Medtronic Pain: A Case Study

A leading type of error identified in doing harm to PCA patients is the improper dosage or quantity of analgesic medication (Hicks et al, 2008). This sort of error took place on a patient returning to a hospital for postoperative pain management following a recent surgical procedure. The nurse was given an order to manage the patient’s pain with hydromorphone administered via PCA infusion pump. In programming the pump the nurse inadvertently changed the concentration of the medication from 1mg/ml to 0.3mg/ml, thus leading to errors in both the

The claimant is a 48-year-old male who fell off a ladder while working and fell 15 feet backward striking his head, sustaining an acute right subdural hematoma, multiple rib fractures, and left-sided nondisplaced clavicle fracture. He was admitted to the hospital on 11/27/2017 and was discharged to home on 12/05/2017.

Although she finds it mildly beneficial, she complained of intense gastric pain while taking ibuprofen. Heather is wary of supplementing with any form of acetaminophen as she felt “loopy,” at one instance which she did not attribute to any other underlying cause (i.e. fever, medication). Heather also has an aversion to opiates, as she does not tolerate the euphoria and confusion while being on them. The option of bupivicaine +/- corticosteroid was presented to treat her SI join pain and to produce a NSAID sparing effect. However, she is afraid of needles therefore this option was not pursued. Rather a trial of Tramadol immediate release, at a dose of 25-50 mg PO at bedtime was provided to Heather. Her SI joint pain was reduced by 30% (9/10 to 6/10) within 30 minutes of starting Tramadol, without any noticeable side effects. There was no effect on her chronic daily headache pain. She started taking tramadol immediate release around the clock, and wore off after 4 hours. Therefore a prescription for Zytram XL (Tramadol CR) was provided to decrease her baseline pain and address end of dose pain. In addition to she was provided an additional repeat of immediate release tramadol for breakthrough pain. Lastly she discontinued use of ibuprofen as her pain relief from Tramadol was

The main ar-gument of the article is that neuropathic pain is challenging to manage and is a signifi-cant burden on society. The authors highlight how intrathecal drug delivery can be an alternate intervention for neuropathic pain when other methods of treatment fail to re-lieve symptoms. The topics covered in the article are the various medications used to manage neuropathic pain such as opioids, alpha-2 adrenergic agonists, calcium channel blockers, gamma-aminobutyric acid agonists, local anaesthetics, and corticosteroids. Ev-idence shows that intrathecal opioids may provide long term benefits for neuropathic pain, with other medications such as baclofen, ziconotide, bupivacaine, clonidine also showing moderate evidence of effective management of neuropathic

Discussion: The onset of sensory and motor block was faster and time taken to attain complete sensory and motor block to occur was shorter in the nalbuphine group as compared to bupivacaine group. Postoperative regression of both sensory and motor block was significantly slower in group N than in group B and the first rescue analgesic requirement in group N was significantly late than in group B. 0.8mg intrathecal nalbuphine as an adjunct to spinal bupivacaine prolongs the postoperative analgesia with minimal side effects and with desirable sedation intraoperatively which helps in taking care of psychological impact of operation theatre environment. Rawal et al found that nalbuphine was the least irritating to neural tissue even when used in large doses and was associated with minor behavioral and EEG changes

Conclusions: The results of this study show that local infiltration with 300mg (150ml) ropivacaine might be more effective for pain management than 150mg (75ml) ropivacaine. Furthermore, alteration in the dose of gabapentin appears not to have influence on the course of pain after TKA. The percentage of adverse effects seems comparable for all

It can be administered alone or part of a multi-disciplinary approach in relieving symptoms. It delivers pain-relieving medication directly to the source of pain in musculoskeletal pain conditions and their effects are often immediate and long lasting. They are often used to reduce opioid side effects or gain better analgesic efficacy. However, serious complications have been reported in the literature. The Closed Claims Project Database has reported 284 chronic pain management claims were reported between 1970 and 2000; 96% of the claims were related to interventional pain management techniques (10). Seventy-eight percent of these were related to nerve blocks and injections. Paraplegia or quadriplegia, epidural abscess, chemical injury from spinal cord injections, epidural hematoma, even more alarming death and brain damage were some of the reported complications; most commonly reported was pneumothorax and spinal cord nerve injury

postoperative pain. (6) However, the effects of these drugs on pain control are compared in

DOI: 1/23/2015. The patient is a 53-year-old male unit masonry employee who sustained a work-related injury when he fell approximately 12 feet off scaffold. Per the adjuster, knees are not accepted for this claim.

