Case Study

Summary of case study: Mrs. Pala is a 75-year-old woman who was admitted to hospital after falling on ice. Tests reveal a fractured hip, and she is specify on bedrest in traction. During night of admission, she cant fall asleep. Dr. writes a prescription for zolpidem tartrate (Ambien) 10mg PO prn for sleep. mobilise of gives client a dose at midnight that night. At 2am stag notices client is still not sleeping. Medication record shows the succeeding(a): multivitamin all(prenominal) solar day Digoxin (cardiotonic) 0.24 mg PO every day Morphine sulfate 1-2 mg IV q1-2h prn for irritation ____________________________________________________________ _________ Questions: 1. How does zolipidem tatrate (Ambien) (this is a nonbenzodiazepine) compargon with barbiturates in terms of effectiveness, duration of action, and side assemble? Effectiveness and Duration of Action: Ambien: This therapy is limited to 7-10 days for salutary effectiveness. However , it is confirmed that after 3 weeks, clients deficiency to be re-evaluated because it loses it effect. Barbiturates: These guys nuclear number 18 versatile. Effectiveness can start deep down several seconds to 24-36 hours. Barbiturates argon classified as ultra-short, short, intermediate, and massive-acting, depending on how apace they act and how long their personal effects last.

 (Ultra short duration are primarily IVs. tenacious duration are primarily apply in treating epilepsy.) In addition, prescriptions come in immediate excitement tablets, and extended release tablets. They lose effectiveness a fter 2 weeks of continued use, need for re-e! valuation if this occurs. array Effects: Ambien:  Adverse effects include impair thinking, sedation, may have withdrawal symptoms when discontinued- much(prenominal) as conduct pain, muscle cramps, nausea, vomiting, sweating, anxiety, panic, tremors, and seizures. If client has depression, there is an change magnitude risk of suicide. Barbiturates:  Side effects using barbiturates include systema nervosum centrale depression, excitement, psychological and physical...If you require to get a full essay, sound out it on our website: BestEssayCheap.com

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