Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Week 4 Discussion Question 1
Ursula has an organic brain disorder that causes
aggression, anxiety, and sleeplessess She
explains to her doctor that Tleellike my
engines are always revving I don't get super-
hyper; I am super-hyper, like all the time." In
addition to anxiety, panic attacks, and insomnia,
episodes of paranoia cause Ursula's bouts of
aggression.
Initially, Ursula is put on an antipsychotic.
but, unfortunately, Ursula develops
extrapyramidal side effects, including "a lot of
uncontrolled movements," which frighten and
embarrass her. Her psychiatrist identifies these
as extrapyramidal side effects, and he tries
lowering her dosage, to little avail.
Ursula has changed physicians and is now
being treated with a different antipsychotic and
is relieved to find that not only do all her
symptoms fall under more control, but the
movement problems, which embarrassed her so
much, have disappeared.
"Now," she says, "my main problem is, I'm
getting fat. I think it's the new drugs. Every time
I go off them, I get skinny again, but also more
hyper."
1. Looking at Ursula's history of side effects
and compliance issues, (a) predict what
two types of drugs she's taken. (b) What
may be causing her weight gain?
1. Ursula has seen commercials on TV about
a drug called Abilify. She understands it
does not cause weight gain like her
current drug. Her psychiatrist calls this a
thirdat
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Transcribed Image Text:Week 4 Discussion Question 1 Ursula has an organic brain disorder that causes aggression, anxiety, and sleeplessess She explains to her doctor that Tleellike my engines are always revving I don't get super- hyper; I am super-hyper, like all the time." In addition to anxiety, panic attacks, and insomnia, episodes of paranoia cause Ursula's bouts of aggression. Initially, Ursula is put on an antipsychotic. but, unfortunately, Ursula develops extrapyramidal side effects, including "a lot of uncontrolled movements," which frighten and embarrass her. Her psychiatrist identifies these as extrapyramidal side effects, and he tries lowering her dosage, to little avail. Ursula has changed physicians and is now being treated with a different antipsychotic and is relieved to find that not only do all her symptoms fall under more control, but the movement problems, which embarrassed her so much, have disappeared. "Now," she says, "my main problem is, I'm getting fat. I think it's the new drugs. Every time I go off them, I get skinny again, but also more hyper." 1. Looking at Ursula's history of side effects and compliance issues, (a) predict what two types of drugs she's taken. (b) What may be causing her weight gain? 1. Ursula has seen commercials on TV about a drug called Abilify. She understands it does not cause weight gain like her current drug. Her psychiatrist calls this a thirdat
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