend of drugs can cause the brain to…

    Words: 1039 - Pages: 5
  • Prilosec Case Study

    He states that his signs of GERD have resolved after starting therapy four weeks ago. Common side effects of Prilosec include fever, cold symptoms such as stuffy nose, sneezing, sore throat, stomach pain, gas, nausea, vomiting, mild diarrhea, or headache. L.G.’s new onset of abdominal pain and vomiting could be related to Prilosec since it was started with the initiation of this medication. Therefore, the dosage should be reduced and the patient should follow-up in two weeks to evaluate if the…

    Words: 362 - Pages: 2
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