...Medication Madness Book Review In partial fulfillment of the requirement of N3335 December 02, 2011 Online RN- BSN Medication Madness I chose to review “Medication Madness” by Peter R.Breggin, M.D. First of all I was attracted to this book by the name medication madness which made me to be curious to know what the book is all about. Madness, we know is a state of mental imbalance and when attributed to medication, it calls for interest. I came to understand that medication madness is an extreme expression of medication spellbinding leading to people to behave in ways that they would otherwise reject as hazardous or wrong (Breggin, 2008, p.19) .This book motivated me because it has elements of factual information, according to the author Bregggin, who is a psychiatrist that the stories are “true stories”. Breggin establishes reflection on the physical impairment due to drugs. In overall I was thrilled by the standard of effective educative communication by the author. Topic of interest: Medication Spellbinding One of the things that made the greatest impression on me is the word medication spell binding which “describes how drugs mask or hide their harmful mental and emotional effects from the people who are taking them” (Breggin, p.18). I always think that anti psychotic or antidepressant drugs are given to have a positive tranquil effect on patients not knowing that it could cause suicidality or make one violent without...
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...PRINCIPLES OF MEDICATION ADMINISTRATION | 1. The knowledge of the anatomy and physiology of the body is essential for the safe administration of the injection. | | a)To avoid Injury to the underlying tissues | 1. Numerous blood vessels and nerves to are lying below the skin. Careful selection of the site can avoid injury to these areas. The common sites for the injections are as follows : a) Intradermal injections are given at the Inner aspect of the lower arm, upper aspect of the anterior chest, and upper aspect of the posterior chest. b) Subcutaneous Injections are given on the outer aspect of the upper arm, posterior chest wall Just below the scapula, anterior abdominal wall (from below breasts to the iliac crests), and the anterior and lateral aspect of the thigh. c) Intra muscular injections are given on the deltoid muscles of the shoulder, gluteal muscles of the buttocks, (Inner angle of the upper and outer quadrant) rectus femoris muscles of the anterior aspect of the thigh, and the vastus lateralis muscle on the lateral aspect of the thigh d) To give the Intravenous injections, any visible and palpable veins are used. The most convenient veins are the basilic and median cubitus veins In the antcubital space of the arm 2. The injections are never given in the medial aspect of the limbs for fear of nerve injuries.Choose long needles for obese patients and short needles for emaciated patients, especially when lntra-muscular injections are given | ...
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...Medications 1. Protonix (pantoprazole) – antiulcer agent (proton-pump inhibitors) a. Indications – Erosive esophagitis associated with GERD. Decrease relapse rates of daytime and nighttime heartburn symptoms on patients with GERD. Pathologic gastric hypersecretory conditions. b. Action – Binds to an enzyme in the presence of acidic gastric pH, preventing the final transport of hydrogen ions into the gastric lumen. Diminished accumulation of acid in the gastric lumen, with lessened acid reflux. Healing of duodenal ulcers and esophagitis. Decreased acid secretion in hypersecretory conditions. Pg. 990 2. SynTHROID (levothyroxine) – hormones (thyroid preparations) a. Indications – Thyroid supplementation in hypothyroidism. Treatment or suppression of euthyroid goiters and thryroid cancer. b. Action – Replacement of or supplementation to endogenous thyroid hormones. Principal effect is increasing metabolic rate of body tissues: Promote gluconeogenesis, increase utilization and mobilization of glycogen stores, stimulate protein synthesis, promote cell growth and differentiation, aid in the development of the brain and CNS. Contain T3 (triiodothyronine) and T4 (thyroxine) activity. Replacement in hypothyroidism to restore normal hormonal balance. Suppression of thyroid cancers. Pg. 1219 3. Dulcosate Sodium (colace) – laxative (stool softener) a. Indications – prevention of constipation (in patients who should avoid straining...
