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Smart packaging can also be used to collect data on a patient's satisfaction with a particular medication. Topical Skin Medications - The active ingredients in a topical preparation are mixed with a vehicle (an inert carrier for the medications) & depending on the vehicle used, the preparation will be an ointment, cream, lotion, solution, powder, or gel. The active ingredients (medications) in a topical preparation are mixed with (suspended in) a vehicle (an inert carrier for the medications). Although messier to use than water-based cream preparations, ointments are usually better at delivering active ingredients into the skin. Powders are dried forms of substances that are used to protect areas where skin rubs against skin-for instance, between the toes or buttocks.
Topical medications can be divided into seven often overlapping categories: cleansing agents, protective agents, anti-infective agents, moisturizing agents, drying agents, symptom-relieving agents, and anti-inflammatory agents. The principal cleansing agents are soaps, detergents, and solvents, Soap is the most popular cleanser, but synthetic detergents are used as well, Certain soaps dry the skin; others have a creamy base that doesn’t dry it. Because baby shampoos are excellent cleansing agents and are usually gentle to the skin, they’re good for cleansing wounds, cuts, and abrasions. Moisturizers don't actually add moisture to the skin: they help the skin hold its natural moisture.
Excessive moisture in the skin can cause maceration-a problem that usually occurs where skin rubs skin, trapping moisture, especially on hot, humid days. Solutions containing aluminum salts are useful when the skin is damaged from excessive wetness. Topical or oral corticosteroids (cortisone-like drugs) can help reduce inflammation (swelling, itching, and redness).
Itching may be caused by a skin condition or a systemic disease (a disease that affects the body generally).
Systemic diseases that can cause itching include liver disease (especially jaundice), kidney failure, lymphomas, leukemias, and other blood disorders. Taking antihistamines such as hydroxyzine and diphenhydramine by mouth may help, but they usually cause sleepiness. The causes of skin diseases are very numerous, since the skin may be injured by many factors which do not affect the inner organs and tissues. Scabies is a contagious disease due to infestation by the mite called the Acarus scabiei, which has its habitat in the human skin. Miscarrying woman denied medication: Misoprostol can be used for both abortion and miscarriage. After discussion with my Doctor, we decided to go the less invasive route and choose a medicine that I could take at home to help miscarry naturally, especially since my body wants to hold on to the little miracle. Abortion-inducing medications are troubling for the anti-choice movement, because they blur the biological difference between miscarriage and abortion; many miscarriages are only resolved through the very same interventions used to terminate pregnancies at will.
How Supermarket-Scanning Technology is Used to Prevent Medication Errors at the Houston VA - Michael E.
The BCMA process has drastically reduced medication errors in Veterans Affairs hospitals nationwide.
Using a hand-held scanner to read the bar-coded, identification wristband of veteran, Willie R.
HOUSTON, TX - Two years ago, the Veterans Health Administration (VHA) initiated a groundbreaking step towards improving patient safety. Administering medications, a significant component of delivering quality care, is a complex process, and previously, primarily paper-based. The BCMA process consists of using a scanner, very similar to the device we see in supermarkets, to scan a patient's hospital identification (ID) band, and then scan the medications the patient is supposed to receive. The system starts when each patient entering the Houston VA Medical Center (HVAMC) is given a specialized bar-coded wristband that can transmit their relevant identifying information to the hospital computer.
Many veterans, who have been hospitalized at the HVAMC in the past two years, may have noticed the carts that nurses push along the hallways. When a nurse comes to your room and scans your ID band, the Bar Code Medication Administration (BCMA) process is being used. The first version of BCMA did not incorporate all the essential steps for dispensing medications.
The creators of BCMA and the members of the VA taskforce assigned to work on this project, realized these restrictions and worked to improve and enhance the system.
Thanks to the BCMA system, the VHA has improved patient safety by giving nurses access to the most up-to-date medical information available; thereby, increasing the accuracy of medication administration.
Veterans, and VA employees alike, should be very proud of what the Department of Veterans Affairs is trying to achieve. The Association for Youth, Children and Natural Psychology is a non-profit New Jersey corporation. By reading this site, the reader acknowledges their personal responsibility in choices for mental health for themselves and their children, and agrees that the AYCNP or anyone associated with this site, bears no responsibility for one's personal decisions in choices for mental health. Meeting the Challenge of Bipolar Disorder: Self Help Strategies that Work!, by the AYCNP, Gabrielle Woods PhD (Editor), Dr. Overcoming Bipolar Disorder Using Self Help Methods provides tested and practical ideas in self help that can improve symptoms and help most with bipolar disorder to achieve remission.
