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Thanks Mary Ann



At 10:35 AM 2/2/2004 -0500, you wrote:
>Last night I took care of a demented, aggitated Parkinson's patient.  He
>tried to hit me a number of times - thankfully, his aim was terrible
>(naturally).  A psychiatrist I knew had been called in on his case to
>address his combative behavior.  We were discussing the medication options
>available when the psychiatrist told me that his first preference was
>Haldol.   I quickly reminded him that Haldol was contraindicated in PD - and
>shouldn't be considered for this patient.  Thankfully, this psychiatrist was
>one of the 'good guys' who quickly realized his error.
>
>Another PD patient of mine had been admitted to the hospital this weekend
>because he had fallen and remained on the floor for six hours before he was
>found. Apparently, he had been falling quite often over the past two weeks.
>He had responded well to treatment and was heading for the rehab unit.
>After assessing him, I asked if he needed anything - he told me that he
>wanted cough syrup for his cough.  I related that his attending physician
>would have to order it because some cough syrups were contraindicated in PD.
>His wife responded that he had been taking quite a bit of cough syrup over
>the past two weeks  - just about the time he had started to fall.
>
>Last night she returned to our unit just to tell me that she had read the
>cough medicine instructions which clearly stated that PD sufferers shouldn't
>take the medication.
>
>The moral of the story is - be aware of contraindicated PD drugs, remember
>that not all doctors are familiar with what they are and *read all
>over-the-counter medication labels.*
>-------------
>God bless
>Mary Ann (CG Jamie 64/24)
>
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