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...J.H. meds Amlodipine- Norvasc Route: PO Dose: 10mg Times: daily Indications: treatment of hypertension ------------------------------------------------- Special instructions: monitor BP and pulse, use in caution in severe hepatic impairment, aortic stenosis, CHF, monitor I&O, avoid large amounts of grapefruit juice ------------------------------------------------- Adverse rxn/side effects: HA, peripheral edema, dizziness, fatigue, bradycardia, hypotension ASA Route: oral Dose: 81mg Times: daily Indications: antiplatelet ------------------------------------------------- Special instructions: use in caution with history of GI bleed or ulcer disease, chronic alcohol diseases, take with food, do not crush or chew ------------------------------------------------- Adverse rxn/side effects: GI bleeding, Stevens-Johnson syndrome, anaphylaxis, laryngeal edema, dyspepsia, epigastric distress, nausea Pepcid-famotidine Route: Oral Dose: 20mg Times: q12hrs Indications: antiulcer ------------------------------------------------- Special instructions: Use cautiously in patients with renal impairment, assess for epigastric or abdominal pain, monitor CBC, avoid administration with antacids for 30 min, administer with a meal or immediately after ------------------------------------------------- Adverse rxn/side effects: arrhythmias, aplastic anemia, confusion, dizziness, drowsiness, constipation Finasteride – Proscar Route: oral Dose: 5mg Times: daily ...
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...How Leukemia Effects Children Patrice Allen HCA/240 May 9, 2012 Kari Merrill RN, MHSc The diagnosis of cancer in a child or teenager can be a devastating blow to parents and other family members who love the child. Leukemia is a cancer of the early blood-forming cells. Most often, leukemia is a cancer of the white blood cells, but some leukemia’s start in other blood cell types. Leukemia is a cancer of the blood-forming cells. Leukemia starts in the bone marrow, where the blood cells are made, and quickly spreads to the blood. From there it can go to the lymph nodes, spleen, liver, central nervous system, and other organs. Leukemia is the most common cancer in children and adolescents. It accounts for about 1 out of 3 cancers in children. Overall, however, childhood leukemia is a rare disease. Most of the signs and symptoms of leukemia result from a lack of normal blood cells. This happens because the cancer cells crowd out the normal cells that make blood in the bone marrow. The leukemia cells may spread to other parts of the body, which can also cause symptoms. A risk factor is something that increases a person's chance of getting a disease. Different cancers have different risk factors. But risk factors don't tell us everything. Having a risk factor, or even several risk factors...
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...diabetes, heart disease or a mental illness, continued follow up and care are essential for patient outcomes. A large part of compliance is continuing medication as prescribed, The Center for Disease Control and Prevention, (2012) estimates that of prescriptions written 20-30% are never even filled. For those suffering from severe mental illness the issue arises when adherence stops and symptoms take control of their daily lives, putting them at increased risk for substance abuse, assaultive behavior and lower quality of life. Despite continued evidence supporting the efficacy of psychiatric medications in improving symptoms only about half of those receiving medication treatment take it as prescribed. Even worse, in a recent randomized clinical-trial studying anti-psychotic for effectiveness it was reported that 74% of those prescribed medication discontinued use after 18 months (Roe, Goldblatt, Baloush-Klienman, Swarbrick & Davidson, 2009). But for many patients more medication means additional side effects, less freedom and change in their view of themselves. Professionals taking care of these individuals in acute care or long-term settings are left wondering how this vicious cycle can be stopped. In order to further comprehend why individuals suffering from serious mental illness make the decision to discontinue their medication researchers developed a study based on the interview of seven participants with the diagnosis of either Schizophrenia Spectrum Disorder or Bipolar...
