Question

Case 2: Rikki, a 24-year-old male Subjective: • He presents today for a follow-up today regarding chronic back pain O He suffered a workplace injury 2 years ago and has been in pain ever since • He currently seeks a chiropractor weekly and started acupuncture sessions • Allergies: NKDA (No Known Drug Allergies) • Medications: o Oxycontin (oxycodone 20mg), (Elavil) amitriptyline 25mg, Zovirax (acyclovir) 200mg, and Magnesium 200mg Objective: • Vitals: HR 55, RR 12, BP 90/85, Temp 98.4 F (36.8 C) 6. Which one of Rikki's medications would be the most dangerous if he were to take Valium (diazepam) at the same time? a. Oxycontin b. Elavil C. Zovirax d. Magnesium 9. Which one of the following medications is not an NSAID? a. Naprosyn (naproxen) b. Feldene (piroxicam) c. Aspirin (acetylsalicylic acid) d. Tylenol (acetaminophen) 7. In addition to acupuncture, which of the following pain modalities can a patient with chronic pain use to help manage their pain? a. Behavioral modification b. Surgery C. Exercise d. All of the above 10. NSAID medications have black box warnings an increased risk for all of the following except: a. Myocardial infarction (heart attack) b. Dementia c. Intestinal perforation d. Stroke 8. Rikki calls the triage phone one day and reports that he has a fever of 104.2 F. He wants to know how much ibuprofen he can take. He has 800 mg tablets at home. He can take 800mg of ibuprofen every ___ hours safely. a. 4 hours b. 6 hours c. 8 hours d. 10 hours

Answer 1

6.Oxycontin is an opioid analgesic when combined with a benzodiazepine drug like diazepam can increase the adverse effects on the central nervous system affecting the respiration and fatal events like decrease in respiratory rare ,coma followed by death

Using Elavil and magnesium can cause side effects like dizziness, drowsy, confusion when used along with diazepam

Zovirax is an antiviral drug dose not cause adverse effects when combined with diazepam

Ans:a.Oxycontin

7.In addition to acupuncture the additional pain management techniques which can be followed are

• Daily regular mild exercises to strengthen the muscles and improve its function
• Behaviour modification by diverting mind by concentrating on relaxation therapy,
• Surgery is the last method to treat the underlying cause and relieve pain

Ans:d.All of the above

8.The maximum dose which can be taken by an adult is 1200mg

/ day orally

He can use it twice a day

Ans:d.10 hours

9.Naprosyn ,Feldene and Aspirin are classified under non steroidal anti inflammatory drug

Tylenol is an analgesic and antipyretics

Ans:d.Tylenol

10.The black box warning of NSAID medication are

• Infarction ,stroke, bleeding ulcers ,intestinal perforation (simple 8t affects the gastrointestinal system and the cardiovascular system)

Ans:b.Dementia