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Author Question: Why is morphine contraindicated in the patient with pancreatitis? a. Demerol (meperidine) is less ... (Read 90 times)

soccerdreamer_17

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on: Jul 11, 2018
Why is morphine contraindicated in the patient with pancreatitis?
 
  a. Demerol (meperidine) is less expensive.
  b. Tylenol is more effective at managing this type of pain.
  c. Morphine may cause spasms of the sphincter of Oddi.
  d. These patients do not experience pain.

Question 2

A patient with pancreatitis is NPO. The patient asks the nurse why he is unable to have anything by mouth. Which of the following is the best response?
 
  a. Diagnostic tests depend on you not eating anything.
  b. The pancreas is stimulated whenever you eat or drink, and causes pain.
  c. Eating causes the need for a bowel movement, which excretes your medication too rapidly.
  d. Resting your GI tract will cure your pancreatitis.


frankwu0507

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Reply #1 on: Jul 11, 2018
Answer to Question 1

ANS: C
A common complaint is constant, severe pain; in such cases, meperidine (Demerol) PCA is often administered. Morphine may cause spasms of the sphincter of Oddi.

Answer to Question 2

ANS: B
Food and fluids are withheld to avoid stimulating pancreatic activity, and IV fluids are administered.


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