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

 (Ultra short duration are primarily IVs. tenacious duration are primarily utilise in treating epilepsy.) In addition, prescriptions come in immediate zymolysis tablets, and extended release tablets. They lose effectiveness aft er 2 weeks of continued use, need for re-eva! luation 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 of battle it on our website: OrderCustomPaper.com

If you want to get a full essay, visit our page: write my paper