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1Complex Regional Pain SyndromeJane Doe Walden UniversityNURS-6521Advanced Pharmacology January 17, 2020
2Complex Regional Pain SyndromeThis week’s assignment entails an interactive decision tree on the topic of complexregional pain syndrome (CRPS) previously referred to as reflex sympathetic dystrophy. CRPS is chronic and debilitating not only physically but mentally. Pain often affects one limb, usually after an injury. Itis characterized by extendedpainthat changes skin color, temperature, and swelling in the injured area. CRPS pain is frustrating often resulting in isolation, depression and self-medication (Cowell, Gillespie, Narayan, & Goebel, 2019). Diagnosis is challenging and treating pain is the main goal. Vitamin C is currently used as the most effective way to prevent the development of CRPS perioperatively and following extremity surgery (Goh & Chidambaram, 2017). Ascorbic acid in Vitamin C is said to improve total antioxidant status (TAS). 2.5 mg of vitamin C for 5 days, decreased TAC. This is related to decreased antioxidant stress. Administration of vitamin C may reduce oxidative stress, increase antioxidant levels, resulting in the possibility of a therapeutic effect in early-stage CRPS.Patient Case StudyMy assigned patient is a 43-year-old male complaining of pain and needing crutches to ambulate. Arriving at my clinic after a referral from his primary care provider (PCP). His PCP feels his pain is made up due to med seeking for narcotics. Patient states the pain started several

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