According to Dynamed’’ Chronic nonspecific low back pain is a diagnosis of exclusion in patients with pain in the low back lasting for more than 3 months without a pathologic cause identified’’.
If patient take pain meds Every 6 hrs/day PRN, patient will be taking a maximum of 4 tablets a day.
If patient is taking this medicine Q4hrs/day PRN, the total maximum tablets /day will be 6 tablets.
In this case, this patient is taking 12 tablets /day because the pain is too much and it is unbearable. This is an overdose of narcotic that could put patient to tolerance for this pain medication and need conversion to a new drug that could best control the pain.
According to the opioid calculator recommended by the instructor, Morphine extended release should be prescribe as: 10mg Q4-6hrs PRN for more consistent pain control.
3.CM is suffering of migraine, she has some precipitating factors such as sleeping problem, her use of inhaler for her asthma treatment can be a trigger to her migraine because inhalers are vasodialtors’’ Until recently, the major contributing pathophysiological event thought to initiate migraine was cerebral and meningeal arterial vasodilation’’ (Jacobs &Dussor, 2016).
Non-pharmacological treatment: sleep hygiene such as sleeping at least 6-8hrs a day, drinking warm milk or taking warm bath during bedtime, decrease white light in the room and darkening the room during her sleep.
I will also recommend a different Asthma medications, relaxation technic could also help in management of migraine.
Base on CM condition, she may benefit from prophylactic treatment. She is qualified for the prophylactic treatment because she has headache that last 2 to 3 days and 2 times a month, and a severe and prolonged migraine attack. According to Peters (2019)’’Preventive therapy should be considered for patients with migraines who routinely have more than 6 headache-days per month, or in other special circumstances, such as recurring migraines producing disability, acute therapies that are ineffective or contraindicated, when serious adverse reactions are produced, or even when it is the patient’s preference’’.
The 1st line prophylactic treatment will be: ‘’ Preventive migraine agents that are FDA approved include propranolol, timolol, divalproex sodium, and topiramate’’ (Peters, 2019).
Dynamed: Chronic low back pain
Jacobs,B., Dussor, G. (2016). Neurovascular contributions to migraine: moving beyond
Peters, G.L(2019). Migraine Overview and Summary of Current and Emerging Treatment Options
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more