根据年龄对抗激发药物处方模式的评估在急诊室
1Veterans Affairs Southern Nevada Healthcare System, North Las Vegas.
概括
在年轻人和老年人之间,对急性兴奋管理的处方做法有所不同. 虽然药物选择因年龄而异,但在这个回顾性研究中,安全结果在各组中保持相似.
科学领域:
- 紧急医疗 紧急医疗
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 急性动是急诊室常见的情况,需要及时管理.
- 二和抗精神病药物是标准的治疗方法,但存在风险,特别是在老年人中.
- 了解特定年龄的处方模式对于安全有效的护理至关重要.
研究的目的:
- 为了比较18-64岁的成年人与65岁及以上的成年人的抗兴奋药物的处方做法.
- 为了确定这些年龄组之间的药物选择和安全结果的差异.
主要方法:
- 对接受哈洛佩里多尔,德罗佩里多尔,洛拉泽巴姆,奥兰扎或齐普拉西的患者的回顾性病理表审查.
- 纳入标准侧重于因激动而接受治疗的患者,不包括戒断综合征.
- 评估的安全结果包括氧和,需要补充氧气,输管,QTc延长和低血压.
主要成果:
- 在年龄组之间观察到抗兴奋药物选择的显著差异 (P = .02).
- 老年人 (≥65岁) 有较高的认知障碍/痴呆率和精神状态改变的诊断.
- 在安全结果或在年龄组之间给予额外的抗兴奋剂量方面没有发现显著差异.
结论:
- 年龄影响抗兴奋药物处方模式在急诊室.
- 兴奋的病因也可能因患者的年龄而异.
- 需要进一步的研究来优化老年人急性兴奋管理.
更多相关视频
05:52Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
14.9K
10:02Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD
Published on: March 12, 2020
15.7K
相关概念视频
01:21Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
01:28Drug Therapy
42
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
42
01:29Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
261
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
261
01:30Adrenergic Agonists: Therapeutic Uses
766
Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies.
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
766
01:02Prescription, Nonprescription and Orphan Drugs
720
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
720
01:24Parkinson's Disease: Treatment
257
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
257