Section 1 – Types of Pain CC is a 60-year-old patient who presented to the clinic with extreme back pain from falling in his shower and thinks it may be broken. He stated that he has not been able to sleep, walk, or bathe himself because the pain is “way too unbearable.” CC had a shingles outbreak last week, has depression, and fibromyalgia. He was prescribed Duloxetine because of its ability to treat different comorbid illnesses. He stated that he has been taking his Duloxetine with Tylenol hoping it would help ease this pain from the fall but had no luck. He also states that he has lost 5 pounds within a week and that the pain is a 9/10. What kind of pain is CC experiencing? (Acute or Chronic) Is CC’s pain nociceptive or neuropathic? Explain. What are some objective pain measures that CC is experiencing? CC is reluctant to go to doctor because he suffers from claustrophobia and fears his doctor may want to perform an MRI. What medication could CC take for his short-term, solitary event (MRI), acute anxiety? (Hint: look at Anxiety in Psychiatry and Neurology Slides) Section 2 – Opioids After visiting with the doctor CC began taking Oxycodone for his pain. He was sent home with his pain at a 3/10. A few days later CC had some family members over for a dinner party, when he suddenly fell and became unresponsive. His breathing was significantly slow, skin was blue/gray and cold to the touch, and his pupils were described as “pinpoint.” His wife discovered that he mixed his Oxycodone tablets with his Duloxetine and ended up taking too many tablets of Oxycodone. She called 911 immediately and CC was taken to the ER. What was the likely cause of CC’s emergency room visit? What medication should have been given to CC to reverse his condition? How would the medication have helped the situation? What Non-Pharmacologic strategies would you tell CC to do to manage his pain at home? Section 3 – Tolerance, Withdrawal, Dependence, and Addiction A few days later CC is at home and is doing much better. He told his wife that he has been skipping his Duloxetine for a few days because he was feeling better. Today though he has been experiencing sudden flu like symptoms, nausea, anxiety, and tremor. True or False: Duloxetine is considered a controlled substance? Describe the difference between Tolerance, Withdrawal, Dependence, and Addiction. Which one of the four is CC most likely experiencing?

Section 1 – Types of Pain CC is a 60-year-old patient who presented to the clinic with extreme back pain from falling in his shower and thinks it may be broken. He stated that he has not been able to sleep, walk, or bathe himself because the pain is “way too unbearable.” CC had a shingles outbreak last week, has depression, and fibromyalgia. He was prescribed Duloxetine because of its ability to treat different comorbid illnesses. He stated that he has been taking his Duloxetine with Tylenol hoping it would help ease this pain from the fall but had no luck. He also states that he has lost 5 pounds within a week and that the pain is a 9/10. What kind of pain is CC experiencing? (Acute or Chronic) Is CC’s pain nociceptive or neuropathic? Explain. What are some objective pain measures that CC is experiencing? CC is reluctant to go to doctor because he suffers from claustrophobia and fears his doctor may want to perform an MRI. What medication could CC take for his short-term, solitary event (MRI), acute anxiety? (Hint: look at Anxiety in Psychiatry and Neurology Slides) Section 2 – Opioids After visiting with the doctor CC began taking Oxycodone for his pain. He was sent home with his pain at a 3/10. A few days later CC had some family members over for a dinner party, when he suddenly fell and became unresponsive. His breathing was significantly slow, skin was blue/gray and cold to the touch, and his pupils were described as “pinpoint.” His wife discovered that he mixed his Oxycodone tablets with his Duloxetine and ended up taking too many tablets of Oxycodone. She called 911 immediately and CC was taken to the ER. What was the likely cause of CC’s emergency room visit? What medication should have been given to CC to reverse his condition? How would the medication have helped the situation? What Non-Pharmacologic strategies would you tell CC to do to manage his pain at home? Section 3 – Tolerance, Withdrawal, Dependence, and Addiction A few days later CC is at home and is doing much better. He told his wife that he has been skipping his Duloxetine for a few days because he was feeling better. Today though he has been experiencing sudden flu like symptoms, nausea, anxiety, and tremor. True or False: Duloxetine is considered a controlled substance? Describe the difference between Tolerance, Withdrawal, Dependence, and Addiction. Which one of the four is CC most likely experiencing?

