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 direct 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. depend of gives client a dose at midnight that night. At 2am pay notices client is still not sleeping. Medication record shows the succeeding(a): multivitamin pill all(prenominal) solar day Digoxin (cardiotonic) 0.24 mg PO every day Morphine sulfate 1-2 mg IV q1-2h prn for distract ____________________________________________________________ _________ Questions: 1. How does zolipidem tatrate (Ambien) (this is a nonbenzodiazepine) compargon with barbiturates in terms of effectiveness, duration of action, and side entrap? Effectiveness and Duration of Action: Ambien: This therapy is limited to 7-10 days for or so effectiveness. However, 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 inside several seconds to 24-36 hours. Barbiturates are classified as ultra-short, short, intermediate, and massive-acting, depending on how rapidly they act and how long their effectuate last.

 (Ultra short duration are primarily IVs. tenacious duration are primarily utilise in treating epilepsy.) In addition, prescriptions come in immediate exercise tablets, and extended release tablets. They lose effectiveness after 2 weeks o f continued use, need for re-evaluation if t! his 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 central nervous system depression, excitement, psychological and physical...If you require to get a full essay, cast it on our website: OrderCustomPaper.com

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