Wednesday, March 30, 2016

Tmax, Cmax, Half life

All cases are fictitious, no real-life encounters. Imaginary cases! 

Case: alcoholic withdrawal & anxiety => 2mg Ativan IV (big dose!) => neuro depression then resp. depression => given 1hr ago => pt says now I'm still nervous as crazy (Tmax = 0.5, half life 4-6 hrs => fictitious )=> give him Ativan again? Pt went thru Tmax and Cmax and still not sedates him, even tho half life is really long => give more? =>okay to give a little more but not too much => titrate.
For some ppl used to Ativan who's very anxious and used to Activan => 2mg didn't touch him => may be able to give more than 1mg => actually u need to give like another 2mg.


~Miss student

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