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...accurate diagnosis for minors. Thousands of children are prescribed antipsychotic drugs without proper medical assessments. I have a two and half year old son and I would not be willing to put him on any mental health drug unless I was absolutely certain it was necessary. These mental health drugs can cause suicidal thinking and behavior. It can also lead to an altered personality, or lack thereof. These drugs can be harmful to brain and physical development in younger children. According to the U.S. Surgeon General (2000), as many as 1 in 10 American children and adolescents a year have “significant functional impairment” as a result of a mental health disorder. The trends in administering psychotropic medication to young children are on a rise in the U.S. Since psychotropic medications are substances that affect brain chemicals related to mood and behavior (NIMH, 2009). These trends have caused a great deal of debate. All parties without an economic agenda agree that there should be more research and education in the treatment and assessment of mental health illnesses. Currently, many people are in agreement that mental health drug regulations for minors should be monitored more closely and that more research is needed about the effects of these drugs in younger children. The National Institute of Mental Health recognizes that more needs to be...
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...When we hear the world collision the first thing we think is crash. In scientific words collision occurs when more than two objects collide against each other as a result, the born of many physics forces like momentum, impulse, inertia and friction. But what is the relationship between collision and a car crash? What we may not notice is that physics is all around us in our life and every life event involves its. The path we take every morning in our way to school, the traveling of the car is a very good example. Studies prove and affirm that the survivors of severe car crashes, survive thanks to the way of protection they used and how is the car designed with specific and special safety precautions. That was our main point we wanted to achieve while making our car for the project. Our design was basically a truck like a jeep. It was all made up of carboard, wood and other small details that beenfit the truck to make it heavier, more rough and hard. It was also covered with newspaper, as a result, giving the car a very hard texture. The passengers seat, was made up all of soft materials like cotton, pads and sponges. The egg was attached with two rubber strings, simulating a safety seat bealt and helping as a support for the egg. All this details and spefcific design had a main goal and something specific to achieve: preventing the egg from breaking and keep it secure in its seat. The demostration of collision and all its forces acting against in this experiment consisted...
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...that an eye specialist had examined him. I think that this tragedy has a great impact on depression drugs used by Lubitz. The chemical imbalance in the brain, which really cannot prove that there is no blood test for mentally illness even the phrase mental illness itself, is a challenge. These drugs makers who produce these mental pills and especially the “Prozac” which was taken by Andreas Lubitz had an important impact in shaping his personality. Based on research that I have done online lately regarding this matter of “what makes someone give up his life and taking others’ lives without a moral thinking”. There is no such evidence or test that can be done to prove that a mentally ill person is feeling well after taking psychiatric medications. How should the airline handle this particular issue? The only way in my opinion is to get involve in the life of each crewmember, knowing what problems they have been through, what meals...
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...be a wide range of conditions on mental health and also known to be a disorder affecting an individual’s behavior, thinking and mood. Some example includes addictive behaviors, eating disorders, schizophrenia, anxiety disorder and depression. From time to time, most individuals are known to have numerous mental health concerns. Mental health concern are actually not mental illnesses but if they persist and the symptoms and sings result to recurring stress that affect an individual’s ability to function, then they can be considered to be mental illness. Mental illness is quite a big problem to an individual and usually turns an individual to be miserable throughout their day if they are not well managed. Counseling (psychotherapy) and a medication combination is mostly used to manage mental illness. Mental illness symptoms and signs are known to be varying depending on particular circumstances, disorder and numerous other factors. An individuals behaviors, thought and emotions are mostly affected by a mental illness. most mental illness are known not to improve on their own but they get worse if they go untreated over a long time and causing a lot of damage. Treatment of mental illness varies depending on the mental illness type, its severity and the form, kind or type of treatment that will work to a particular individual. Two individual having a similar mental illness condition might have to treat them differently as one treatment may not work for both the individuals. An individual...
