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11. A 64-year-old woman has moderately severe postoperative pain 1 day after a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Which of the following is the most appropriate analgesic pharmacotherapy?
A ) Oral aspirin-codeine compound
B ) Oral diazepam
C ) Oral ibuprofen
D ) Intermittent intravenous naloxone
E ) Patient-controlled intravenous morphine
F ) Transcutaneous administration of fentanyl
EXPLAIN PLZ
huyniid Forum Elite
Topics: 9 Posts: 195
03/08/07 - 05:19 AM
#2
from current surgical diagnosis and treatment
Aspirin should be avoided as an analgesic postoperatively, since it interferes with platelet function, prolongs bleeding time, and interferes with the effects of anticoagulants Opioids are the mainstay of therapy for postoperative pain
Patient-controlled analgesia (PCA) puts the frequency of analgesic administration under the patient's control but within safe limits
I think E is appropriate Ans
dr_jojo
03/08/07 - 06:26 AM
#3
thanx alot Huyniid
robin082006 Forum Hero
Topics: 471 Posts: 5,123
03/08/07 - 09:13 AM
#4
I also chose E ___________________ The Key to Succeed is Patience.
92306 Forum Senior
Topics: 14 Posts: 126
03/08/07 - 09:40 AM
#5
E) Patient-controlled intravenous morphine
dr in trouble Forum Guru
Topics: 62 Posts: 610
03/08/07 - 09:52 PM
#6
i am in favour of E too ___________________ If u want to do something, do it today as there is no tomorrow.
sahota Forum Elite
Topics: 40 Posts: 202
04/02/07 - 07:00 PM
#7
you can think other way around.since abdominal hysterectomy paralytic ileus on iv fluids no question of oral drugs so easy now u can choose
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