Question

In: Nursing

Ms. Reynolds is a 30 years old patient who is currently undergoing chemotherapy following surgery for...

Ms. Reynolds is a 30 years old patient who is currently undergoing chemotherapy following surgery for breast cancer. To manage her pain an anslgesic is ordered.
What are the anslgesic categories and explain the actions of each. what is used to determine the type of drugs to be prescribed for pain ?

Solutions

Expert Solution

Ans) Cancer pain can be removed through surgery, chemotherapy, radiation or other treatment.

- Medications during chemotherapy for pain management include:

• Over-the-counter and prescription pain relievers, such as aspirin, acetaminophen (Tylenol, others) and ibuprofen (Advil, Motrin IB, others)
• Weak opoids (derived from opium) medications, such as codeine
• Strong opioid medications, such as morphine (Kadian, Ms Contin, others), oxycodone (Oxycontin, Roxicodone, others), hydromorphone (Dilaudid, Exalgo), fentanyl (Actiq, Fentora, others), methadone (Dolophine, Methadose) or oxymorphone (Opana)
• Some medications come in tablets or liquids you swallow; others dissolve quickly in your mouth. You can receive some medications by shots, either under the skin or in a vein; through rectal suppositories; or by wearing a skin patch.

• Other medications used to treat cancer pain are antidepressants, anti-seizure drugs and steroids.

• Also, there are specialized treatments, such as a nerve block, which is a local anesthetic that's injected around or into a nerve. The block prevents pain messages along that nerve pathway from reaching the brain.

• Othertherapies, such as acupuncture, acupressure, massage, physical therapy, relaxation, meditation and hypnosis.


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