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NERVOUS SYSTEM AND NEUROLOGY CASE ASSIGNMENT

NERVOUS SYSTEM AND NEUROLOGY ASSIGNMENT

Step 7 of 7

CASE 9.7
A 19-year-old man comes to the emergency department with severe abdominal pain and appendicitis is diagnosed. Appendectomy is performed and the patient is recovering. Hydrocodone is prescribed for pain.

Question 46 of 50

What drug class is the medication prescribed to the patient?

Barbiturate

Benzodiazepine

Neuromuscular blocking agent

Opioid

OVERVIEW: Useful narcotic pain reliever for use for moderate pain. Typically compounded with other pain-relieving drugs or drugs used for symptomatic relief of respiratory tract infections.
TYPE OF DRUG: Semisynthetic, centrally-acting, opioid analgesic
GENERAL USES: Used for reduction of moderate pain for short time periods (10 days or less)

Question 47 of 50

Each of the following is a side effect of hydrocodone (Lortab, Lorcet, Vicodin, Vicoprofen) EXCEPT one. Which is the EXCEPTION?

Diarrhea

Generalized weakness

Respiratory depression

Vomiting

CAUTIONS: Avoid use in those hypersensitive to hydrocodone or associated drugs. Avoid ethanol and herbals, including valerian and St. John's wort. Pregnancy risk: C.
SIDE/ADVERSE EFFECTS: Respiratory depression in high doses; Nausea, constipation; Suppresses cough reflex; Can produce drug dependence
IMPORTANT DRUG INTERACTIONS: Additive with other drugs causing sedation or respiratory depression
CONTRAINDICATIONS: Head-injured patients

Question 48 of 50

What are the dosing parameters for hydrocodone (Lortab, Lorcet, Vicodin, Vicoprofen) for this patient?

0.4 mg to 2 mg every 4 to 6 hours

2.5 mg to 10 mg every 4 to 6 hours

5 mg to 20 mg every 2 to 4 hours

10 mg to 30 mg every 2 to 4 hours

Adults: 2.5 to 10 mg every 4 to 6 hours (maximum 60 mg/day); Children: 0.135 mg/kg/dose

Question 49 of 50

If the patient was instead prescribed oxycodone (OxyContin, Roxicodone), what would then be the dosing parameters?

1 to 3 g q 4 h PRN pain

10 to 30 mg q 4 h PRN pain

50 to 150 mg q 4 h PRN pain

100 to 300 mg q 4 h PRN pain

Adults: 10 to 30 mg q 4 h PRN pain

Question 50 of 50

Which is an oral side effect of both hydrocodone and oxycodone?

Fungal infections

Gingival hyperplasia

Tooth discoloration

Xerostomia

Usual precautions for narcotic drugs. Can cause xerostomia.

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