Question

2. Mr. Rogers is 2 days postoperative of a thoracotomy for removal of a malignant mass in his left chest. His pain is being managed via an epidural catheter with morphine (an opioid analgesic). As the nurse assumes care of Mr. Rogers, he is alert and fully oriented, and states that his current pain is 2 on a 1-to-10 scale. His vital signs are 37.8-92-12, 138/82. benefits of epidural versus systemic administration of opioids? a. What are b. The nurse monitors Mr. Rogers respiratory status and vital signs every 2 hours. What is the rationale for these frequent assessments? c. The nurse monitors Mr. Rogers for what other complications of epidural analgesia? d. Mr. Rogers complains of a severe headache. What should the nurse do? e. Mr. Rogers' epidural morphine and decreased mobility increase his chances of constipation. What interventions should be included in his plan of care to minimize constipation?

Answer 1

a, Epidural administration of opioids improve pulmonary function, endocrine-metabolic stress response, decrease mobility and shorter hospital stay in managing the pain.
systemic administration of opioids ease the administration, it has a rapid onset of action, it avoids the first-pass metabolism in managing the pain.
b, The Administration of epidural opioids increase the risk of respiratory depression and hypotension and cause sedation. Vitals should be monitored every 2 hours in the ICU.
c, Complication of epidural analgesia include hypotension, trouble urinating, nerve damage, headache, infection, epidural hematoma.
d, -Make the patient lie down flat
-Provide plenty of fluids
-Can inform to doctor for pain medication and epidural blood patch.
e, pain medication also causes constipation. the patient should be treated with fluid and high-fiber foods, stool softener, and laxatives to avoid strain while defecation. Avoid gas-forming foods.