Untitled_document - CASE STUDY Mrs C is a 112 kg 48-year-old African American woman admitted for an incision and drainage of a right renal abscess

Untitled_document - CASE STUDY Mrs C is a 112 kg...

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CASE STUDY Mrs. C. is a 112 kg, 48-year-old African American woman admitted for an incision and drainage of a right renal abscess related to advanced renal cell cancer. The client has been a registered nurse for 20 years and lives alone. She requires QID dry-to-dry dressing changes that are very painful. She rates the pain in the area of her incision between dressing changes as 2-3 on a 0 to 10 scale but reports her pain at a 10 during dressing changes. She describes it as a sharp, pulling type of pain that persists for 1-2 hours after the dressing change. She reports that 2 Percocet tablets control the pain between dressing changes, but the Morphine 2 mg IV dose barely touches the pain during dressing changes. Her goal for therapy is 0 pain but she believes she can live with pain that is a 1 to 2. Based on these data, her physician prescribes Morphine 4-15 mg IV q 1-2 hours. What dose of IV morphine should be given for her next dressing change?
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  • Fall '19
  • Morphine, Registered nurse, Renal cell carcinoma, mg IV dose

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