Re: IMPORTANT - advice needed

[Guest guest]

Mom aspirated and is in the hospital. What can she be given (other than

Ativan) to relax her because of the tube they put in her throat. They gave

her 1 mg of Ativan before I got here but I now told them all the NOs. Pls

respond asap. Thank you, Norma

i need some of your advice

thanks Donna my husband did have a uti i took him to his reg md and they

checked him out he's back home sleeping will thankds to you and all the

others here on this site it has been a God send for me

Shirley

[Guest guest]

Hi Norma,

I wish I knew what meds would be best but I don't and instead can only send you

and your mom support and strength.

Courage

i need some of your advice

thanks Donna my husband did have a uti i took him to his reg md and they

checked him out he's back home sleeping will thankds to you and all the

others here on this site it has been a God send for me

Shirley

[Guest guest]

NORMA! I'm sorry to hear about your mom in the hospital... I'm

searching for you... I forwarded your post to , just in case he's

online... I don't know what they use in lieu of Ativan...

I did find this - not sure if it helps or not:

" Our neurologist very carefully said that for surgery Joe could have

Versed [used to make you drowsy and temporary] and Propofal as an

anesthetic.

He also told us he could have 1/2 to 1 Vicodin [hydrocodone] for

pain, but we went very easy on that. I talked to the anestheologist

and he came through it with just that beautifully. However, coming

out of the anesthetic the doctor told me that he took about 40

minutes, where the average person takes about 8 to 10 minutes or

less. It has something to do with an enzyme, but I am not sure it is

related to LBD. My son talked to the doctor at the time and I can

find out if anyone is interested in knowing about it in case it is

LBD related.

Eve "

And from Dr. Boeve's article:

Symptom/Behavior/Disorder

Anxiety or obsessions/compulsions (but this may not be exactly what

they had in mind in lieu of Ativan...) (but here it is anyway)

Medication

Sertralinex

Starting Dose

25 mg qd

Suggested Titrating Schedule

Increase to 50 mg 2 weeks later, titrate gradually up to max of 200

mg qd

Typical Therapeutic Range

50 mg qd to 100 mg qd

Medication

Paroxetinex

Starting Dose

10 mg qd

Suggested Titrating Schedule

Increase to 20 mg 2 weeks later, titrate gradually up to max of 50

mg/d

Typical Therapeutic Range

10 mg qd to 40 mg qd

Medication

Buspironex

Starting Dose

5 mg bid

Suggested Titrating Schedule

Increase in 5 mg increments in bid-tid dosing q3—5 days, max of 60

mg/d

Typical Therapeutic Range

5 mg tid to 10 mg tid

You'll have to ask the doctor about these suggestions... it might not

be what he had in mind... I'll search some more...

>

> Mom aspirated and is in the hospital. What can she be given (other

than

> Ativan) to relax her because of the tube they put in her throat.

They gave

> her 1 mg of Ativan before I got here but I now told them all the

NOs. Pls

> respond asap. Thank you, Norma

[Guest guest]

Thank you, Courage.

i need some of your advice

thanks Donna my husband did have a uti i took him to his reg md and they

checked him out he's back home sleeping will thankds to you and all the

others here on this site it has been a God send for me

Shirley

[Guest guest]

Thank you vert much, . Thoughts or experience with a blood thinner

called Lovenox? I'm tryng to find our why she needs that (in lieu of

aspirin? - sounds absurd.

Re: IMPORTANT - advice needed

NORMA! I'm sorry to hear about your mom in the hospital... I'm

searching for you... I forwarded your post to , just in case he's

online... I don't know what they use in lieu of Ativan...

I did find this - not sure if it helps or not:

" Our neurologist very carefully said that for surgery Joe could have

Versed [used to make you drowsy and temporary] and Propofal as an

anesthetic.

He also told us he could have 1/2 to 1 Vicodin [hydrocodone] for

pain, but we went very easy on that. I talked to the anestheologist

and he came through it with just that beautifully. However, coming

out of the anesthetic the doctor told me that he took about 40

minutes, where the average person takes about 8 to 10 minutes or

less. It has something to do with an enzyme, but I am not sure it is

related to LBD. My son talked to the doctor at the time and I can

find out if anyone is interested in knowing about it in case it is

LBD related.

Eve "

And from Dr. Boeve's article:

Symptom/Behavior/Disorder

Anxiety or obsessions/compulsions (but this may not be exactly what

they had in mind in lieu of Ativan...) (but here it is anyway)

Medication

Sertralinex

Starting Dose

25 mg qd

Suggested Titrating Schedule

Increase to 50 mg 2 weeks later, titrate gradually up to max of 200

mg qd

Typical Therapeutic Range

50 mg qd to 100 mg qd

Medication

Paroxetinex

Starting Dose

10 mg qd

Suggested Titrating Schedule

Increase to 20 mg 2 weeks later, titrate gradually up to max of 50

mg/d

Typical Therapeutic Range

10 mg qd to 40 mg qd

Medication

Buspironex

Starting Dose

5 mg bid

Suggested Titrating Schedule

Increase in 5 mg increments in bid-tid dosing q3—5 days, max of 60

mg/d

Typical Therapeutic Range

5 mg tid to 10 mg tid

You'll have to ask the doctor about these suggestions... it might not

be what he had in mind... I'll search some more...

