
(1)
To determine:
What type of medication relieves the metastasis of bone pain in this case and what is the rationale of this medication?
Case summary:
The person Mrs.D. is 48 years old, 4 years ago she underwent a bilateral mastectomy, and he had lymph node participation during surgery. It was recently diagnosed that she had metastasis to the bone. One 5 mg of oxycodone has been taking for every 6 hours. However, she is not sleeping well and pain increased to the point. During the terminal condition or illness, she needs to stay at the home and she required safe pain control.
(2)
To determine:
Mrs. D.’s husband confides in you that he is worried that she will become addicted to the new medication. He is not sure he agrees with around-the-clock dosing. How do you address his concerns?
Case summary:
The person Mrs.D. is 48 years old, 4 years ago she underwent a bilateral mastectomy, and he had lymph node participation during surgery. It was recently diagnosed that she had metastasis to the bone. One 5 mg of oxycodone has been taking for every 6 hours. Howevr, she is not sleeping well and pain increased to the point. During the terminal condition or illness, she needs to stay at the home and she required safe pain control.
(3)
To determine:
What should Mr.D. do if he feels that Mrs.D. has had an overdose?
Case summary:
The person Mrs.D. is 48 years old, 4 years ago she underwent a bilateral mastectomy, and he had lymph node participation during surgery. It was recently diagnosed that she had metastasis to the bone. One 5 mg of oxycodone has been taking for every 6 hours. However, she is not sleeping well and pain increased to the point. During the terminal condition or illness, she needs to stay at the home and she required safe pain control.

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Chapter 10 Solutions
Pharmacology and the Nursing Process
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