A 23-year-old woman attends an outpatient treatment program and office-based buprenorphine clinic. She has been doing well while maintained on 16 mg/day of buprenorphine. Recently though, she has missed group sessions and provided a urine for drug screening that tested positive for clonazepam and amphetamine. One of the other members in her group reported that they […]
Policies Regarding Urine Adulteration/Substitution Read More »
A 20-year-old man is brought to the emergency department (ED) by his family for evaluation. His family reports that he failed out of school in his second year at a local community college. He admits to escalating struggles with prescription pain pills (prescription opioids), and then heroin use. He appears to be in opioid withdrawal;
DEA X-Waiver and Buprenorphine Read More »
A 20-year-old man is brought to the emergency department (ED) by his family for evaluation. His family reports that he failed out of school in his second year at a local community college. He admits to escalating struggles with prescription pain pills (prescription opioids), and then heroin use. He appears to be in opioid withdrawal;
Buprenorphine Administration in the ED Read More »
A 27-year-old woman on buprenorphine-naloxone (Suboxone®) for treatment of opioid dependence is admitted to the hospital with severe abdominal pain due to a perforated gastric ulcer. She received hydromorphone in the ED, and is urgently taken to the operating room. Postoperatively, she is on a patient-controlled analgesic (PCA) pump containing fentanyl. Her last dose of
Adjusting the Buprenorphine-Naloxone Regimen Read More »
A 27-year-old woman on buprenorphine-naloxone (Suboxone®) for treatment of opioid dependence is admitted to the hospital with severe abdominal pain due to a perforated gastric ulcer. She received hydromorphone in the ED, and is urgently taken to the operating room. Postoperatively, she is on a patient-controlled analgesic (PCA) pump containing fentanyl. Her last dose of
Pain Management in Patients on Buprenorphine-Naloxone Read More »
A 54-year-old woman with chronic pain due to inflammatory arthritis presents to your clinic stating that she is having a “flare” of her arthritis but is out of her Oxycontin® and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of
Implications of Prescribing Oxycontin® Read More »
A 54-year-old woman with chronic pain due to inflammatory arthritis presents to your clinic stating that she is having a “flare” of her arthritis but is out of her Oxycontin® and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of
Inflammatory Arthritis Read More »
Module 05 Content Top of Form Please go through and fill out the table on Medications affecting Coagulation. NOTE APA, CITATION, AND REFERENCING Strictly PLAGIARISM-CHECK Medications Affecting Coagulation Coumadin Heparin Lovenox Mode of Action Indications Dosage/Route
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Self-care deficit Nursing Theory Title: Exploring the Self-Care Deficit Nursing Theory Introduction The Self-Care Deficit Nursing Theory, developed by Dorothea Orem, is a well-established framework that has significantly influenced the field of nursing. This theory places a strong emphasis on the individual’s ability to care for themselves and their role in the healthcare process. Orem’s
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You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal. You must use the current Clinical Practice Guideline (CPG) for the management and prevention of COPD (GOLD Criteria) to answer the classification of
Disease Severity Classification Read More »