Assignment2: Pain Management Contract

Assignment2: Pain Management Contract

Assignment2: Pain Management Contract

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Week 6 Assignment 2 Quiz 1.Question : Xi, a fifty-four-year-old female, has a history of migraine that does not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Which of the following actions would you take for appropriate decision making? Prescribe Maxalt, but to monitor the use, only give her four tablets with no refills. Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose. Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital). Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan. Question 2. Chronic pain is a complex problem. Some specific strategies to deal with it include ________. telling the patient to “let pain be your guide” to using treatment therapies prescribing pain medication on a pro re nata (PRN) basis to keep down the amount used scheduling return visits on a regular basis rather than waiting for poor pain control to drive the need for an appointment All the given options Question 3. Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes which one of the following instructions? Gout may worsen with therapy. Febuxostat may cause severe diarrhea. The patients should consume a high-calcium diet. The patients will need frequent CBC monitoring. Question 4. The Pain Management Contract is most appropriate for: Patients with a history of chemical dependency or possible inappropriate use of pain medications All patients with chronic pain who will require long-term use of opiates Patients who have a complex drug regimen Patients who see multiple providers for pain control Question 5. Patients whose total dose of prednisone exceed 1 gram will most likely need a second prescription for _________. metformin, a biguanide to prevent diabetes omeprazole, a proton pump inhibitor to prevent peptic ulcer disease naproxen, an NSAID to treat joint pain furosemide, a diuretic to treat fluid retention

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