A counter-view from one author with bipolar disorder, over the typical approach to the disorder. Elyn Saks, a spokesperson for mental illness, who herself battles with mental illness, is a writer, professor, and spokesperson on the subject. From Bipolar Children Introduction (on-site link) ---On December 13, 2006, 4-year-old Rebecca Riley died of a prescription drug overdose. This provides useful insight into the development of the medical model in mental health, the economic incentives that have caused pharmaceutical treatment to become the emphasis in psychiatry, and numerous issues with the drug treatment of mental health disorders. For those who are diagnosed with bipolar disorder, drug treatment in the form of mood stabilizers (such as lithium), antipsychotics, both atypical (such as Zyprexa) and typical (such as Chlorazin), are usually prescribed. It should be realized, that with the exception of many SSRI antidepressants, drugs for the treatment of bipolar disorder, generally slow down the mental and physical functioning of the body.

It should be noted that this is a very controversial in psychiatry, and not all doctors agree with giving young children, children, and even teens, strong antipsychotic and mood stabilizing drugs. Short term and long term memory loss have been experienced by some psychiatric clients as a result. This combined with the stabilizing influence of regular doctor visits and intervention from numerous of professionals, provides a reference point of stability for those with symptoms of bipolar disorder. It should be noted, however, that serious side effects for medicine used in treatment for bipolar disorder is not universal. With that in mind, those who display symptoms of bipolar disorder, should think seriously about what self help, lifestyle changes can be made in their life, which can and does help to alleviate some or many of the symptoms that may be experienced with a bipolar diagnosis. The following should give the reader a general idea of the psychiatric drugs used in treating bipolar disorder.
Several studies maintaining bipolar patients on lithium for five years or more found only just over one-third remained in remission. One well-designed study concludes that (Tegretol) and similar medications have less success in alleviating symptoms of bipolar disorder than lithium.
Side effects for Tegretol can be, again, "sleepiness, light-headedness, some initial nausea," as well as other physical side effects. Dr's Burgess, Fawcett, Golden and Mondimore have written thorough, authoritative references on bipolar disorder and all prescribed medication for treatment of mental illness and bipolar disorder in their practice. From their works, we can realize, that there are certain risks and serious side effects involved with taking medications for bipolar disorder, that most pharmaceutical treatments for BD are sedating, and that much can be accomplished trough lifestyle changes, and various therapies. Paxil is an SSRI of special note for those with bipolar disorder, or who might be depressed and have a tendency towards mania.
Increase in use of medication in treatment of mental health "disorders" from 1993 to 2003. About twice as many patients reported back pain on placebo as on Paxil, and half again as many experienced chest pain on placebo. To avoid withdrawal syndrome, Paxil should be tapered off rather than sharply discontinued.
Although generally considered safer than prescription drugs, over-the-counter drugs must be used with caution.
They're actually suspensions of finely dispersed powdered material in a base of water or oil and water.
Also, people with psoriasis, eczema, and other scaling diseases can use baby shampoos to wash away dead skin. For example, antidandruff shampoos and lotions may contain zinc dipyrithone, elenium sulfide, or tar extracts to help treat flaking skin. Oils and ointments supply an oil-based barrier that can help protect scraped or irritated skin and retain moisture. By far, the best way to prevent such infections is by carefully washing the skin with soap and water. The areas most commonly affected are between the toes or buttocks, in the armpits or groin, and under the breasts. Sometimes one medication is applied to relieve the itching, while another is used to treat the disease. To control certain forms of itching, a person should use oral antihistamines rather than topical antihistamines.
Corticosteroids are most effective for rashes caused by allergic or inflammatory reactions to poison ivy, metals, cloth, or other substances.
Another way to deliver a strong dose is to apply a nonporous occlusive dressing over a topical corticosteroid to increase the drug's absorption and effectiveness. In fact, scratching can so irritate the skin that it leads to more itching, creating a vicious circle. Skin conditions that cause severe itching include infestations with parasites (scabies, pediculosis), insect bites, hives, atopic dermatitis and allergic and contact dermatitis. Many drugs can cause itching, including barbiturates and aspirin as well as any drug to which a particular person has an allergy. Especially while the skin is inflamed, a doctor may encourage a patient to use a non-prescription, gentle, moisturizing cream or lotion without scents or colors. Generally, antihistamines shouldn't be applied to the skin because they can cause allergic reactions. Always seek the advice of your physician or other qualified healthcare provider regarding any questions you may have about a medical condition. The next step involves a physician entering a medication order for a veteran into the computer.
This procedure has drastically reduced medication errors in every Veterans Affairs (VA) hospital.
The first version did not allow health care providers to enter orders for intravenous solutions and drips. Our veterans belong to a health care system that is extremely innovative, and on the frontline of research and technology. Anyone coming off medication should do so gradually rather than abruptly, and under a doctor's supervision.
