Case Study

Summary of case study: Mrs. Pala is a 75-year-old woman who was admitted to infirmary after falling on ice. Tests reveal a fractured hip, and she is baffle 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. sound off of gives client a dose at midnight that night. At 2am put on 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 smart ____________________________________________________________ _________ Questions: 1. How does zolipidem tatrate (Ambien) (this is a nonbenzodiazepine) compargon with barbiturates in terms of effectiveness, duration of action, and side ordering? Effectiveness and Duration of Action: Ambien: This therapy is limited to 7-10 days for tightly fitting effectiveness. Ho wever, 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 be classified as ultra-short, short, intermediate, and massive-acting, depending on how promptly they act and how long their effects last.

 (Ultra short duration are primarily IVs. tenacious duration are primarily apply in treating epilepsy.) In addition, prescriptions come in immediate work out tablets, and extended release tablets. They lose effectiveness afte r 2 weeks of continued use, need for re-eval! uation 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 increase risk of suicide. Barbiturates:  Side effects using barbiturates include central nervous system depression, excitement, psychological and physical...If you require to get a full essay, order it on our website: OrderCustomPaper.com

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