A patient with cancer who has been taking an opioid agonist...

A patient with cancer who has been taking an opioid agonist for pain tells the nurse that he must be addicted because the pain relief only lasts about a half hour instead of several hours. What is the nurse's best response? a. "You are correct and are most likely now addicted to this drug." b. "You may be developing dependence on the drug, which makes addiction more likely to develop." c. "This is normal and you are not addicted. Because your body has started eliminating it more rapidly, you now need a higher dose for pain relief." d. "You do need more drug for pain relief but if we do that, it is more likely that your breathing will be affected and could result in death."

Transcript

00:01 Hello students in this question, we have been given a case study and several question has been asked based on this so first one is to calculate the quantities for each ingredient so for example, we have to create a worksheet.

00:21 So first we have morphine morphine hcl that is 10 mg glycerol 1 ml compound hydroxy benzoate hydroxy benzoate is 0 .1 ml and purified water 10 ml some special prescription requirements from the doctor the doctor should specify the patient's name the medication so patient patient's name has to be there in the prescription the medication that is morphine liquid the strength of the dosage strength is 1 mg per ml dosage is 1 to 2 ml and the quantity is 100 ml is given the doctor should also state or include the statement no flavoring agent to indicate the required for requirement for a flavorless formulation next is about prescription refills over the phone.

01:58 It is important to check the local regulation and guidelines regarding prescription refills in some cases refills may be allowed for palliative care patients who are unable to visit the clinic refill however, this may require additional documentation or verification next is the purpose of each excipient in the mixture that is glycerol for example glycerol acts as a solvent that helps to improve the taste and mouthfeel of the suspension compound hydroxy benzoate solution acts as a preservative compound hydroxy benzoate solution acts as a preservative to prevent the microbial growth and extend the shelf life of the suspension then we have purified water so this is a vehicle for suspension providing the necessary volume and aiding in the dispersion of the active ingredient.

03:12 Lastly, we are talking about counseling counseling instruction for the patient one is to shake the bottle before each use when proper dispersion of the medication you have to take 1 to 2 ml of the suspension as needed for pain relief following the prescribed frequency if nausea or any the high defect occurs...

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