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Do I need to see my doctor before I travel to other countries?
It is a good idea to have medical and dental check-ups before your trip. You should be aware of any problems and find out about any medicines you should take. Also, remember that your health insurance may not pay for treatment in another country. Find out what your insurance covers before you leave.
Depending on where you are going, you should see your do…

Action
MARCIA THOMAS, 64, calls you to her room to report extreme pain in her left wrist and hand. Her hand is swollen, and when you remove the dressing over her I.V. site, you see a red streak along the vein pathway and a bluish discolor…

Drug Delivery Device Will Allow Precise, Highly Controlled Dosing of Nicotine and Other Medications
WEST JEFFERSON, N.C. — Next Safety, Inc. has identified basic scientific mechanisms that promise to revolutionize pulmonary drug delivery. This proprietary technolo…

The Food and Drug Administration (FDA) recently issued a warning concerning the use of promethazine in children younger than two years old. Promethazine is an antihistamine used to treat allergy symptoms such as wat…

The Food and Drug Administration (FDA) did not give the exact cases of sleep-driving. But neurology chief Dr. Russell Katz said that the agency uncovered more than a dozen reports linking insomnia drugs to sleep-driving. Katz believes that more are going uncounted. Katz and other federal health officials warned individuals about the strange side effects.

The Associated Press (AP) earlier reported that all prescription sleeping pills may sometimes c…

Promethazine is a generic name for a class of antihistamine drugs used to prevent motion sickness, nausea, or vomiting; and for sedation, and the treatment of itching related to allergies. It is in the latter that we’re interested in here, treating allergy symptoms and reactions with Promethazine, such as: nasal congestion, itching nos…

Putting research into practice
PATIENTS UNDERGOING procedures at my facility’s cardiac electrophysiology (EP) lab typically receive I.V. procedural sedation with fentanyl (Sublimaze) and midazolam (Versed), which keep them sedated and comfortable throughout lengthy procedures. Unfortunately, in some patients these drugs also cause vomiting, which is particularly dangerous for a sedated patient. In addition, vomiting may trigger bleeding at vascular access sites.
Nurses in the EP la…

The Facts
In September 1999, a 52-year-old woman with a 15-year history of migraine went to the emergency department for migraine medication. The emergency department staff gave her nubain and 50 mg of Phenergan. Because the doses provided were higher than normal, the potentiating action of these drugs magnified the sedative effects. In the past, the pati…

Gastroparesis, a common event in persons with diabetes mellitus and functional dyspepsia, is defined as delayed gastric emptying. The major etiologic categories are diabetic, idiopathic, and postsurgical. The American Gastroenterological Association issued a medical position statement on the diagnosis and treatment of gastroparesis. The diagnosis is based on appropriate symptoms and signs of gastric dysmotility, delayed gastric emptying, and the absence of obstructing structural up…

A patient in the ED was supposed to receive Phenergan VC with codeine syrup (promethazine, phenylephrine, and codeine) to take at home to relieve coughing. When a nurse located a bottle of generic promethazine with codeine syrup and a large “C” around a “V” on the label, she mistakenly thought she’d identified promethazine VC with codeine syrup. In fact, this syrup didn’t conta…