it is important to write the questions for A and B in three well-developed paragraphs (450-500 words) Jason Tyler is a 65-year-old male admitted to the hospital with history of chronic cancer
it is important to write the questions for A and B in three well-developed paragraphs (450-500 words)
Jason Tyler is a 65-year-old male admitted to the hospital with history of chronic cancer pain using Morphine SR 60 mg PO q8h. On admission, morphine 2 mg IV q4h was ordered. The patient reports his pain only went from a 9 to an 8 after the morphine dose and is asking for more pain medication. The staff begins to question the motivation of the patient and if addiction is present. The resident decides to start a PCA for his pain. In a few hours, the patient is comfortable, resting in bed.
A: Answer the following questions and provide your rationales for your choices.
J.T.’s behavior is best described as: what is the choice definition and the rationale for choosing it?
Tolerance
Addiction
Pseudo addiction
Dependence
During his hospital stay, J.T. went into acute renal failure. He is increasingly lethargic and is experiencing confusion and some hallucinations. The physician believes the morphine metabolites may be responsible and would like to convert to an alternative regimen. What is the best recommendation?
Change opioid to fentanyl patch 50 mcg q72h.
Decrease morphine SR dose to 60 mg PO q8h.
Switch to hydromorphone 8 mg orally q4h as needed.
Add haloperidol 1 mg PO q6h.
Tolerance will not develop to which adverse opioid effect?
Respiratory depression
Sedation
Constipation
Nausea
B: What pieces of the holistic assessment are missing from this scenario: the answer need rationale
As a healthcare provider, what else one can understand about this patient related to pain management?
In the response please provide the teaching you would provide to JT.
What is meant by the DEA Drug Classification Schedule? Explain each category/classification.
Readings
Required
Woo, T. M., & Robinson, M. V. (2020). Pharmacotherapeutics for Advanced practice Nurse prescribers for Advanced practice Nurse prescribers (5th ed.). F.A. Davis Company.
Chapter 12: Drugs Affecting the Central Nervous System
Chapter 21: Drugs Affecting the Bones and Joints
Chapter 25: Drugs Used to Treat Inflammatory Processes
Chapter 44: Pain Management: Acute and Chronic Pain
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