Question

John Smith is a patient who has just undergone a recent right knee replacement under spinal anaesthesia. He has a mild intellectual disability and has a past medical history of hypertension and mild coronary artery disease. Cardiology has recommended he restart his anticoagulant therapy immediately after surgery. He currently is having intravenous patient-controlled analgesia. His pain is not well controlled he complains the pain is still 6/10. His heart rate and blood pressure are mildly elevated despite restarting his antihypertensive medication. Current vital signs: Pulse: 110, B/P: 167/95, Resp rate: 22, SaO2:92% What dose of morphine is John meant to receive each time he presses the PCA button?

Answer 1

The dose of morphine for John when he presses the PCA button depends on his prescribed dose and should be determined by his healthcare provider based on his pain level and medical condition.

Step-by-step explanation:

Intravenous patient-controlled analgesia (PCA) allows patients to self-administer pain medication within prescribed parameters. In the case of John, the dose of morphine that he is meant to receive each time he presses the PCA button would depend on his prescribed dose, which should be determined by his healthcare provider based on his pain level and medical condition. It's important for John to communicate any changes in his pain level to his healthcare provider, so they can adjust his medication accordingly.

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