SU NSG6005 Week 10 Discussion Latest 2019 September

NSG6005 Advanced Pharmacology

Week 10 Discussion

Discussion 1

What would you do
first prior to prescribing any medication?

What are the various
schedules of medications for controlled substances?

Would you prescribe a
long or short acting narcotic? Why or why not?

Discussion 2

What other non
narcotic medication options can you offer to this patient?

What patient education
is needed with them?

What would you do if
the patient and his wife tell you that none of them work for him?

Discussion 3

You are concerned that
this patient may have a substance abuse problem.

What screening testing
is available for you to use that is reliable and valid?

What strategies would
you suggest for this patient if he was found to have a problem?

What type of referrals
would you make?

Discussion 4

After some
investigating, you find that Howard actually is seeing a pain specialist who
has given him epidural injections, and prescribes medication for him.

How does that impact
any intervention that you may consider?

What other
pharmacological options could you offer him?

What
nonpharmacological options could you suggest?

Discussion 5

After seeing Howard
and performing the appropriate screening tools, and a urine drug screen, he
admits to you that he does have a problem with opioids due to his back injury.
He states he has been admitted to an inpatient detox and twenty-eight day
rehabilitation unit previously and was able to quit using for 3 months, but relapsed
due to his pain. He states for the last 6 months he has been unable to get
opioids from physicians since there is a record of him being prescribed a large
amount over a short period of time. Due to this, he has started buying heroin
from an acquaintance who he went to high school with. His wife is very tearful
and states she is concerned that eventually Howard will end up killing himself.

What type of substance
abuse programs would be most appropriate for him?

What requirements are
there for a nurse practitioner to prescribe a medication to treat opioid
addiction?

What are the
requirements for a patient who is enrolled in a medication assisted opioid
treatment program?