Andrews is getting prescriptions for opioids

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Reference no: EM133848640

Question

Mr. Andrews comes back to the clinic the following month. He states that the pain is still not under control and reports it is now 10/10 even on "good days." He tells you that his friends will not give him any more perks or oxys and he needs you to prescribe them. Mr. Andrews says, "If you don't give them to me, I will find a provider who will give me what I need!" You decide to start Mr. Andrews on Tramadol, a low dose opioid.

What signs would you look for in Mr. Andrews physical presentation if you suspect he may still be using prescription opioids?

How could you check to determine if Mr. Andrews is getting prescriptions for opioids?

What point of care testing could you do to determine if Mr. Andrews is still using prescribed opioids?

Reference no: EM133848640

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