Question

Mr. Will, a 67-year-old patient, is postoperative day 2 after a coronary artery bypass graft operation to revascularize his coronary arteries that were significantly blocked. He has a midline incision of his chest and a 7-inch incision on the inner aspect of his right thigh where a saphenous vein graft was harvested and used to vascularize the blocked coronary artery. The surgeon ordered Oxycodone 5 mg every 4 hours PRN for moderate pain and Oxycodone 10 mg every 4 hours PRN for severe pain. Considering the patient’s age, what medication administration considerations should the nurse incorporate into the pain management plan and why?

Answer 1

Oxycodone is a opioid category drugs which use in pain .

Oxycodone Dose Consideration

Short acting drug :- 5 mg ( 4) hourly

Long acting drug :- 10 mg (12) hourly

Route :- per oral / iv sc

Dose :-5-10 mg

onset of action :-10 to 20 minutes

peak effect hour :- 0.5 to 1 hour

Duration of actions:- 3-6 hours

Now come to question :- mr. will 67 years old and this drugs given with extra caution when age above 65 years

So there is chances of renal failure , Respiratory depression delirium .

Hence when nurse give oxycodne observe patient level of activity Range of motion memory etc renal function urine pass or not

Also aged person stimuli is low but the pain severity increased according to age

there is also side effects commonly is constipation

Note:- nurse observed patient pain intensity by

Numerical Rating Scale

Asess pain

phyiscal appearance

then decided the dosage if patient in severe pain but not chronic ill or not problem in vital organ then administer the long acting oxycodone otherwise infrom to surgeons

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