Ms. Kelly is a nondrinker, smokes five cigarettes per day and uses recreational grade cannabis for pain and sleep daily.

DOI: 9/9/2008. The patient is a 50-year-old male security guard who sustained injury to his back, right wrist, and right shoulder when he tripped over a chair and landed on the floor.

· Extreme pain is due to the hypoxic environment that results from the occlusion of capillary beds within tissues by sickled RBCs. This sickling is due to the polymerization of HbS in low-oxygen environments occluding tissues and causing local hypoxic environments. Inflammation is indicated as the trigger for this process in many cases. Experimental studies in transgenic HbS homozygote mice using hypoxia and inflammatory drugs showed occlusion of the postcapillary venules due to increased interactions between leukocytes, RBCs, and the vascular endothelium. In addition, precapillary obstruction is observed in sickled RBCs with especially high [HbS] and increased interactions between the vascular endothelium and RBCs. The tissue damage that results from the hypoxic environment leads to an increase in inflammation in the area once the tissue is repurfused with

SC placed call to Pa on 2/3/2016 and completed M T/C. The Pa reported no change in health status, falls, ER visit or hospitalization. The did report that he’s entering into a pain management program due to his diagnoses: DJD, Herniated Disks in neck, Vertebrae Deterioration, Osteoarthritis, Rheumatoid Arthritis, Arthritis of the Spine & knee, Bulging Disc – lower back, Lumbar Degenerative Disc Disease, Carpal Tunnel, and Levoscoliosis, with symptom of shooting and stabbing pain at a rate of 9/10 w/o meds and 7/10 w/ meds, headaches, difficulty bending, limited ROM in legs and arms, unsteady gait, knees, Pa stated that his R leg is longer than L leg, and they are going make him a special shoe to make his legs equal so that he can walker better

DOI: 12/14/2015. Patient is a 36- year-old male FIELD TECHNICIAN II who sustained a work related injury when he LOST FOOTING & FELL while WORKING ON SLIPPERY BUILDING LADDER.

Professionals that should be adequately knowledgeable on cyclobenzaprine are primary care doctors, emergency medicine physicians, physical therapists, pharmacists and an orthopedic doctor. These medical professionals deal with musculoskeletal injuries enough that being able to prescribe Flexeril is a good treatment option. For those seeking an alternative to the traditional western medicine approach, Chinese medicine uses herbs, acupuncture and cupping to help cope with muscles spasm.8 The Chinese use a Rooster Crowing Powder which aims to warm and unblock the meridians which is a channel system that distributes qi and blood to the body.8 This herb disperses coldness and dampness, warms the meridians and eases pain in the leg.8 Acupuncture is another popular Chinese medicine remedy as it can suppress hyperactive muscles.8 It plays a role in loosening the tendons, promoting circulation, alleviate cramps, and ease pain. The Chinese use a system that pin points where exactly a needle should be placed. The use of cupping as an alternative to acupuncture is just as effective, you would place the cups on the same points of the body as the needle would be.8 Another form of Chinese medicine is scraping in which it aims to promote the flow of blood and qi, inducing perspiration to expel pathogens which than increase the recovery process of the body.8 One of the most important things that a person in general should know when taking any drug and not just Flexeril is that you shouldn’t drink alcohol as it can decrease the effectiveness or cause a negative reaction with some drugs. In general cyclobenzaprine is a safe drug to take with very little serious complications or side effects. Although it is a safe drug, you should always ask your doctor about what to take and what not to take when consuming this drug. It’s important to know about