Author Question: Delta is an 88-year-old patient who has mild low-back pain. What guidelines should be followed when ... (Read 25 times)

jerry coleman · **on:** Jul 24, 2018

Delta is an 88-year-old patient who has mild low-back pain. What guidelines should be followed when prescribing pain management for Delta?

1. Keep the dose of oxycodone low to prevent development of tolerance.
2. Acetaminophen is the first-line drug of choice.
3. Avoid prescribing NSAIDs.
4. Add in a short-acting benzodiazepine for a synergistic effect on pain.

Question 2

The GFRs for a 91-year-old woman who weighs 93 pounds and is 5'1 with a serum creatinine of 1.1, and for a 202-pound, 25-year-old male who is 5'9 with the same serum creatinine according to the Cockcroft Gault formula are:

1. 25ml/ min and 133 mL/min respectively
2. 25 mL/min and 103 mL/min respectively
3. 22 ml/min and 133 mL/min respectively
4. 22 ml/min and 103 mL/min respectively

lgoldst9 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

2

Answer to Question 2

ANS: 2
RAT: Remember to use ideal body weight (IBW) in the formula. The woman's IBW is 105 pounds and the man's is 156 pounds. Note the huge difference in GFR based on weight and age and the fact that looking at the serum creatinine alone can be very misleading in predicting GFR.