Ebook Drugs in use (4E): Part 2
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Ebook Drugs in use (4E): Part 2
18EpilepsyBen DorwardCase study and questionsDay 1 Miss SL, a 19-year-old student who had recently moved away from home to university, was witnessed ' Ebook Drugs in use (4E): Part 2'having a fit' by her friends and was taken to the local A&IÍ department. The tit had stopped by the time she arrived and Miss SI. had no recollection of the event. She was sent home from hospital with paracetamol for the resulting headache, and referred to a 'faints and fits' clinic at the local ne Ebook Drugs in use (4E): Part 2urology department.At the neurology clinic she commented that she had been experiencing jerking movements for several years, most notably in the morniEbook Drugs in use (4E): Part 2
ng, and that these had occasionally led to her dropping her breakfast. Iler friends had also commented to her that she was prone to daydreaming. On qu18EpilepsyBen DorwardCase study and questionsDay 1 Miss SL, a 19-year-old student who had recently moved away from home to university, was witnessed ' Ebook Drugs in use (4E): Part 2al opportunities, and to feeling very tired due to having to get up early for lectures after late nights out.The neurologist made a diagnosis of juvenile myoclonic epilepsy (J ME). Miss SI. was prescribed lamotrigine 25 mg once daily, increasing to 50 mg once daily after 14 days, and was referred to Ebook Drugs in use (4E): Part 2 an epilepsy nurse specialist.QI What is epilepsy?Q2 Is the history of stress significant?QỈ Do you agree with the choice of lamotrigine for Miss SL?QEbook Drugs in use (4E): Part 2
4 Is the dose of lamotrigine appropriate?Q5 Outline a pharmaceutical care plan for Miss SL. What advice would you offer her if she asked about contrac18EpilepsyBen DorwardCase study and questionsDay 1 Miss SL, a 19-year-old student who had recently moved away from home to university, was witnessed ' Ebook Drugs in use (4E): Part 2rning and 50 mg at night. On receiving the350 Drugs in Useprescription Miss SL commented that the tablets did not look the same as those she was given at the hospital. On further questioning you realise she was previously dispensed a generic brand of lamotrigine and the general practitioner (GP) has Ebook Drugs in use (4E): Part 2 prescribed the Lamictal brand.Q7 Is there a significant difference between the different brands of antiepileptic drugs (AEDs)?Month 4 Miss SI. develoEbook Drugs in use (4E): Part 2
ped a bad chest infection. As she was known to be allergic to penicillin (previous urticarial rash to amoxicillin) the GP prescribed ciprofloxacin 50018EpilepsyBen DorwardCase study and questionsDay 1 Miss SL, a 19-year-old student who had recently moved away from home to university, was witnessed ' Ebook Drugs in use (4E): Part 2y but Miss SL was not responding to treatment, and now constantly felt quite tired, rhe myoclonic jerks continued and she had had several further tonic-clonic seizures, rhe frequency of seizures was increasing, and this was particularly noticeable in the 2-3 days before her period.Q9 What term is us Ebook Drugs in use (4E): Part 2ed to describe epilepsy that worsens around the time of menstruation, and how common is it?Q10 What drug treatments are available for this form of epiEbook Drugs in use (4E): Part 2
lepsy?After discussion with Miss SL and her epilepsy nurse specialist, the neurologist decided to change the lamotrigine to levetiracetam. She was pre18EpilepsyBen DorwardCase study and questionsDay 1 Miss SL, a 19-year-old student who had recently moved away from home to university, was witnessed ' Ebook Drugs in use (4E): Part 2e frequency after 2 weeks at 500 mg twice daily, then she was to further increase the dose to 750 mg twice daily. At the same time she was instructed to reduce the morning and evening doses of lamotrigine by 50 mg every 2 weeks.Q11 Levetiracetam is not licensed as a monotherapy for generalised seizu Ebook Drugs in use (4E): Part 2res.What is your opinion of the neurologist's choice?QI 2 Levetiracetam is one of the newer AEDs. What are the advantages of the newer drugs over theEbook Drugs in use (4E): Part 2
older ones?Month 8 Unfortunately, Miss SL had had to withdraw from her university studies. She had become very low in mood but was not keen to take 'a18EpilepsyBen DorwardCase study and questionsDay 1 Miss SL, a 19-year-old student who had recently moved away from home to university, was witnessed ' Ebook Drugs in use (4E): Part 2lohn's wort?Epilepsy 351QI4 If indicated, what is the appropriate drug treatment for depression in people with epilepsy?Month 10 Miss SL experienced a particularly bad cluster of seizures and injured herself on falling. She was admitted to a neurological ward for observation and assessment. The cons Ebook Drugs in use (4E): Part 2ultant neurologist prescribed 10 mg of buccal midazolam to be used when required to terminate tonic-clonic seizures lasting longer than 5 minutes.QI 5Ebook Drugs in use (4E): Part 2
What are the advantages and disadvantages of using buccal midazolam over rectal diazepam?Month 22 Levetiracetam had been gradually titrated upwards t18EpilepsyBen DorwardCase study and questionsDay 1 Miss SL, a 19-year-old student who had recently moved away from home to university, was witnessed ' Ebook Drugs in use (4E): Part 2discussed starting a family and wanted to know more about how Miss Sl.'s epilepsy would affect this.QI 6 What are the issues concerning pregnancy in women with epilepsy?QI 7 What drug should epileptic women who wish to become pregnant take, and al what dose?Answers Ebook Drugs in use (4E): Part 218EpilepsyBen DorwardCase study and questionsDay 1 Miss SL, a 19-year-old student who had recently moved away from home to university, was witnessed 'Gọi ngay
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