>

> Mom aspirated and is in the hospital. What can she be given (other

than

> Ativan) to relax her because of the tube they put in her throat.

They gave

> her 1 mg of Ativan before I got here but I now told them all the

NOs. Pls

> respond asap. Thank you, Norma

[Guest guest]

Maybe Zyprexa...

See this post:

http://health.groups.yahoo.com/group/LBDcaregivers/message/65784

[Guest guest]

norma,

glad you've been getting responses -- i don't have any advice but wanted to let

you know i was very sorry about your mom and wish both of you well.

--anna

i need some of your advice

thanks Donna my husband did have a uti i took him to his reg md and they

checked him out he's back home sleeping will thankds to you and all the

others here on this site it has been a God send for me

Shirley

[Guest guest]

I don't know about that med... I think my mom was on a blood thinner

for a period of time when she was immobile to prevent blood clots -

but I honestly can't remember, and I certainly don't know the brand

name...

Here's what I found on Lovenox - maybe you'll find it useful (?)

About Lovenox®

Lovenox® is a unique chemical entity in a class of antithrombotic

agents known as lowmolecular weight heparin (LMWH). The number one

selling low-molecular weight heparin in the world, Lovenox® is

obtained by alkaline degradation of heparin benzyl ester and is about

onethird the molecular size of unfractionated heparin. Lovenox® is

the most widely studied LMWH, with 15 years of use in the treatment

of 130 million patients in 96 countries.

Lovenox® is approved in the United States for the prophylaxis of

ischemic complications of unstable angina and non-Q-wave (non-ST-

segment elevation) myocardial infarction when concurrently

administered with aspirin and for the prophylaxis of deep vein

thrombosis (DVT) which may lead to pulmonary embolism (PE); in

patients undergoing abdominal surgery who are at risk for

thromboembolic complications; in patients undergoing hip replacement

surgery (during and following hospitalization), in patients

undergoing knee replacement surgery; and in medical patients who are

at risk for thromboembolic complications due to severely restricted

mobility during acute illness; as well as for the inpatient treatment

of acute DVT, with or without PE, when administered in conjunction

with warfarin sodium and for the outpatient treatment of acute DVT

without PE, when administered in conjunction with warfarin sodium.

[Guest guest]

Thank you, .

i need some of your advice

thanks Donna my husband did have a uti i took him to his reg md and they

checked him out he's back home sleeping will thankds to you and all the

others here on this site it has been a God send for me

Shirley

[Guest guest]

, thank you again. Yes, itks to prevent blood clots as you said.

Re: IMPORTANT - advice needed

I don't know about that med... I think my mom was on a blood thinner

for a period of time when she was immobile to prevent blood clots -

but I honestly can't remember, and I certainly don't know the brand

name...

Here's what I found on Lovenox - maybe you'll find it useful (?)

About Lovenox®

Lovenox® is a unique chemical entity in a class of antithrombotic

agents known as lowmolecular weight heparin (LMWH). The number one

selling low-molecular weight heparin in the world, Lovenox® is

obtained by alkaline degradation of heparin benzyl ester and is about

onethird the molecular size of unfractionated heparin. Lovenox® is

the most widely studied LMWH, with 15 years of use in the treatment

of 130 million patients in 96 countries.

Lovenox® is approved in the United States for the prophylaxis of

ischemic complications of unstable angina and non-Q-wave (non-ST-

segment elevation) myocardial infarction when concurrently

administered with aspirin and for the prophylaxis of deep vein

thrombosis (DVT) which may lead to pulmonary embolism (PE); in

patients undergoing abdominal surgery who are at risk for

thromboembolic complications; in patients undergoing hip replacement

surgery (during and following hospitalization), in patients

undergoing knee replacement surgery; and in medical patients who are

at risk for thromboembolic complications due to severely restricted

mobility during acute illness; as well as for the inpatient treatment

of acute DVT, with or without PE, when administered in conjunction

with warfarin sodium and for the outpatient treatment of acute DVT

without PE, when administered in conjunction with warfarin sodium.

[Guest guest]

Norma - just letting you know that your mom will be in my thoughts &

prayers... and from the info I sent you - I'd approach the doctor w/

Zyprexa IM first... to see what he has to say...

From that post I sent from ... the dicussion was between meds

Ativan, Prolixin and Zyprexa IM... and it sounds that Zyprexa IM was

the best option -- here's the post again, if you scroll down you'll see

the other discussions about the topic:

http://health.groups.yahoo.com/group/LBDcaregivers/message/65784

Please keep us posted and we'll keep your mom in our thoughts &

prayers.

[Guest guest]

responded to my email - he said:

" Ativan has a bad reputation, but is not acutely dangerous. the

problem with ativan is the prolonged sedation from relatively modest

doses. Minimal dose to accomplish the goal - it's more important

that she doesn't self-extubate than that she doesn't have a fuzzy day

the next day. "

Hope the above helps!