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...Some depression, like that which comes with genetic heredity, permanent brain chemical imbalance or brain damage may never be able to be eliminated. But, even then depression can be managed with medication, lifestyle changes, high awareness, and treatment of symptoms. One of the most common treatments is taking antidepressants which are for the more serious cases where the depression has an intense onset due to trauma or when it is obvious that there is a brain chemistry imbalance. There are many ways to scan the brain using imaging and electrical sensory devices that can help make a very specific diagnosis of various brain imbalances. Unfortunately, these tests are not yet widely utilized or publicized. Medications help make people more emotionally stable and can lighten up their mood up to 70%. The only down-side to medication is that it will not alleviate life stressors and the medications can have awful side effects. So, though it is helpful to ward off the acute dangers of depression, it could have a bad long term effects. The second most common treatment is counseling for the less severe cases and in duo with medication for more severe cases. This will help with the problems and have a better long term effect. In some cases counseling or medication are not needed. Depression can be temporary and with changes in life situations, the passing of a traumatic event, or lifestyle changes, it can pass through on its own. There are now many alternative healing...
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...the elderly offenders in 2007 over ten percent of inmates in prisons were 50 years or older and many with serious health problems. Mentally ill and substance abusing prisoners In this paper I will be discussing the two common types of special needs offenders, the mentally ill and the substance abusing offenders. Among the prison population there are mentally ill prisoners, special needs offenders, and substance-abusing offenders. These special offenders affect the jail and prison systems at state and federal levels because they require special attention. If they do not receive special attention like doctor supervision or prescribed medication, they can harm themselves or others, and become sick from substance related illnesses. Mentally ill offenders must have access to mental health therapies, psychotropic medications, and types of...
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...investigation on children in foster care that had been prescribed powerful psychiatric medications. These medications were given four times the rate of other children. Concerns have been on the rise for children that are given “psychotropic medications”. Primarily the concern is high for those children in foster care, and who receive Medicaid, because they are in a system that has lost structure of the importance of the health and welfare of children and adolescence. Also because foster children are more likely to have more emotional and social issues, and need treatment to include psychiatric medication. Psychotropic medications are those that affect the nervous system and produce many changes in behavior or awareness. These medications can be given in the form of a tranquilizer, sedative or antidepressant. Changes should be made to prevent how children receive medications, to deter overdosing and complications from misdiagnosing the child’s illness. The effect that psychiatric drugs have on children can be sometimes upsetting. Psychiatric or psychotropic medications are used to help children with behavioral impairment. Changes should be made that will benefit children in situations as mentioned. Not only in foster care but any child that is prescribed psychiatric (psychotropic) medications. Implementing change that will assure children are prescribe the right mediations, and are given the medication according to their treatment plan, to ensure the safety of those affected by misdiagnosis...
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...illnesses. Dr. Bacon chooses the medicine before he knows the diagnosis. Getting the right treatment can take a long time. This is due to the number of drugs and the symptoms that may respond to the drugs. We have mood stabilizers and (A)-typical antipsychotics, just to name a few. It’s an experiment trying these medications on these children. Our other option is we must let them be symptomatic. It’s a gamble trying medications on children at such a young age. Upping medications may bring on other symptoms that did not previously exist. Many psychologists think it is impossible to diagnose bipolar disorder in children. All the debate and confusion has led to over diagnoses. Many children with bipolar disorder are being treated by physicians or family doctors who are not familiar with the disorder. The thoughtful and careful examination of the symptoms and thinking through the problem does not exist in most physician clinics or with the family doctors due to the number of people who need to be seen. The bipolar disorder spectrum of symptoms can overlap with other diagnoses. This has led to pediatricians and family doctors over-diagnosing bipolar disorder. Medications have a completely different impact on children as opposed to adults. Many kids are misdiagnosed all together and now...
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...has some of the highest percentage rates; when it comes to the cost of medication, compared to other countries. It is 35-55 percent cheaper to buy medicine in other modern day countries than in the United States (Baker 2004). That is a staggering 45-55 percent difference in the cost of getting the same drug from another country. So, are these drugs equivalent and how can one know but rely on the source of where the medication is coming from? Former Food and Drug Administration (FDA) commissioner Mark McClellan said “there is no evidence that unapproved imported drugs are becoming any safer or more reliable” on why the United States does not buy drugs from other countries (Badger 2004). The FDA argues they are not the same...
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