NBME , Think with me plz My test in week

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NBME , Think with me plz My test in week

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7 Posts

dr_jojo

03/08/07 - 04:26 AM

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: 199

03/08/07 - 06:19 AM

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 - 07:26 AM

thanx alot Huyniid

robin082006
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Topics: 471
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03/08/07 - 10:13 AM

I also chose E

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92306
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Topics: 14
Posts: 126

03/08/07 - 10:40 AM

E) Patient-controlled intravenous morphine

dr in trouble
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Topics: 60
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03/08/07 - 10:52 PM

i am in favour of E too

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sahota
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Topics: 40
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04/02/07 - 09:00 PM

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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