Question

To prevent spasms of the sphincter of Oddi, the client with pancreatitis should receive non opiate analgesics for pain. Answer B is incorrect because the client with pancreatitis might be prone to bleed; therefore, Toradol is not a drug of choice for pain control. Morphine and codeine, opiate analgesics, are contraindicated for the client with pancreatitis; therefore, answers C and D are incorrect.

Answer 1

To prevent the exacerbation of pancreatitis and spasms of the sphincter of Oddi, non-opiate analgesics are preferred over opiate analgesics like morphine and codeine. Non-opiates include acetaminophen and NSAIDs, which work by inhibiting enzymes involved in pain and inflammation.

Step-by-step explanation:

To prevent spasms of the sphincter of Oddi, which can exacerbate pancreatitis, non-opiate analgesics should be used for pain management. This is because opiate analgesics like morphine and codeine can increase the risk of spasms in this muscle, potentially worsening the condition. It is also important to note that drugs such as Toradol, which may promote bleeding, are not ideal for clients with pancreatitis who may already be at an increased risk for this complication.

Non-opiate analgesics include drugs like acetaminophen and NSAIDs, such as ibuprofen, which are better suited for managing the inflammation associated with pancreatitis. Aspirin-like drugs work by inhibiting COX-1 and COX-2 enzymes, effectively reducing pain and inflammation without the risk of sphincter of Oddi spasms. However, these medications can carry risks such as gastrointestinal bleeding, particularly when used long-term or in high doses.

Opioids like oxycodone or hydrocodone, sometimes combined with acetaminophen, are generally prescribed for moderate to severe pain. Still, they should be used with caution due to the potential for addiction and their contraindication in pancreatitis sufferers.