Hydromorphone

compartment chondroplasty, and patellofemoral compartment and medial femoral condyle chondroplasty on 05/23/14 and right total knee replacement surgery on 8/3/15. Urine drug screen dated 05/06/16 showed positive findings for hydrocodone and hydromorphone. Per the medical report dated 07/22/16, the patient presented for bilateral knee pain. Current medications include Lidoderm 5% patch; hydrocodone/acetaminophen 10/325mg; hydrochlorothiazide 25mg; omeprazole delayed release (DR) 20mg; Aleve…

Case reports and small studies demonstrated efficacy with ketamine use in patients non-responsive to treatment with opioids.1-3 The use of ketamine reduced the dose of opioids required and in some cases, enhanced quality of life at the end of care.1-3 A protocol for ketamine use in palliative care is available, however it was last revised in 2002.4 A lack of published evidence exists on large, randomized, controlled trials due to the patient population that requires IV ketamine for palliative…

Description Discuss the usage of controlled drugs, why been prohibited to use by individuals, why five schedules, which schedule ineligible to use by prescription and give examples for each schedule. Discuss the usage of controlled drugs? Controlled drugs are used to treat moderate to severe pain. Short-acting formulations are taken as needed for pain. For example Morphine used before the surgery. Morphine and Codeine, are the most powerful pain treatments. These usually are reserved for the…

he felt a pop while sitting down in his truck. Per OMNI, he had multilevel lumbar disc disease, bilateral shoulder arthropathy, and right knee arthropathy. Urine drug screen obtained on 06/10/16 showed positive for hydrocodone, norhydrocodone, hydromorphone, and gabapentin. Based on the medical report dated 01/19/17, the patient complains of complains of middle back pain, lower back pain, left shoulder pain, right shoulder pain and neuropathic pain. His Visual Analogue Scale score is 5/10.…

Opioids Definition and Classification 1. Definition It is important to distinguish between opium, opiate and opioid. According to Vallejo et al. (2011, page E343), opium is a natural extract from the opium poppy, whereas opiates and opioids are its derivatives. Natural alkaloids derived of opium are generally called opiates, whereas opioids (opium-like) can be either natural or synthetic. The most common known opioids are morphine, codeine, fentanyl, hydrocodone, oxycodone, etc. (Vallejo et al.,…

1. Identify which author and theory you are using: I am going to use a middle-range theory of acute pain by Marion Good Ph.D, RN. After reading your chosen articles on nursing theory, write a paper that answers the following points/questions: 2. Describe the theory and its components? How do the parts of the theory relate to each other? Does the theory “make sense” to you before you begin applying it to any specific client situation? This theory revolves around the concept of balance between the…

Pain management is an integral aspect of health care, especially in the case of end-of-life patients. For many of these patients Hospice care is provided to ease their passing. “Hospice focuses on caring, not curing and in most cases care is provided in the patient's home. Hospice care also is provided in freestanding hospice centers, hospitals, and nursing homes and other long-term care facilities” (Hospice Care. (2015, July 23)). When it comes to treating these patients for pain, it comes from…

There are laws specific to each state in the country regarding the prescribing of medications and therapeutic devices by medical professionals. The state of Ohio allows Advanced Practice Registered Nurses (APRNs) the ability to prescribe under specific conditions. The Certified Nurse Practitioner (CNP), Clinical Nurse Specialist (CNS), Nurse Midwife (CNM) and Nurse Anesthetist (CRNA) may obtain a certificate to prescribe after successfully completing a graduate degree in the specialty that…

Duties of Airline Pilot An aircraft pilot is accountable for the Safety and Security of the aircraft, travellers, crew members and cargo under various air traffic circumstances. Roles of an airline pilot are somewhat stimulating which can be accomplished successfully if the pilot is well skilled in all phases. The main role is positively to fly the aircraft securely from the departure airport to the target. Other than the air route there are other concerns as well that the Pilot has to take care…

Nurses play a major role in preoperative , intra-operative and postoperative pain assessment and management .Pharmacological management is a challenging process to relieve pain. The first choice of drug is a background pain relief, is regular paracetamol, which is safe in the young and in the elderly, is well tolerated, effective in nociceptive and neuropathic pain and available in several dose forms. Regular doses of between 4g daily (four times a day) is recommended for…