This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with cancer has been receiving codeine and a nonsteroidal anti-inflammatory medication for ... (Read 48 times)

RRMR

  • Hero Member
  • *****
  • Posts: 557
on: Jul 23, 2018
A patient with cancer has been receiving codeine and a nonsteroidal anti-inflammatory medication for pain. The patient reports worsening of pain in both intensity and frequency.
 
  The nurse will tell the patient to contact the provider to discuss:
  a. using a fentanyl transdermal patch.
  b. adding an adjuvant analgesic drug.
  c. increasing the dose of the codeine.
  d. using hydrocodone or oxycodone.

Question 2

A patient who has cancer reports pain as burning and shooting alternating with feelings of numbness and coldness. The nurse will contact the provider to discuss the use of which medication?
 
  a. Acetaminophen
  b. Ibuprofen
  c. Imipramine (Tofranil)
  d. Oxycodone (OxyContin)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Benayers

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
As patients have increased pain, it is important to increase the level of analgesia. Hydrocodone or oxycodone is useful as pain increases, after nonopioid analgesics have been tried. Fentanyl transdermal patches are used for chronic, severe pain in patients who are already tolerant to opioids. Adjuvant analgesics can be used at any stage of pain progression but are used for neuropathic pain. Codeine is not recommended for cancer pain, because it has dose-limiting side effects; increasing the dose of codeine is never recommended.

Answer to Question 2

ANS: C
This patient is describing neuropathic pain, which results from injury to peripheral nerves. This type of pain responds poorly to opioid analgesics but does respond to adjuvant analgesics, which include antidepressants such as imipramine. Acetaminophen and ibuprofen are used for mild nociceptive pain, and oxycodone is used for more severe nociceptive pain.


RRMR

  • Hero Member
  • *****
  • Posts: 557
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Benayers

  • Sr. Member
  • ****
  • Posts: 328
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Breast Cancer Breast Cancer
Symptoms of a patient in shock. Symptoms of a patient in shock.
Building competency in patient centered care Building competency in patient centered care
Patient health history form. Patient health history form.
Algorithm for assessing a patient at risk for suicide. Algorithm for assessing a patient at risk for suicide.
Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ... Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ...
Video: Glucose Evaluation Procedure

For a complete list of videos, visit our video library