Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication? Please answer at your own easy words. Answer should be to the point (Specific).

Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication? Please answer at your own easy words. Answer should be to the point (Specific).

Essentials of Pharmacology for Health Professions

7th Edition

ISBN:9781305441620

Author:WOODROW

Publisher:WOODROW

Chapter22: Anticonvulsants, Antiparkinsonian Drugs, And Agents For Alzheimer’s Disease

Section: Chapter Questions

Problem 5CRQ

See similar textbooks

Similar questions

Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication? Please answer at your own easy words. Answer should be to the point ( specific). Should be maximum 5-10 lines. Please Don't use AI for answering this question!
Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication? Please answer at your own easy words. Answer should be to the point (Specific). Don't use AI answering this question!
The nurse is administering an antiepileptic drug and will follow which guidelines? (Select all that apply.)a) Monitor the patient for drowsiness.b )Medications may be stopped if seizure activity disappears.c) Give the medication at the same time every day.d) Give the medication on an empty stomach.e) Notify the prescriber if the patient is unable to take the medication.
A 24 year old woman with history of migraines, anxiety, depression, and structural epilepsy presents with a typical seizure episode. Her home medications consist of leviteracetam 1000 mg twice daily, propranolol 20 mg twice daily, amitriptyline 25 mg nightly, bupropion 300 mg daily, and escitalopram 20 mg daily. She has not added any new medications in the last month but she did adjust the doses of all medications in the last 6 months. Which medication is likely to lower her seizure threshold?
Janice is a 56 years old mother of two teenagers she complains of difficulty sleeping and staying up all night with a burst of energy. She has been cleaning her house for the past 2 nights non –stop. You also notice that her speech is marked by a flight of ideas, when she is admitted, she is heard telling her roommate that she wishes that she could kill herself because she is tired of living like this. Discuss the probable DSM-V diagnosis that she is experiencing. Explain what would be the priority nursing diagnosis and included in her plan of care containing both pharmacologic and non-pharmacologic interventions.
The nurse is talking to NJ, a 49-year-old female with pancreatic cancer. NJ has been taking morphine for the relief of her pain that she described as mind altering when it attacks especially at night, that hinders her rest and sleep. The medication offered relief and NJ had her undisturbed rest and sleep for quite a time and can do activities of daily living with limited assistance from her husband. However, over the last 18 days, NJ reports that she is not experiencing the degree of relief that she had been enjoying. She also mentions that she called her attending physician on a phone last week, a decision was made not to pursue additional treatment. What factors may be contributing to NJ’s increase of pain? What possible options might be appropriate for NJ’s condition? What measure would the nurse suggest to enhance pain relief?
The nurse reviews the laboratory results of a 16-year-old patient who presents to the clinic with fatigue and pallor. The patient's hematocrit is 26%, and the nurse notes multiple small petechiae and bruises over the arms and legs. This patient has a generalized tonic-clonic seizure disorder that has been managed well on carbamazepine (Tegretol). Relate the drug regimen to this patient's presentation.
A college student visits the school’s health center with vaguecomplaints of anxiety and fatigue. The student tells the nurse,“Exams are right around the corner and all I feel like doingis sleeping.” The student’s vital signs are within normalparameters. What would be an appropriate question to ask inresponse to these complaints?a. “Are you worried about failing your exams?”b. “Have you been staying up late studying?”c. “Are you using any recreational drugs?”d. “Do you have trouble managing your time?”
The nurse is assessing a newly admitted patient who has a history of seizures. During the assessment, the patient has a generalized seizure that does not stop for several minutes. The nurse expects that which drug will be ordered for this condition?a )valproic acid (Depakote)b )neurontin (Gabapentin)c) carbamazepine (Tegretol)d) diazepam (Valium)
Discuss nursing care of the patient with an anxiety disorder, somatoform disorder, or dissociative disorder.
When giving intravenous quinolones, the nurse needs to keep in mind that these drugs may have serious interactions with which drugs?
What are the essential things/key points a nurse must know about Hydrocephalus as well as about caring for a patient with the said disease? Thank you