Surgical repair of small bowel perforation

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Reference no: EM133843531

Question

Brian McCann is a 48-year-old man who had a surgical repair of a small bowel perforation. His medical history includes depression, for which he takes an antidepressant medication, as well as chronic lower back pain. He has taken both opioid and nonopioid pain medications regularly for the past 10 years for his back pain. He also has a history of chronic renal insufficiency. He has a nasogastric (NG) tube connected to suction and is ordered to be NPO (nothing by mouth) at present. He has the following medications prescribed for pain management: Oxycodone 20 mg, crush and administer via NG tube every 12 hours Hydrocodone/acetaminophen 7.5-325, crush and administer via NG tube every 4 hours as needed for mild to moderate pain Ketorolac 30 mg IV every 6 hours as needed for severe pain After reviewing the pain medications that have been prescribed for Mr. McCann, what questions should you raise with the prescribing physician, and why? What issues might impact pain management in this patient?

Reference no: EM133843531

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