>

> Mom aspirated and is in the hospital. What can she be given (other

than

> Ativan) to relax her because of the tube they put in her throat.

They gave

> her 1 mg of Ativan before I got here but I now told them all the

NOs. Pls

> respond asap. Thank you, Norma

>

[Guest guest]

Im so sorry Norma.I hope she gets better quickly.My very best to you and your

mom. Ron

wrote: responded to my email - he

said:

" Ativan has a bad reputation, but is not acutely dangerous. the

problem with ativan is the prolonged sedation from relatively modest

doses. Minimal dose to accomplish the goal - it's more important

that she doesn't self-extubate than that she doesn't have a fuzzy day

the next day. "

Hope the above helps!

>

> Mom aspirated and is in the hospital. What can she be given (other

than

> Ativan) to relax her because of the tube they put in her throat.

They gave

> her 1 mg of Ativan before I got here but I now told them all the

NOs. Pls

> respond asap. Thank you, Norma

>

RON

---------------------------------

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

, I can,t thank you enough.

Re: IMPORTANT - advice needed

Norma - just letting you know that your mom will be in my thoughts &

prayers... and from the info I sent you - I'd approach the doctor w/

Zyprexa IM first... to see what he has to say...

From that post I sent from ... the dicussion was between meds

Ativan, Prolixin and Zyprexa IM... and it sounds that Zyprexa IM was

the best option -- here's the post again, if you scroll down you'll see

the other discussions about the topic:

http://health.groups.yahoo.com/group/LBDcaregivers/message/65784

Please keep us posted and we'll keep your mom in our thoughts &

prayers.

[Guest guest]

Thank you, Ron.

Re: Re: IMPORTANT - advice needed

Im so sorry Norma.I hope she gets better quickly.My very best to you and

your mom. Ron

wrote: responded to my email

- he said:

" Ativan has a bad reputation, but is not acutely dangerous. the

problem with ativan is the prolonged sedation from relatively modest

doses. Minimal dose to accomplish the goal - it's more important

that she doesn't self-extubate than that she doesn't have a fuzzy day

the next day. "

Hope the above helps!

>

> Mom aspirated and is in the hospital. What can she be given (other

than

> Ativan) to relax her because of the tube they put in her throat.

They gave

> her 1 mg of Ativan before I got here but I now told them all the

NOs. Pls

> respond asap. Thank you, Norma

>

RON

---------------------------------

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it

now.

[Guest guest]

plavix is the blood thinner that my husband is on.

shirley

Re: IMPORTANT - advice needed

I don't know about that med... I think my mom was on a blood thinner

for a period of time when she was immobile to prevent blood clots -

but I honestly can't remember, and I certainly don't know the brand

name...

Here's what I found on Lovenox - maybe you'll find it useful (?)

About Lovenox®

Lovenox® is a unique chemical entity in a class of antithrombotic

agents known as lowmolecular weight heparin (LMWH). The number one

selling low-molecular weight heparin in the world, Lovenox® is

obtained by alkaline degradation of heparin benzyl ester and is about

onethird the molecular size of unfractionated heparin. Lovenox® is

the most widely studied LMWH, with 15 years of use in the treatment

of 130 million patients in 96 countries.

Lovenox® is approved in the United States for the prophylaxis of

ischemic complications of unstable angina and non-Q-wave (non-ST-

segment elevation) myocardial infarction when concurrently

administered with aspirin and for the prophylaxis of deep vein

thrombosis (DVT) which may lead to pulmonary embolism (PE); in

patients undergoing abdominal surgery who are at risk for

thromboembolic complications; in patients undergoing hip replacement

surgery (during and following hospitalization), in patients

undergoing knee replacement surgery; and in medical patients who are

at risk for thromboembolic complications due to severely restricted

mobility during acute illness; as well as for the inpatient treatment

of acute DVT, with or without PE, when administered in conjunction

with warfarin sodium and for the outpatient treatment of acute DVT

without PE, when administered in conjunction with warfarin sodium.

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11:51 AM

[Guest guest]

Norma,

I can't help with the drugs. But I will add all my good thoughts in your

direction that this too shall pass.

Hugs,

Donna R

Caregave for Mom (after I brought her from WI to MI) for 3 years and 4th year in

a nh.

She was almost 89 when she died in '02. No dx other than mine.

Re: IMPORTANT - advice needed

Mom aspirated and is in the hospital. What can she be given (other than

Ativan) to relax her because of the tube they put in her throat. They gave

her 1 mg of Ativan before I got here but I now told them all the NOs. Pls

respond asap. Thank you, Norma

i need some of your advice

thanks Donna my husband did have a uti i took him to his reg md and they

checked him out he's back home sleeping will thankds to you and all the

others here on this site it has been a God send for me

Shirley

[Guest guest]

Thank you very much Donna.

i need some of your advice

thanks Donna my husband did have a uti i took him to his reg md and they

checked him out he's back home sleeping will thankds to you and all the

others here on this site it has been a God send for me

Shirley