Zohydro is an opioid analgesic hydrocodone that no contains acetaminophen is a 12-h extended-release formulation. Its approval was against the FDA’s expert panel recommendation. Opioids have been widely used as treatment for non-cancer chronic pain. However, it may be some misunderstanding in the efficacy and safety of this drugs because of their potential misuse, abuse and addiction.…
In December 2015, the member’s Medrol dosage was increased. Her HAQ score had increased to 1625 and her CRP was elevated to 5.49…
Some practitioners believe that Dihydrocodeine can be useful as a detoxifying agent in reducing the withdrawal of an opiate dependency. Dihydrocodeine is usually used in the final part of the detoxification, usually when the methadone dose reaches around 15mg. Dihydrocodeine is a shorter acting drug with less withdrawal symptoms, a relatively week opiate and is easier to reduce slowly without practical difficulties. Doctors have seen patients that have become addicted to low doses of Dihydrocodeine (up to 450mg daily,…
Presenting History: Eliot is a 74 year old male presented to the clinic with complaints of frequent nose bleeds and several bruises on the body. He is also complaining of runny nose, cough, head and chest congestion. He has a history of atrial fibrillation and is on warfarin 7mg PO daily. As he experiencing heart burn, he started to take over the counter cimetidine for last three weeks. His physical examination shows, blood pressure 180/95, irregular heart rhythm with a heart rate of 75 and he weighs 95 KG.…
1. The 48 years old Native American women presenting to the Indian Hospital is taking Lisinopril because of hypertension as one of the conditions documented in her past medical history. Hypertension is supported by the current measurements of the blood pressure readings of 165/100. Lisinopril is an angiotensin –converting enzyme inhibitor (ACE) considered as one of the first line treatment option for hypertension. The pharmacological mechanism of action for Lisinopril is to inhibit the action of angiotensin- converting enzyme by preventing conversion of angiotensin I to angiotensin II which will result in decreased vasoconstriction of the vessels and water reabsorption.…
7a. What risk factors does M.P. have to develop Reye’s syndrome? (1 pt) M.P. risk factors of developing Reye's syndrome include giving OTC Alka-Seltzer that contains aspirin. In most cases of chicken pox happen in children between the ages of 5 to 9 years of age.…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
Donna Lynn Fox (AKA Bates) was born 8/25/1960 to Cletis Vernon Bates and Shirley Belle (AKA Richardson) Bates-DeVore at (the old) Missouri Baptist Hospital in St. Louis, MO. Donna grew up in Cahokia, Illinois. Donna 's parents divorced when she was young. Donna’s father died in 1990.…
New Study of Veterans Adds to Evidence in Heartburn Medical Lawsuits A study from St. Louis researchers shows indications that heartburn medications can increase the risk of kidney failure and disease. This study, published on April 14 in the Journal of the American Society of Nephrology, revealed the results of more than 170,000 veterans who use these medications. The heartburn medications the study researched included Prevacid, Prilosec, and Dexilant, among others. Details of the Study Researchers used the databases from the Department of Veterans Affairs and compared incidents of both chronic kidney disease and kidney failure for people who used Nexium and other PPI medications with those who used a different type of medication for heartburn,…
Dimension 2; biomedical conditions and or complications, • are there any biological conditions as medical conditions which create complications or the client being in treatment, or any condition which may interfere with the person receiving treatment? This is determined by exploring the client’s health and medical history. The PHP groups are based on the third and fourth dimensions of patient placement criteria form…
There is one FDA approved drug, called Riluzole, for treatment of the disease. It is not extremely effective and adds just two to three months on average to the life of patients. In this disease, treatment focuses on treating symptoms and making life easier for the patient and their caretakers. Radical treatment of symptoms is usually decided in advance, where patients decide whether they will want to prolong their lives by certain means if the quality of life renders it not worth it. These decisions address, but are not limited to, whether patients will want to go to such lengths as being revived if they have lung failure in the later stages, whether they would donate organs to research, whether they would want a feeding tube or not, and where they will want to live out the remainder of their years – at home, hospice,…
Abstract Lupus is a chronic autoimmune disease in which the human immune system is overactive. Chronic means that the signs and symptoms tend to last longer than six weeks and can last up to several years (Lupus Foundation of America, 2014). Autoimmune means the immune system cannot tell the difference between foreign invaders and healthy tissues within the body. Therefore, the body attacks itself by creating auto-antibodies that destroy the remaining healthy tissue (Lupus Foundation of America, 2014).…
Report on Matthew J. Friedman’s Posttraumatic and Acute Stress Disorder Heather L. Rutherford Liberty University Matthew J. Friedman’s Posttraumatic and Acute Stress Disorder Chapter 1: Overview of Posttraumatic Stress Disorder Chapter 3: Global Treatment Issues for PTSD Chapter 4: Psychological Treatments for PTSD Chapter 5: Pharmacological Treatments for PTSD Chapter 6: Strategies for Acute Stress Reactions and Acute Stress Disorder (ASD) Summary In chapter 1 the author (Friedman, 2015) begins by defining trauma, how the history of PSTD can be traced back to the 19th century and the psychological impacts that PTSD can have on people. The author (Friedman, 2015) further notes to prevent PSTD is to prevent all trauma and that is impossible.…
Variability in effectiveness and side effects of certain medical interventions among patients is well accepted. Indeed most doctors would agree that a “cookie-cutter approach” to medicine is not best practice and a more concrete approach that offers some predictability about which patients are more or less likely to benefit from an intervention is favored. Precision medicine offers such an approach. Briefly precision medicine involves factoring in individual variability in genes, environment and lifestyle into the decisions that guide the prevention, diagnosis, and treatment of disease (1). In recent times, the precision medicine approach has gained tremendous support and scientific validity since compelling evidence has shown that targeting…
The ACOG changed their recommendations based on different information published in 2011 by an Oncologists…