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nbme q 3 - calivirus
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04-10-2006, 08:24 AM
A 64 yr old woman has moderately severe postoperative pain 1 day after total abdominal hysterectomy with BSO. Which is most apt. for pain reilef?
1. Oral aspirin-codeine 2.oral diazepam 3. oral ibuprofen 4.intermittent iv naloxone 5. pt controlled iv morphine 6.transcutaneous adminis of fentanyl
04-10-2006, 10:14 AM
I think pt controlled iv morphine is only given in end-stage cancer diseases for aplliation, where the risk of dependence is not so much.
the other choices didn't sound correct to me, that's why I thought fentanyl. What is the correct answer and why? Do you know?
04-10-2006, 10:17 AM
IV MORPHINE..The post operative pain is severe. why not?
04-10-2006, 10:28 AM
i don't know the answer.
Transcut fentanyl shd be for chronic pain I guess. Normally morphine is given for post op pain. I don't know why they have added the condition: patient controlled. Probably for better adjustment of dose?
04-10-2006, 11:00 AM
i will go with this just geuss , no cotraindication here and it is widely use in severe pain
5. pt controlled iv morphine
04-11-2006, 04:28 AM
i agree with u
pt controlled morphine is the answer--it is the first post operative day --why do you forget?--still the the morphine line is there---- fentanyl is for short operation and some other purposes thanks
04-11-2006, 07:42 AM
Pls note "Transcuteneous" Fentanyl
For transdermal Fentanyl have effect it takes 18-24h That 'll drive pt crazy w pain So Morphin IV 's a better choice |
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