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usf health primary care :: Article Creator The VA Adds A Veterans Health Clinic In An East Tampa Neighborhood A new satellite clinic run by the Department of Veteran Affairs in East Tampa is open for veterans to get primary care, mental health support and other services. It's part of a growing partnership between the Department of Veterans Affairs and Department of Defense. Officials from both agencies celebrated the Sabal Park clinic's grand opening during a ceremony on Monday. In the last year, the VA reported nearly 33,000 veterans in Florida signed up for health care. Many of them live in the Tampa Bay region, which has one of the largest veteran populations in the U.S. "It is always a challenge to have capacity meet that ever-growing demand, but it is our obligation to catch up to that demand as much as possible," Dr. Shereef Elnahal, VA Under Secretary for Health, said at the event. Stephanie Colombini / WUS

Ketamine - Epilepsy Foundation

Ketamine hydrochloride, a dissociative anesthetic, has proconvulsant and anticonvulsant properties. It should be used with caution in epilepsy patients. Of eight epilepsy patients who underwent dental work with ketamine, two had focal motor seizures and another had a generalized tonic-clonic seizure. In some patients with epileptiform activity on their baseline EEGs, particularly those receiving 2–4 mg/kg intravenous doses, the activity progressed to electrical seizure.72 EEG recordings in all of these patients returned to their preanesthetic baseline within a week.73

If a clinical seizure occurs during ketamine use, further administration of ketamine to deepen anesthesia should be avoided. Instead, a CNS depressant, such as a barbiturate or benzodiazepine, should be used.3

In other studies, ketamine did not increase epileptiform or seizure activity in epilepsy subjects.74,75 Owing to the mixed depressant-stimulant effects of ketamine, epilepsy patients should be adequately premedicated with anticonvulsants and sedatives.

Adapted from: Najjar S, Devinsky O, Rosenberg AD, et al. Procedures in epilepsy patients. In: Ettinger AB and Devinsky O, eds. Managing epilepsy and co-existing disorders. Boston: Butterworth-Heinemann; 2002;499–513. With permission from Elsevier (www.elsevier.com).

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