Question

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.

What would you do and why?
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.
What would be your first action?
What dose would you administer and why?
Thirty minutes after administering one dose, his pain is rated as a 7 on 0-10 scale. What do you do now?
Three hours after administering the medication dose, he rates his pain a 3 on 0-10 scale. Now what would you do?
How would you document this episod

Answer 1

*. Ask him if he has any pain or discomfort and to report the location and intensity of his pain.

*. Check his PAR analgesic orders.

*.12.5 mopridin and 3mg morphine in order to assess his respnres to these drugs.The antiseptic and intraoperative analgesics are no longer providing him analgesic.

*.Give another 3mg of 4th morphine (round up to the top end of his mg/kg dose range).and access the pain relief in 30min of first morphine dose and 60min of (peak second morphine dose).

Based on side effects he is experiencing,administor another dose to bring his pain intensity level to his acceptable level.Continue to monitor his vital signs and pain intensity level.