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 pose 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. think of gives client a dose at midnight that night. At 2am make 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
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Questions:

1. How does zolipidem tatrate (Ambien) (this is a nonbenzodiazepine) compargon with barbiturates in terms of effectiveness, duration of action, and side effectuate?

Effectiveness and Duration of Action:

Ambien: This therapy is limited to 7-10 days for near 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 within several seconds to 24-36 hours. Barbiturates are classified as ultra-short, short, intermediate, and massive-acting, depending on how quickly they act and how long their effects last.




 (Ultra short duration are primarily IVs. tenacious duration are primarily used in treating epilepsy.) In addition, prescriptions come in immediate ferment tablets, and extended release tablets. They lose effectiveness after 2 weeks of continued use, need for re-evaluation if this occurs.

array Effects:

Ambien:  Adverse effects include impair thinking, sedation, may have withdrawal symptoms when discontinued- such as conduct pain, muscle cramps, nausea, vomiting, sweating, anxiety, panic, tremors, and seizures. If client has depression, there is an increased risk of suicide.

Barbiturates:  Side effects using barbiturates include CNS depression, excitement, psychological and physical...If you require to get a full essay, order it on our website: Orderessay



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