Antidepressants used for BMS treatment are broadly classified into tricyclic antidepressants (amitriptyline, imipramine, desimipramine, clomipramine, doxepin) selective serotonin reuptake inhibitors (fluoxetine, paroxetine, sertraline) and atypical antidepressants (trazodone). Amitriptyline exerts its antidepressant action by blocking the neuronal reuptake of noradrenaline and serotonin. But due to its anticholinergic it may cause delirium in elderly patients. Desipramine and nortriptyline, which have least anticholinergic activity, are equally efficacious substitutes. Dosage for adults is initially 25mg thrice daily which can be increased upto 150mg daily in divided doses.
Bailey RSI Medication and intent Summary Rapid sequence intubation (RSI) is a standardized protocol that uses medications to facilitate endotracheal intubation of patients in emergency settings (Mason, Weant & Baker, 2013). Some indications for use of RSI include respiratory distress, trauma, or decreased airway patency (Mason et al., 2013). RSI medications include pretreatment medications such as fentanyl or lidocaine; acute paralytic agents and sedatives; and long term pain management, sedative or paralytic agents (Mason et al., 2013). Pretreatment medications in RSI are meant to mitigate effects of intubation and RSI. Atropine is typically used in pediatric patients to decrease the vagal response caused by use of the laryngoscope blade
It is in a class of medication called glycopetide antibiotics. Biological half-life 4h to 11 h for adult. Action: The medication acts by inhibits cell wall synthesis. It is an alternative drug for staphylococcal and streptococcal infections, including endocarditis when allergies prelude the use of penicillin and cephalosporin Indication for Use: Potentially life threatening serious infections that include bone, skin, lower respiratory tract, and c. difficile Therapeutics Dosage: Vancomycin can be administering orally or intravenously. It is usually taken 3-4 time a day for 7-10 daysThe dosage is based on the patient m medical condition and response to treatment.
The concern of the study is to know the long-term result of MBCT with the use of standardized measures of depressions (BDI-II), mindfulness (MAAS), and rumination (RSS) and the outcomes are collected yearly for 3 years. Thirty-nine participants were observed and the results showed a significant decrease in depression. Although the depression scores for the last year increased, it was still inside the normal range of BDI-II. Rumination and mind attention showed a strong negative correlation which means as rumination increases, the mind attention decreases and vice versa. It was therefore concluded that continued MBCT aids and training can help relapse prevention.
There are two types of medicines that treat gout, there are NSAIDs, colchicine and corticosteroids. There are also medications that can lower the level of uric acid over time. This is to prevent or lessen the attacks. Colchicine, for example, is given to treat the attack of gout or to prevent recurring attacks. Colchicine can be given once or twice a day to prevent an attack from coming back.
Main side effects Respiratory depression, light headedness, sedation, dizziness, nausea and vomiting, constipation, abdominal pain. Patient education To take Morphine with meals to avoid abdominal cramps and nausea. To avoid driving and carry heavy machines. To take it before sleep. Nursing intervention Monitor vital sings especially respiratory rate and have the antidote (naloxone) on hand, maximize the therapeutic effects by assessing the pain before and after medication administration, minimize side effects by assist the patient while walking and keep side rails up, provide patient and family education about side effects and how to avoid and minimize
Effect of vitamin E supplementation in patients with ataxia with vitamin E deficiency. Eur J Neurol. 2001;8:477–481. 7) Martinello F, Fardin P, Ottina M, Ricchieri GL, Koenig M, Cavalier L, et al. Supplemental therapy in isolated vitamin E deficiency improves the peripheral neuropathy and prevents the progression of ataxia.
