Status - uncontrolled
Drug therapy problem - safety: dose too high - LS's pain medication dose is too high and at risk for opioid overdose.
Drug therapy problem - indication: needs additional drug therapy - LS is at high risk for opioids overdose, a rescue medication for opioids overdose is recommended; LS needs optimal pain medications to control her symptom.
Drug therapy problem - compliance: noncompliance - LS is not compliance with taking her MS Contin tablet and oxycodone IR tablet.
Rationale: Based on the CDC Guideline for Prescribing Opioids for Chronic Pain, the goal of treating chronic low back pain is to control the pain level at a tolerable range, minimizing the opioid use, avoiding opioid overdose.
Based on the urine tox screen
Drug therapy problem - safety: dose too high - LS's pain medication dose is too high and at risk for opioid overdose.
Drug therapy problem - indication: needs additional drug therapy - LS is at high risk for opioids overdose, a rescue medication for opioids overdose is recommended; LS needs optimal pain medications to control her symptom.
Drug therapy problem - compliance: noncompliance - LS is not compliance with taking her MS Contin tablet and oxycodone IR tablet.
Rationale: Based on the CDC Guideline for Prescribing Opioids for Chronic Pain, the goal of treating chronic low back pain is to control the pain level at a tolerable range, minimizing the opioid use, avoiding opioid overdose.
Based on the urine tox screen