You are a Registered Nurse working in the surgical ward of your local hospital. You are looking after a 68-year-old female, 'Mary Poulas', who is Day 1 post-op following a left Total Hip Replacement. She is a retired bank manager who is spending her retirement travelling the world. Her husband passed away 2 years ago, she has three children and 7 grandchildren who are spread out over Australia, with one granddaughter living in her house. She has a past medical history of mild hypertension and osteoporosis, otherwise she is fit and healthy. She is currently ordered: Oxycodone (OxyNorm) 10mg 6th hourly and Paracetamol 1000mg 6th hourly. She expresses concern to you about the risk of dependence of opioids. She is on a ‘clinical pathway’ and will be discharged on Day 3. The medical team have seen her, and she will be discharged on Oxycodone (OxyContin) Modified Release 10mg twice a day and Paracetamol 1000mg 6th hourly, this will be reviewed by her General Practitioner (GP) 7 days after discharge from hospital. Explain the nursing considerations regarding Oxycodone (OxyNorm), related to this case study. For example: o Indications o Contraindications o Relevant drug interactions o Potential risks to the patient o The management of any potential risks o Time of day should this medicine be taken o Any monitoring required o Any other considerations

Biomedical Instrumentation Systems

1st Edition

ISBN:9781133478294

Author:Chatterjee

Publisher:Chatterjee

Chapter4: Biomedical Electronics: Analog

Section: Chapter Questions

Problem 1CS

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You are a Registered Nurse working in the surgical ward of your local hospital. You are looking after a 68-year-old female, 'Mary Poulas', who is Day 1 post-op following a left Total Hip Replacement. She is a retired bank manager who is spending her retirement travelling the world. Her husband passed away 2 years ago, she has three children and 7 grandchildren who are spread out over Australia, with one granddaughter living in her house. She has a past medical history of mild hypertension and osteoporosis, otherwise she is fit and healthy. She is currently ordered: Oxycodone (OxyNorm) 10mg 6th hourly and Paracetamol 1000mg 6th hourly. She expresses concern to you about the risk of dependence of opioids. She is on a ‘clinical pathway’ and will be discharged on Day 3. The medical team have seen her, and she will be discharged on Oxycodone (OxyContin) Modified Release 10mg twice a day and Paracetamol 1000mg 6th hourly, this will be reviewed by her General Practitioner (GP) 7 days after discharge from hospital.

Explain the nursing considerations regarding Oxycodone (OxyNorm), related to this case study.

For example: o Indications

o Contraindications

o Relevant drug interactions

o Potential risks to the patient

o The management of any potential risks

o Time of day should this medicine be taken

o Any monitoring required o Any other considerations

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