Assignment task:
Samantha, a very healthy 67-year-old female, is undergoing a total hip arthroplasty surgery. The surgeon has asked for pain regimen for Samantha's stay on Med-Surg. The plan is for Samantha to discharge from the hospital on post-op day 1. She currently takes 5mg of hydrocodone daily at home on a consistent basis. The hospital formulary consists of the following medications: oxycodone 5mg, morphine IV 2mg, ketorolac IV 30mg, pregabalin 75mg, gabapentin 300mg, dexamethasone IV 10mg, acetaminophen 500mg, and celecoxib 200mg. Use the guidelines and relevant literature in your topic Resources to discuss the following: Briefly explain the concept of milligram morphine equivalent (MME).Medication Side Effects: Acetaminophen: Side effects: headache, decreased appetite. Allergy: rash, itching, angioedema, severe dizziness, shortness of breath. Rare but severe: liver toxicity, Stevens-Johnson syndrome, thrombocytopenia, lymphopenia. Caution: hepatic impairment, chronic alcohol use. Do not take >1,000 mg at one time. Do not take >4,000 mg in 24 hr. Avoid drinking alcohol; may increase risk of liver damage. Avoid in patients with liver disease. Pediatrics: Do not administer more than 5 doses in 24 hr. Use only the number of milligrams/dose recommended for child's weight, age(Bayhi et al., 2021). Ibuprofen: Side effects: tinnitus, hearing loss, nervousness. Caution: Asthma