obil AT&T; 11:43 PM × 7#3-2 opiods and Drugs of Abu Mechanisms and Ph ies for Pa

Question

obil AT&T; 11:43 PM × 7#3-2 opiods and Drugs of Abu Mechanisms and Ph ies for Pain Management Fall, 2017 Consider the scenario provided below, and then answer the questions on page 3. You may find it helpful to utilize the chapter materials provided on Blackboard for Chapter 15, Psychotomimetic Drugs of Abuse, which is located in the "Chapter 15" folder, inside of the ''Materials for Exam #3 folder. A patient, Mr. Kravitz, who is a 36-year-old man who comes to you, his family physician, because of persistent (radiating) low back pain that is interfering with his work Chief Complaint My lower back pain is out of control, and I have to miss too much work. How and When Did Problem Start: I started getting radiating low back pain about 6 years ago. Changes Since Problem Began My pain has gotten steadily worse and sometimes is so bad I cannot go to work. Often I need my wife to drive me to my office because the discomfort is too distracting for me to manage the car Precipitating or Aggravating Factors to Problem I think I have been getting worse since my laminectomy 4 years ago. I feel like that's what precipitated my problem. I used to jog regularly and walk my two dogs, but those activities really made my pain worse. I guess I'd have to say that is why I gave up those physical activities about 2 uncomfortable. Jogging and even driving make the pain worse. The only thing that helps at all is when I take an oxycodone. years ago they made me too Hospitalizations, Operations, or Injuries I underwent a laminectomy 4 years ago. Other than that, I have had a few minor snorts iniuries but no other maior surgeries or Open With Print

Explanation / Answer

7) he is having back pain from 6 years

That is long before he went for laminectomy

So the main culprit is drug abuse

It should be stopped

The medications should be replaced by some different ACE inhibitors.

Ques 7 wants to ask about the treatment plan. That means how you will proceed with such patient.

For this.. first of all the etiology should be removed.

That from the given texts seem to be his drug abuse.

As the pain has started 6 years back and he went for laminectomy 4 years back.

The surgical procedure aggravated the pain.

ACE inhibitors should be replaced by some other chemical of same category.

And his drug abuse should be stopped first of all

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