However, there is much that an individual can do to help himself, and self help in bipolar disorder is often ignored. Saks' successful career dispels the myth that those with mental illness cannot succeed in life. Antipsychotics and mood stabilizers of all genres generally cause drowsiness or extreme drowsiness in some clients.
The long-term effects on children, teens or adults are not fully known at this time, as there are not enough long-term clinical studies to draw accurate conclusions.
Short-term hospital stays, in times of crisis, can also be stabilizing, and a check-point for manic or depressive episodes. While some experience ongoing issues with side effects, some adjust to the medication in time, and do not experience ongoing strong side effects.

It is therefore recommended as a secondary medication rather than as a first line treatment.
Wes Burges does not recommend sedatives such as Xanax (alprazolam) Iorazenar (Ativan) Clonazepam (Klonopin) and Diazepam (Valium) for bipolar disorder. Burgess, Golden and Mondimore's works on medications used in treatment of bipolar disorder.
Systemic medications are taken by mouth or injected and are distributed throughout the body. Applying the wrong medication may worsen a skin condition or may mask symptoms, making the diagnosis difficult for a doctor. The vehicle determines the consistency of the product and whether the active ingredients remain on the surface or penetrate the skin-whether the preparation is thick and greasy or light and watery. The most commonly used liquids are alcohol, propylene glycol, polyethylene glycol, and plain water. Powders dry skin that's macerated (softened and damaged by moisture) and reduce friction by absorbing moisture. Oozing (weeping) lesions, however, should generally be cleaned only with water because even gentle soaps and detergents can irritate the area. Cleansing compounds may also contain small amounts of acetic acid, aluminum acetatem, and magnesium sulfate (as if Epsom salts). These moist areas also provide fertile breeding grounds for infections, especially with fungi and bacteria. Because they lower resistance to bacterial and fungal infections, they usually shouldn't be used on infected areas or wounds. For example, a polyethylene film (household plastic wrap) may be applied over cream or ointment preparations and left on overnight. Often, contact with wool clothing or irritants such as solvents or cosmetics causes itching. Appointing a bunch of busybody pharmacists as informal judges over whether you are emptying your uterus for the right reasons is a terrible idea that only compounds the pain of a miscarriage. This page provides some details and a general idea of the specific and types of medications which are often prescribed for bipolar disorder, and the type of side effects which most experience. The beneficial effects of such hospital visits, combined with attention from mental health professionals and workers, can be stabilizing, and has nothing to do with positive effects of medication. However, distressing side effects for drugs used in treatment of bipolar disorder is so common, and serious issues in the use of drug treatment, so common, that it is of serious note and something to be considered in treatment choices, as well as in taking seriously the positive and neglected role of self help for bipolar disorder. As with all antidepressants, paroxetine (Paxil) should be used with caution in patients with a history of mania.
Rarely, when a high concentration of a medication is needed at the affected area, a doctor may inject a medication just under the skin; this is called an intradermal injection. Depending on the vehicle used, the preparation will be an ointment, cream, lotion, solution, powder, or gel. Synthetic hydrocolloid dressings protect bedsores (Pressure ulcers) and other areas of raw skin. Most disinfecting agents are used only by nurses and doctors to sterilize their skin and their patients' skin before surgery. The best time to apply these agents is when the skin is already moistened-immediately after a bath or shower, for instance. Cornstarch, another good drying agent, has the disadvantage of encouraging the growth of fungi. The type and concentration of corticosteroid in the preparation determines the overall strength.
Soothing compounds such as menthol, camphor, chamomile, eucalyptus, and calamine also can help. But it's unavoidable if we continue taking away women's discretion over their own pregnancies—even when those pregnancies are over. VA's Bar Code Medication Administration is a program designed to eliminate medication errors like poor handwriting and lost paper prescriptions.
Occlusive dressings increase the risk of adverse reactions to the corticosteroids, so they're generally reserved for conditions such as psoriasis and severe eczema. Corticosteroid creams, which help decrease inflammation and control itching, should be used only when itching is limited to a small area. If the physician cancels or changes a drug order mid-shift, the system catches the change and prevents administration of the wrong dose. For instance, antibiotics are applied to the skin for acne and superficial skin infections. Antihistamines such as diphenhydramine are sometimes included in topical preparations to relieve the itching associated with allergic reactions.
Combinations of corticosteroids and antibiotics are seldom used because they're generally no more effective than the corticosteroids alone. However, side effects are so distressing for some, that many choose not to stay on the medications.
Doctors usually prescribe potent corticosteroids first, then less potent corticosteroids as the skin heals. Rather, the sedating nature of the drugs contributes to evening out highs and lows in mood swings. Medications such as ganuna benzene hexachloride (lindane) help treat infections such as scabies.
So I go up to Walmart and I get my prescription and the #Walmart pharmacist comes to me for my consultation and asks If I have any questions.

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