Section 1 – Types of Pain CC is a 60-year-old patient who presented to the clinic with extreme back pain from falling in his shower and thinks it may be broken. He stated that he has not been able to sleep, walk, or bathe himself because the pain is “way too unbearable.” CC had a shingles outbreak last week, has depression, and fibromyalgia. He was prescribed Duloxetine because of its ability to treat different comorbid illnesses. He stated that he has been taking his Duloxetine with Tylenol hoping it would help ease this pain from the fall but had no luck. He also states that he has lost 5 pounds within a week and that the pain is a 9/10. What kind of pain is CC experiencing? (Acute or Chronic) Is CC’s pain nociceptive or neuropathic? Explain. What are some objective pain measures that CC is experiencing? CC is reluctant to go to doctor because he suffers from claustrophobia and fears his doctor may want to perform an MRI. What medication could CC take for his short-term, solitary event (MRI), acute anxiety? (Hint: look at Anxiety in Psychiatry and Neurology Slides) Section 2 – Opioids After visiting with the doctor CC began taking Oxycodone for his pain. He was sent home with his pain at a 3/10. A few days later CC had some family members over for a dinner party, when he suddenly fell and became unresponsive. His breathing was significantly slow, skin was blue/gray and cold to the touch, and his pupils were described as “pinpoint.” His wife discovered that he mixed his Oxycodone tablets with his Duloxetine and ended up taking too many tablets of Oxycodone. She called 911 immediately and CC was taken to the ER. What was the likely cause of CC’s emergency room visit? What medication should have been given to CC to reverse his condition? How would the medication have helped the situation? What Non-Pharmacologic strategies would you tell CC to do to manage his pain at home? Section 3 – Tolerance, Withdrawal, Dependence, and Addiction A few days later CC is at home and is doing much better. He told his wife that he has been skipping his Duloxetine for a few days because he was feeling better. Today though he has been experiencing sudden flu like symptoms, nausea, anxiety, and tremor. True or False: Duloxetine is considered a controlled substance? Describe the difference between Tolerance, Withdrawal, Dependence, and Addiction. Which one of the four is CC most likely experiencing?

Phlebotomy Essentials

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

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Section 1 – Types of Pain CC is a 60-year-old patient who presented to the clinic with extreme back pain from falling in his shower and thinks it may be broken. He stated that he has not been able to sleep, walk, or bathe himself because the pain is “way too unbearable.” CC had a shingles outbreak last week, has depression, and fibromyalgia. He was prescribed Duloxetine because of its ability to treat different comorbid illnesses. He stated that he has been taking his Duloxetine with Tylenol hoping it would help ease this pain from the fall but had no luck. He also states that he has lost 5 pounds within a week and that the pain is a 9/10. What kind of pain is CC experiencing? (Acute or Chronic) Is CC’s pain nociceptive or neuropathic? Explain. What are some objective pain measures that CC is experiencing? CC is reluctant to go to doctor because he suffers from claustrophobia and fears his doctor may want to perform an MRI. What medication could CC take for his short-term, solitary event (MRI), acute anxiety? (Hint: look at Anxiety in Psychiatry and Neurology Slides) Section 2 – Opioids After visiting with the doctor CC began taking Oxycodone for his pain. He was sent home with his pain at a 3/10. A few days later CC had some family members over for a dinner party, when he suddenly fell and became unresponsive. His breathing was significantly slow, skin was blue/gray and cold to the touch, and his pupils were described as “pinpoint.” His wife discovered that he mixed his Oxycodone tablets with his Duloxetine and ended up taking too many tablets of Oxycodone. She called 911 immediately and CC was taken to the ER. What was the likely cause of CC’s emergency room visit? What medication should have been given to CC to reverse his condition? How would the medication have helped the situation? What Non-Pharmacologic strategies would you tell CC to do to manage his pain at home? Section 3 – Tolerance, Withdrawal, Dependence, and Addiction A few days later CC is at home and is doing much better. He told his wife that he has been skipping his Duloxetine for a few days because he was feeling better. Today though he has been experiencing sudden flu like symptoms, nausea, anxiety, and tremor. True or False: Duloxetine is considered a controlled substance? Describe the difference between Tolerance, Withdrawal, Dependence, and Addiction. Which one of the four is CC most likely experiencing?

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