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?
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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?
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- A 25 -year-old female teacher was brought by her husband to the Out-Patient-Department due to frequent verbal and physical attacks every time they have personal problems, even minor ones. On such occasions, she was unusually talkative and was always up and about. During certain months prior to this, she was however unusually silent manifesting signs and symptoms of “exaggerated sadness” for no reason at all. She insisted on remaining alone in their room. What is her illness and what drug should be used for treatment?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.Berna was prescribed the following medication:1. Akineton (Biperiden) 2mg OD Anticholinergic drug QUESTION. 1. Create a drug study with the medication stated above with 6 columns. The 6 columns should include the following: 1.1. Generic name, brand name if any, classification, dosage, frequency, route of administration 1.2. Mechanism of action 1.3. Indications and also drug rationale (why the drug is being given to the patient) 1.4. Contraindication 1.5. Common side effects 1.6. Nursing considerations while taking the drug. Thank you so much!
- Patient is a 73 year old male with gradual memory loss for the 5 years with difficulty learning and remembering new information, deterioration in personal hygiene and appearance, loss of eye contact with a fearful look in his face. When daughter ask about time and place he is not able to responds correctly. In the last 2 years has been experiencing changes in mood and personality as well as problems with words in speaking and writing.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). Should be maximum 50-100 words. 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).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!A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has becomeprogressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic butarousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and conjunctivas are…
- A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has becomeprogressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic butarousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and conjunctivas are…A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has becomeprogressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic butarousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and conjunctivas are…A physician orders 3 grains Phenobarital at bedtime for control of seizures for Mr.I. The Phenoberbital on hand is 60mg/tablet. How many tablets should you administer to Mr. I.