Your patient is 12-hours post ORIF right ankle. The patient is asking for a breakthrough dose of analgesia
The pain-medication orders are written as a combination of an opioid analgesic and a nonsteroidal anti-inflammatory drug (NSAID) given together. What is the primary rationale for administering pain medication in this manner?
A) To prevent respiratory depression from the opioid
B) To eliminate the need for additional medication during the night
C) To achieve better pain control than with one medication alone
D) To eliminate the potentially adverse effects of the opioid
Ans: C
Feedback:
A multimodal regimen combines drugs with different underlying mechanisms, which allows lower doses of each of the drugs in the treatment plan, reducing the potential for each to produce adverse effects. This method also reduces, but does not eliminate, adverse effects of the opioid. This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing.
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