Question

the homework it to gain comprehension of the material.

1. Mr. Walter, a 39-year-old man who is opioid naive and weighs 60 kg, He has an order for Morphine

Sulfate 30mg PO Daily. During your visit to his house his BP is 135/86, P is 90, RR is 22, and his O2

saturation is 98%. Preoperatively he indicated that he had a very low tolerance for pain. His goal for

therapy was no pain and he thought he could tolerate pain at only a level of 1 on a 0-10 scale.

a) What would you do and why?

b) When you question him about how much pain he has, he reports his pain is a 9 on the 0 to 10

scale. What should you do?

His orders are for Percocet 1 tab for pain 3 to 6/10; Percocet 2 tabs PO for pain 7 to 10/10.

c) What would be your first action?

d) What dose would you administer and why?

e) Thirty minutes after administering one dose, his pain is rated as a 7 on 0-10 scale. What do you

do now?

f) Three hours after administering the medication dose, he rates his pain a 3 on 0-10 scale. Now

what would you do?

g) How would you document this episode?

Answer 1

a, Assess patient pain experience to distinguish the degree of pain and quality of pain that indicates the severity.
b, His increased BP, HR, and temperature indicate there is acute pain. Inform the physician and get the order for medication.
c, Check when did patient take a morphine sulfate tablet. patient pain score indicate 9 that means severe pain. administer Percocet tablet, it is opioid pain reliever and contains acetaminopen can be used for moderate to severe pain.
d, Administer 1 tablet Percocet at a time if he consumed morphine sulfate less than 4 hours interval, because if it is overdose it causes serious side effects.
e, administer one more dose of Percocet as per order.