The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication. Case summary: Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

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Answer 1

Question

Chapter 10, Problem 1CS

(1)

Summary Introduction

To determine:

The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(2)

Summary Introduction

To determine:

What happened to Mrs.D after one week and what should Mr.D do about it.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(3)

Summary Introduction

To determine:

How the problem can be prevented in the future.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

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You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…

Answer 2

Question

Chapter 10, Problem 1CS

(1)

Summary Introduction

To determine:

The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(2)

Summary Introduction

To determine:

What happened to Mrs.D after one week and what should Mr.D do about it.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(3)

Summary Introduction

To determine:

How the problem can be prevented in the future.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Expert Solution & Answer

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Answer 3

Question

Chapter 10, Problem 1CS

(1)

Summary Introduction

To determine:

The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(2)

Summary Introduction

To determine:

What happened to Mrs.D after one week and what should Mr.D do about it.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(3)

Summary Introduction

To determine:

How the problem can be prevented in the future.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 4

Question

Chapter 10, Problem 1CS

(1)

Summary Introduction

To determine:

The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(2)

Summary Introduction

To determine:

What happened to Mrs.D after one week and what should Mr.D do about it.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(3)

Summary Introduction

To determine:

How the problem can be prevented in the future.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 5

Chapter 10, Problem 1CS

(1)

Summary Introduction

To determine:

The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(2)

Summary Introduction

To determine:

What happened to Mrs.D after one week and what should Mr.D do about it.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

(3)

Summary Introduction

To determine:

How the problem can be prevented in the future.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Answer 6

Chapter 10, Problem 1CS

(1)

Summary Introduction

To determine:

The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Answer 7

Chapter 10, Problem 1CS

(1)

Summary Introduction

To determine:

The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Answer 8

(2)

Summary Introduction

To determine:

What happened to Mrs.D after one week and what should Mr.D do about it.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Answer 9

(2)

Summary Introduction

To determine:

What happened to Mrs.D after one week and what should Mr.D do about it.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Answer 10

(3)

Summary Introduction

To determine:

How the problem can be prevented in the future.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Answer 11

(3)

Summary Introduction

To determine:

How the problem can be prevented in the future.

Case summary:

Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Answer 12

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Answer 15

Ch. 10 - Prob. 1O Ch. 10 - Prob. 2O Ch. 10 - Prob. 3O Ch. 10 - Prob. 4O Ch. 10 - Prob. 5O Ch. 10 - Prob. 6O Ch. 10 - Prob. 7O Ch. 10 - Prob. 8O Ch. 10 - Prob. 9O Ch. 10 - Prob. 10O

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