Case Study

Summary of case field: 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 prepargon on bedrest in traction. During night of admission, she cant fall asleep. Dr. writes a prescription(prenominal) for zolpidem tartrate (Ambien) 10mg PO pro re nata for sleep. opine of gives client a battery-acid at midnight that night. At 2am exercise notices client is still not sleeping. Medication record shows the succeeding(a): multivitamin all(prenominal) day Digoxin (cardiotonic) 0.24 mg PO every day Morphine sulfate 1-2 mg IV q1-2h prn for pain ____________________________________________________________ _________ Questions: 1. How does zolipidem tatrate (Ambien) (this is a nonbenzodiazepine) compargon with barbiturates in legal injury of effectiveness, continuation of action, and side lay out? potency and Duration of attain: Ambien: This therapy is limited to 7-10 days for beloved effectiveness. However, it is confirmed that after 3 weeks, clients deficiency to be re-evaluated because it retreats it effect. Barbiturates: These guys atomic number 18 versatile. Effectiveness can start deep down several seconds to 24-36 hours. Barbiturates are sort as ultra-short, short, intermediate, and massive-acting, depending on how promptly they act and how long their personal effectuate last.

 (Ultra short duration are primarily IVs. tenacious duration are primarily employ in treating epilepsy.) In addition, prescriptions pose in immediate sprain tablets, and extended release tablets. They lose effectiveness after 2 weeks of continued use, need for re-evaluation if this occurs. graze Effects: Ambien:  Adverse effects include impair thinking, sedation, may have withdrawal symptoms when discontinued- such(prenominal) as conduct pain, brawn 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 construct a full essay, society it on our website: Ordercustompaper.com

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