Question

Ch 28 Case Study NAME____________________
You have been assigned to care for Jack, a 15-year-old who sustained multiple fractures of the
lower extremities in a skiing accident. Morphine sulfate is one of the drugs used in his care.
Jack’s parents are aware of the need for various treatments, including the use of morphine sulfate
to treat his pain, but they worry he may become addicted to the medication.
1. How would you proceed in addressing their concerns of addiction and opioids?
Answer:

Rationale:

2. How would you explain physical dependence on opioids?
Answer:

Rationale:

3. How is abstinence syndrome prevented when patients are physically dependent on opioids?
Answer:

Rationale:

Answer 1

Answer

1. Answer: First, I would assess the knowledge about the opioids and also enquired about any previous history of abusive tendency when it comes to drug use in proper manner.

Rationale: It helps to get an idea about their understanding of the drug and I could address all their concerns.

2. Answer: Physical dependence on opioids can be explained as a compulsive and repetitive urge to take the drug to the point of withdrawal symptoms when it stopped.

Rationale: Some individuals have a tendency to increase the dosage to get same feel as their body become tolerant to the drug.

3. Delta-selective opioid antagonist block MTD process without modifying morphine analgesia. The CCKB receptors antagonist enhances morphine analgesia and block the tolerance without any dependence to the drug. EAA antagonist blocks tolerance to the analgesic effect of morphine.