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CASE STUDY A Acute Pain LM, is a healthy 13-year-old who had all her wisdom teet

ID: 138009 • Letter: C

Question

CASE STUDY A Acute Pain LM, is a healthy 13-year-old who had all her wisdom teeth removed 6 hours ago and is experiencing significant pain. She has been prescribed acetaminophen and codeine for pain relief and is at home recovering. Her mother wants her to rest and stop text- messaging her friends about her dental surgery 1. How do acetaminophen and codeine act to reduce pain? What is a side effect of high levels of each drug? Why has the dentist prescribed only a limited supply of the medication? 2. How does L.Y.'s text-messaging behavior affect her perception of pain? 3. Does L.Y. need to rest in bed quietly to reduce pain? 4. L.Y. becomes increasingly irritated with her mother and tells her to "get off my case." How does L.Y.'s stress affect pain perception?

Explanation / Answer

1, Acetaminophen with codeine phosphate contains Acetaminophen 300 mg, codeine phosphate 30mg,7,8- didehydro-4,5a- epoxy-3- methoxy-17- methylmorphinan-6a- olphosphate(1:1)( salt) hemihydrate,a white crystalline powder is a narcotic analgesic and antitussive

It has powdered cellulose,magnesium stearate,sodium metabisulfifet,pregelatinized starch( corn) and modified starch( corn)

Acetaminophen and codeine phosphate tablets used for pain relief and with severe to moderate..

It has the side effect include drowsiness,lightheadedness, dizziness,sedation,shortness of breath,nausea and vomiting..so that doctors will prescribe always low dose of this medication..

2,. There medications increase sleep so that the drug act an the pain will get relief..if she is keep texting- messages with out rest may increase pain if she didn't take adequate rest..

3, Till her pain reduce she must take adequate rest..

4, if she is under stress with out rest stress may increase more pain..meducation will act when she was in rest with out stress..it can make pain more worse..

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