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 gear up 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. bet of gives client a dose at midnight that night. At 2am perform notices client is still not sleeping. Medication record shows the succeeding(a): multivitamin pill all(prenominal) daytime Digoxin (cardiotonic) 0.24 mg PO every day Morphine sulfate 1-2 mg IV q1-2h prn for put out ____________________________________________________________ _________ Questions: 1. How does zolipidem tatrate (Ambien) (this is a nonbenzodiazepine) compargon with barbiturates in terms of effectiveness, duration of action, and side put? Effectiveness and Duration of Action: Ambien: This therapy is limited to 7-10 days for to the highest degree effectiveness. Ho wever, it is confirmed that after 3 weeks, clients deficiency to be re-evaluated because it loses it effect. Barbiturates: These guys atomic number 18 versatile. Effectiveness can start deep down several seconds to 24-36 hours. Barbiturates ar classified as ultra-short, short, intermediate, and massive-acting, depending on how speedily they act and how long their cause last.

 (Ultra short duration are primarily IVs. tenacious duration are primarily employ in treating epilepsy.) In addition, prescriptions come in immediate make tablets, and extended release tablets. They lose effectiveness after 2 weeks of co ntinued use, need for re-evaluation 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, sound out it on our website: OrderCustomPaper.com

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