How would you determine which of the following pain medication(s) to give a pati

Question

How would you determine which of the following pain medication(s) to give a patient who:

Has just had breast augmentation surgery?

Has chronic neck and back pain from a car accident?

Has terminal metastatic cancer?

Had their wisdom teeth removed?

Suffers from migraines?

Has rheumatoid arthritis?

Use the opioid conversion table found in your text, and the following chart to assist you:

Analgesic

Strength

Equivalent dose

(relative)

(10 mg Oral morphine)

Aspirin (non-opioid)

1/360

3600 mg

Ibuprofen (NSAID, non-opioid)

1/222

2220 mg

Naproxen (NSAID, non-opioid)

1/138

1380 mg

Dextropropoxyphene

1/13 to 1/20

130–200 mg

Codeine

1/10

180 mg (PO)

Tramadol

1/10

>200 mg

Pethidine (meperidine hydrochloride)

1/3

30 mg SC/IM/IV, 300 mg PO

Hydrocodone

1

10 mg

Morphine (oral)

(1)

(10 mg) (30 mg PO)

Oxycodone

1.5

6.67 mg

Morphine (IV/IM)

3

3.33 mg

Methadone (acute)

3–4

2.5–3.33 mg

Diamorphine (Heroin; IV/IM)

4–5

2–2.5 mg

Hydromorphone

5

1.5 mg SC/IV/IM, 7.5 mg PO

Oxymorphone

7

10 mg PO, 1 mg IV

Methadone (chronic)

2.5 to 5

3.33 mg

Fentanyl

50–100

0.1 mg (100 mcg) IM/IV

How would you determine which of the following pain medication(s) to give a patient who:

Has just had breast augmentation surgery?

Has chronic neck and back pain from a car accident?

Has terminal metastatic cancer?

Had their wisdom teeth removed?

Suffers from migraines?

Has rheumatoid arthritis?

Use the opioid conversion table found in your text, and the following chart to assist you:

Analgesic

Strength

Equivalent dose

(relative)

(10 mg Oral morphine)

Aspirin (non-opioid)

1/360

3600 mg

Ibuprofen (NSAID, non-opioid)

1/222

2220 mg

Naproxen (NSAID, non-opioid)

1/138

1380 mg

Dextropropoxyphene

1/13 to 1/20

130–200 mg

Codeine

1/10

180 mg (PO)

Tramadol

1/10

>200 mg

Pethidine (meperidine hydrochloride)

1/3

30 mg SC/IM/IV, 300 mg PO

Hydrocodone

1

10 mg

Morphine (oral)

(1)

(10 mg) (30 mg PO)

Oxycodone

1.5

6.67 mg

Morphine (IV/IM)

3

3.33 mg

Methadone (acute)

3–4

2.5–3.33 mg

Diamorphine (Heroin; IV/IM)

4–5

2–2.5 mg

Hydromorphone

5

1.5 mg SC/IV/IM, 7.5 mg PO

Oxymorphone

7

10 mg PO, 1 mg IV

Methadone (chronic)

2.5 to 5

3.33 mg

Fentanyl

50–100

0.1 mg (100 mcg) IM/IV

2

Explanation / Answer

In breast augmentation surgery the anlgesics like Ibuprofen are admiistered For chronic neck and back pain out of car accidents Hydrocode or oxycodone can be given because they block brains ability to feel pain and ensure comfort For terminal metastatic cancer the common drug used to alleviate pain is morphine is gold standard the others are Hydromorphane,fentanyl or oxycodone For wisdom tooth removal Ibuprofen is the best pain killer For rheumatoid arthritis ibuprofen can be used then aspirin helps to reduce swelling For migrane pain killers like Naproxen

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