A teenager is hospitalized with sickle cell disease and vaso-occlusive crisis. What pain medication regimen does the nurse assist the patient with?
A.
Acetaminophen (children's Tylenol)
B.
Ketorolac (Toradol) orally
C.
Meperidine (Demerol), given intravenously
D.
PCA pump with morphine (Duramorph)
ANS: D
A teenager is able to manage his or her own pain control, so a PCA pump is ideal. Morphine is often considered the drug of choice in sickle cell crises. Tylenol would be ineffective for pain this severe. Demerol is avoided due to its side effects. Toradol is a good choice; however, it is given parenterally for severe, acute pain.
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