The hospice nurse is caring for a patient diagnosed with bone cancer who is receiving large doses of opioid medications to relieve pain. The patient has used other laxatives in the past to treat opioid-induced constipation but nothing is working now

What drug would the nurse request the family doctor to order for this patient? A) Methylnaltrexone (Relistor)
B) Castor oil
C) Paregoric
D) Mineral oil


A
Feedback:
Methylnaltrexone (Relistor) was approved in 2008 for the treatment of opioid-induced constipation in patients with advanced disease who are receiving palliative care and are no longer responsive to traditional laxatives. Castor oil, mineral oil, and paregoric would likely be ineffective in this patient.

Nursing

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