A client with intractable acute pain is undecided about the use of epidural pain management. What should the nurse explain about epidural analgesia? Select all that apply
1. "The chance of becoming addicted to pain medication is lower.".
2. "The effects of pain medication last much longer when this route is used.".
3. "The dose of medication can be lower because it isn't metabolized in the liver.".
4. "The narcotic moves quickly into the spinal cord and blocks the reception of pain.".
5. "The risk of developing side effects from pain medication is eliminated this route.".
3, 4
Rationale 1: There is no evidence to support that the chance of being addicted to pain medication is lower using this route.
Rationale 2: There is no evidence to support that the effects of pain medication last much longer when this route is used.
Rationale 3: Administered by this method, the required drug dose is considerably lower because it is not metabolized in the liver.
Rationale 4: With epidural pain control the narcotic moves directly from the epidural space into the spinal fluid and binds with opiate receptors in the spinal cord, blocking reception of pain.
Rationale 5: There is no evidence to support that the risk of developing side effects from pain medication is eliminated through this route.
Global Rationale: Administered by this method, the required drug dose is considerably lower because it is not metabolized in the liver. With epidural pain control the narcotic moves directly from the epidural space into the spinal fluid and binds with opiate receptors in the spinal cord, blocking reception of pain. There is no evidence to support that the chance of being addicted to pain medication is lower using this route, that the effects of pain medication last much longer when this route is used, or that that the risk of developing side effects from pain medication is eliminated through this route.
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