Diazepam

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…

PHAR2220 – Human Pharmacology Riches to Rags - A Cinematic Insight into the Downfall of Valium What determines the success of a drug? The answer may seem obvious – if the drug works then it will be successful. It seems like a logical conclusion to make, and indeed this does play a key role in determining how popular a drug will be. But why are there some drugs, like diazepam, that still produce their intended effects but are no longer as successful in the marketplace? It seems that the answer…

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…

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…

Etomidate, which is an imidazole derivative and an ester, is the most commonly used anesthetic induction agent and characterized by rapid onset, with minimal side effects on cardiovascular and respiratory functions, as well as minimum histamine release. These properties make it especially useful for cardiac-compromised patients. [7] However, it can suppress adrenal function through blockade of 11β-hydroxylase. This suppression persists for at least 24 hours, and some authors suggest that it may…

With Gordon taking such a high dose of diazepam, it seems reasonable to conclude that she had developed some tolerance to the drug. Tolerance is defined by the National Institute on Drug Addiction as a state in which an organism no longer responds to a drug, or alternatively as requiring a higher dose to achieve the same initial response level (NIDA, 2007). Tolerance to benzodiazepines tend to develop at varying rates and degrees, and not all forms of tolerance have negative outcomes. For…

are generally genetically determined, self limiting, occur during fever, in the absence of CNS infections. They are called simple, atypical, and benign seizures, usually occur as single seizure within 24 hours of the onset of fever, and lasts for less than 10 minutes. Majority febrile convulsions are generalized without any postictal stage. Febrile convulsions are managed by administration of antipyretic drug and/or hydrotherapy. Seizure is controlled by intravenous administration of Diazepam…

Hughes two times while I opened my patrol. Major Hughes had to force Clapp into my patrol vehicle. Clapp resisted Major Hughes and continued to be out raged, cussing and kicking his feet. Maj. Hughes got Clapp in the patrol vehicle with the seat belt fastened. I transported Clapp to the Brookfield Police Department and placed him in a holding cell. I identified the pills by using Drug.com. Clapp’s cigarette pack contained 17 pills in one of the cellophanes and 4 pills in the other cellophane.…

However, this is incorrect because scientists have proven that marijuana is one of the least dangerous drugs. “Reports at the end of January, compared the potential of death from the typical, recreational use of 10 drugs: marijuana, alcohol, tobacco, heroin, cocaine, ecstasy, methamphetamine, diazepam, amphetamine and methadone. Marijuana was, by far, found to be the safest, even when compared to alcohol and cigarettes” (Shapiro). Alcohol and tobacco are legal and marijuana is illegal, but its…

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…