( 11:39 AM ) shut up christine
internal revolution
A client with diabetic neuropathy reports a burning, electrical-type pain in the lower extremities that is not responding to nonsteroidal antiinflammatory drugs. The client complains that the pain is particularly worse at night. Which medication will you advocate for first? 1. Amitriptyline (Elavil)
2. Corticosteroids
3. Hydromorphone (Dilaudid)
4. Lorazepam (Ativan)
studying for boards now, and meds are not my forte. the answer to the question above: elavil
elavil is an antidepressant (for treating depression). corticosteroids are for pain associated with inflammation, and dilaudid is an opioid (for pain, also). ativan is an anxiolytic (for anxiety).
but the antidepressant is the answer....
as i sit here trying to understand the logic behind this and 100 other questions like it,
my mind keeps wandering back to this and all that is deficient about my education. i imagine hundreds of thousands of nursing & medical students studying this same info, in turn practicing our knowledge on billions of patients
something about it....doesn't make sense.
enough soapbox. i just want to say that this movie changed my life. watch it if you have time, it's available streaming online on netflix
also, i read this and cried. The Business 9 Women Kept a Secret for Three Decades
when i read something like this, i can't help but strive to be a better human
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