score
print all
Page:
1
|
2
|
3
|
4
|
5
|
6
| 7
|
8
|
9
|
10
Test your pain management skills with this case.
Value: 1
A 76-year old woman with advanced osteoporosis has multiple vertebral compression fractures. She has severe back pain that limits her activities. She has a history of bleeding duodenal ulcer and chronic kidney disease,stage 2 and therefore avoids NSAIDs. She is taking 2 tablets of oxycodone/acetaminophen 5/325mg nearly every 4 hours for the past two weeks. She rates her pain ~-3-4/10 after her "pain medicine kicks in". Which of the following is the best next step in her pain management?
a.
Increase the oxycodone/acetaminophen 5/325 to 3 tablets every 4 hours.
b.
Change to 2 tablets hydrocodone/acetaminophen 5/325 every 4 hours.
c.
Change to sustained release oxycodone 30mg capsules every 12 hours
d.
Change to oxycodone extended release 30mg capsules every 12 hours with oxycodone 7.5 for breakthrough pain every 2 hours as needed.
e.
Change to hydromorphone 4mg tabs every 4 hours.
return to top
|
previous page
|
next page
