How do you approach this patient in the community setting

Reference no: EM133730623

CASE 1
A 54-year-old woman with chronic pain due to inflammatory arthritis presents to your clinic stating that she is having a "flare" of her arthritis but is out of her Oxycontin® and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of state and "really needs" her medications.

Question: How do you Approach This Patient in the community setting?

What is the implications of prescribing this medication? Please provide evidence.

CASE 2
A 27-year-old woman on buprenorphine-naloxone (Suboxone®) for treatment of opioid dependence is admitted to the hospital with severe abdominal pain due to a perforated gastric ulcer. She received hydromorphone in the ED, and is urgently taken to the operating room. Postoperatively, she is on a patient-controlled analgesic (PCA) pump containing fentanyl. Her last dose of buprenorphine-naloxone was 20 h prior to the surgery; her daily dose is 16 mg.

Question: How can Pain be Managed in Patients who are Taking Buprenorphine-Naloxone? What Adjustments to her Medication Regimen can be Recommended?

CASE 3
A 20-year-old man is brought to the emergency department (ED) by his family for evaluation. His family reports that he failed out of school in his second year at a local community college. He admits to escalating struggles with prescription pain pills (prescription opioids), and then heroin use. He appears to be in opioid withdrawal; he describes anorexia and diarrhea, and is yawning and sweating on exam. He has a Clinical Opioid Withdrawal Scale (COWS) score of 15, indicating moderate withdrawal. His provider orders clonidine, ondansetron, and 2/0.5 mg sublingual buprenorphine/naloxone, with a plan to observe him in the ED. The provider subsequently receives a concerned call from the hospital pharmacist. Question: The Pharmacist States That the Provider is Unable to Administer Buprenorphine in the ED Without an X-Waivered DEA Number. Is This Accurate?

Reference no: EM133730623

Questions Cloud

Develop a vision statement for any organization : Develop a vision statement for any organization of your choice. Your vision statement, under 50 words, should be designed to encourage a high-performing

Difference between a resting tremor and an intention tremor : What motor disease does John demonstrate? One of his signs is resting tremor. What is the difference between a resting tremor and an intention tremor?

Do you consider social ecology important to your field : Explain that perspective. For those of you in a different department/school, do you consider social ecology important to your field?

Demonstrat that an effective response to cyber threats : intl440 Demonstrate that an effective response to cyber threats involves a multi-faceted strategy that includes technological, organizational, and legislative

How do you approach this patient in the community setting : What is the implications of prescribing this medication? Please provide evidence and How do you Approach This Patient in the community setting

Prioritizing hypotheses : When prioritizing hypotheses, the nurse should use the urgent versus nonurgent priority approach to client care and identify

How you deal with resistance to change in an organization : What are your top three Personal Leadership Principles you have developed so far? Explain how you deal with resistance to change in an organization.

Improve patient-centered inter-disciplinary care : Reflect on any issues with your role on the health care team and how to improve patient-centered inter-disciplinary care.

How to counsel-work alongside clients of asian american : Read about how to counsel and work alongside clients of Asian American and Pacific Islander descent, Latino descent, and multiracial descents.

User Account

All Pages