One month before the event she attended the outpatient clinic and an echocardiogram was performed, which showed: normal left ventricular dimensions, wall thickness mildly increased, normal left atrium and aorta, mild left ventricular dysfunction with an estimated ejection fraction of 50%, hypokinetic basal inferior and mid inferior segments and mitral inflow filling pattern of delayed relaxation (according to her age). Right chambers dimensions and right ventricular function were normal (TAPSE of 20 mm Hg), a calcific trileaflet aortic valve with normal leaflet excursion was observed, with normal gradients and no regurgitation. Mitral valve was normal, without regurgitation, and tricuspid valve and pulmonary valve were also normal. There was absence of pericadial effusion and both septae were
Prolongs levodopa action Useful in wearing off events and motor fluctuations Increases t1/2 of levodopa Increases the availability of levodopa in CNS Useful in advanced cases of Parkinson’s disease Useful in on-off phenomenon Mechanism Intracerebral degradation of dopamine is retarded by inhibition of MAO-B Inhibits metabolism of levodopa by COMT Drug Name MAO-B (Monoamine oxidase B) inhibitors Selegiline Rasagiline COMT (Catecholamine o-methyl transferse) inhibitors Entacapone, Tolcapone Sr No 5. 6. Disadvantages Dizziness, lethargy, anticholinergic effects, and sleep disturbance, Nausea and vomiting Anticholinergic side effects Sedation and mental confusion in elderly more pronounced Advantages Modest anti Parkinsonian effect Can be used as short course with levodopa for motor fluctuations Less side effects compared to
From ur study, we found that there is no significant rise in IOP with LMA insertion whereas ETT intubation produced a significant raise which persisted for two minutes. Today, LMA has come to be widely used as an alternative airway device during daycare anesthesia. The LMA has become a very attractive alternative to endotracheal tube. In this study, the efficacy of LMA in reducing IOP during ophthalmic surgeries in children is compared with that of conventional endotracheal
#Alert your doctor if you experience severe side effects. As you reduce the amount of antidepressant medication you are taking, you may experience bothersome symptoms that impact your functioning. You might also notice a return of your depressive symptoms that indicate relapse. #*During this time, it is pertinent that you stay in communication with your doctor. He or she may need to alter the tapering regimen you are on to a higher dose or a more gradual taper in order to overcome negative side effects or prevent
(Chisholm-Burns, et al., p. 103). 3. What do you recommend to treat acute episodes of stable-angina-related chest discomfort? Nitroglycerine SL: “0.3 to 0.6 mg every 5 minutes for maximum of 3 tablets in 15 minutes; may also use prophylactically 5 to 10 minutes prior to activities which may provoke an attack.” (Lexicomp, Nitroglycerine, n.d.). 4.
Medication Assisted Treatment, or "MAT" for short, is the use of FDA approved medication for the treatment of opiate/opioid addiction and substance abuse with counseling and behavioral therapies to treat addiction (Cormier, 2014). This treatment can be used concurrently with a 12-step addiction program. Common medications used with this treatment are Methadone, Buprenorphine, Naltrexone, Acamprosate and Disulfiram. Despite research demonstrating MAT’s effectiveness as an evidence-based practice, such treatment remains underutilized (Reardon, 2014). For example, less than one-half of the 2.5 million Americans aged 12 or older who abused or were dependent on opioids in 2013 received MAT with positive effects (Volkow, Frieden, Hyde, & Cha, 2014).
Would our satisfaction scores go up if we did not wake them in the middle of the night to do an eight-hour heparin subcutaneous injection? 5. Is low-dose unfractionated heparin more effective that a low-molecular-weight heparin such as enoxaparin or dalteparin? These background questions are significant to providing evidenced based patient care in the prevention of DVTs while in an acute care setting. These questions on the topic of how often Lovenox injections are required to be therapeutic versus how often heparin needs to be injected and the resulting patient satisfaction during the hospital stay.
The trade names are Proventil, Ventolin, and Volmax. Indication(s): It is appropriate to administer albuterol to a patient who exhibits signs and symptoms of a respiratory emergency, who has a physician-prescribed inhaler, and with the specific authorization from medical direction to use it. Effects: Albuterol is used as a bronchodilator, which means it enlarges the patient’s respiratory passages to make breathing easier for a patient experiencing respiratory difficulty.