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Praktijkopdracht farmacotherapie praktijkleerjaar 1

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In dit document wordt in het kader van de opleiding tot verpleegkundig specialist ggz, aan de hand van een casus de behandeling met farmacotherapie uitgewerkt.

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  • October 25, 2020
  • 18
  • 2018/2019
  • Case
  • Unknown
  • 7,6

1  review

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By: worldvibesnyc • 3 year ago

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By: sanne_ouwehand • 3 year ago

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Dear worldvibesnyc, annoying to see that the assignment did not meet expectations! I am very curious about your feedback.

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26 OKTOBER 2018




FARMACOTHERAPIE

,INHOUD

Inleiding................................................................................................................................................................... 2
6-step behandelplan ............................................................................................................................................... 3
1. Probleem van de patiënt............................................................................................................................ 3
1.1 Beschrijvende diagnose ......................................................................................................................... 3
1.2 DSM-5 classificatie .................................................................................................................................... 4
1.3 Behandelgeschiedenis ............................................................................................................................... 4
2. Doel van de behandeling ......................................................................................................................... 10
3. Behandelingsmogelijkheden .................................................................................................................... 10
3.1 Niet medicamenteus ............................................................................................................................... 10
3.2 Medicamenteus ...................................................................................................................................... 10
4. Selectiegeschikte...................................................................................................................................... 11
4.1 Benzodiazepinen ..................................................................................................................................... 11
4.2 Analgetica ............................................................................................................................................ 11
4.3 Behandeling van craving ......................................................................................................................... 12
5. Behandeling ............................................................................................................................................. 14
5.1 Niet medicamenteus ............................................................................................................................... 14
5.2 Antipsychotica ......................................................................................................................................... 14
5.3 Benzodiazepinen ..................................................................................................................................... 14
5.4 Analgetica ................................................................................................................................................ 14
5.5 Behandeling van craving ......................................................................................................................... 15
5.6 Stoppen met roken ................................................................................................................................. 15
6. controleplan en vervolg ........................................................................................................................... 15
6.1 Controles ................................................................................................................................................. 15
6.2 Vervolg .................................................................................................................................................... 15
6.3 Vervolgbehandeling ................................................................................................................................ 16
Literatuurlijst ......................................................................................................................................................... 17




1

, INLEIDING



Voor u ligt de praktijkopdracht farmacotherapie waarin ik volgens het 6-step behandelplan de
farmacotherapie van Lodewijk beschrijf.

Lodewijk heeft een schizoaffectieve stoornis, PTSS en een benzodiazepine- en analgetica
afhankelijkheid. In de voorgeschiedenis is hij bekend met een alcoholafhankelijkheid. Lodewijk heeft
door de jaren heen een behoorlijke benzodiazepine consumptie opgebouwd en wilde dit graag
(gedeeltelijk) afbouwen. Daarnaast is gestart met anti craving medicatie om terugval in
alcoholgebruik te voorkomen. Omdat hij gestopt is met roken werd de dosering clozapine aangepast
en de clozapinespiegel gemonitord. Op basis van het klinisch beeld en de clozapinespiegel is de
dosering opnieuw aangepast.




2

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