Morphine Sulfate Case Summary

Narcotic analgesics, especially morphine are underused for pain control with in the medical field. This underuse is because medical professionals, including doctors, fear patient addiction, side effects and possible lose of their licenses. These fears deny adequate healing and a better quality of life to those who would benefit from a more effective use of these drugs, as done in hospice care.

The physician adjusts the dosage of buprenorphine if withdrawal symptoms or cravings are bothersome or if there are medication-related side effects. Patients visit their physician frequently until progress is on firm ground, usually once weekly. Stabilization lasts about two to four weeks.

This is a reflective essay based on my experience of participating in delivery of anaesthetic and surgical care to a patient undergoing abdominal hysterectomy under general and regional anaesthesia. I will be describing the process involved, my participation and contributions, what I learnt during the experience and how this gained knowledge will improve my professional competency.

It seems each year that the automobile accidents increase, and there are a high number of death and injuries that follow. Records show that nearly 1.3 million people die in road crashes and 20-50 million are injured. More than half of all traffic death occur among young adults 15-44 years of age( ). Accidents can happen at any time and can be caused by many reasons such as rain, speeding, drug, or alcohol. An automobile accident is what brought the 16-year-old boy to the emergency to be care for by the medical staff there. The patient was seen by the ER staff for several hours, and he was admitted later in the inpatient unit for observation. The next morning when staff tried waking the patient he was died.

The chart chosen for this tracer was for a 67-year-old female who underwent an open hysterectomy five weeks prior to hospitalization. The patient was admitted for post-op infection, abscess formation and drainage at the surgical site and fever seven days ago. Treatment consisted of surgical

As we learned in class last week, victimless crime can be one of many things. Victimless crime is defined as a crime taking place where there are no harmful injuries done from one person to another. Instead, the damage being done is committed by the individual who is committing the crime. Some examples of a victimless crime are, Drug use, prostitution, gambling, suicide, traffic citations and trespassing.

The loss of morphine, the night shift is taking more of the morphine, Patrick’s behavior, most patients on morphine are on PCA pumps and the increase patients morphine are not single injections.

Naloxone is an FDA approved overdose reversal medication. Naloxone is a prescription medication that when administered to an individual experiencing an opioid-related overdose restores the individual to consciousness and normal breathing (NAMSDL.org, 2016). Naloxone is always effective when administered correctly (NAMSDL.org, 2016). Since 2000, the drug overdose rate involving opioids has increased 200% (NAMSDL.org, 2016). Treatment centers, physicians and first responders in the rural areas of the United States need more access to naloxone to prevent opioid-related overdose deaths. The U.S Surgeon General Vivek Murthy stated, “People find themselves in overdose situations don’t have to lose their lives because family members or emergency responders don’t have access to the reversal drug naloxone” (Wolf, 2016). Expanding access to rural areas can save lives and prevent deaths.

"More than 30,000 people are dying every year from Opioid drug addiction." (Katel833). That means they are leaving behind 30,000 families grieving and at least another 30,000 people they may have introduced to the addiction of the drugs each year. Opioids drug are a very serious matter that goes around daily without being noticed. Although some precautions have not been a total fail, recent epidemic shows the problems with the Opioid drug addiction is bigger than what we can handle and cannot simply curb the epidemic.

I returned to the recovery ward, my patient was still hypertensive and tachycardic and I felt by assessing her non-verbal signals of communication that she was still in great discomfort. After 15 minutes of no improvement I returned to theatre to see the anaesthetist, I explained that I was not happy with the patient’s level of pain and requested that he come to the recovery ward to assess the patient. He reluctantly came to the recovery ward and after spending a few minutes assessing the patient agreed that she was in an unacceptable level of pain and prescribed a further 5mg of morphine which I duly gave to the patient in 2.5mg increments. After this the patients heart rate and blood pressure decreased to pre operative levels, she seemed to be more relaxed and eventually fell asleep. After a further period of time spent continually reassessing the patient and when I was satisfied she was comfortable and haemodynamically stable I discharged the patient back to the ward.

As the brand manager for Allround cold medicine, there were many decisions regarding product formulation, strategy, line extensions and product launches over the company’s last 10 periods. The brand was focused on remaining a profitable, mature product family within the cold medicine category, but also maintaining a premium brand image.

As per Center for disease control prescription opioid overdose kills 44 people a day. In the year 2013 there were 43,982 deaths from drug overdose. Prescription drugs accounted for 22,767 of these deaths. Opiates are the leading cause of prescription drug overdose deaths causing 16,235 deaths. Benzodiazepines contributed to 6,973 deaths. It is not uncommon to find a combination of drugs in prescription medication overdose deaths.

During my rotation in the operating room at Community medical center, I observed the preoperative, intraoperative, and postoperative care for a patient who underwent a laparoscopic hysterectomy. I believe that an appropriate preoperative plan of care for this patient would have included a full physical exam and an interview for patient history, a pelvic exam to look over and understand the nature of the patient’s complications, blood testing including a CBC and WBC to note any signs of infection or contraindications for the procedure, and a urine test to rule out any urinary tract infections or pregnancy. It would be important to interview the patient and ask questions to determine how the patient is feeling about their procedure and to better assist with any anxiety or pain they may be dealing with preoperatively. It is important to consult with the patient well before the procedure to ensure that she knows to refrain from smoking for at least 8 weeks before the procedure because this reduces the risks of complications such as infections, issues with blood pressure, heart rate, blood flow, and respirations when under anesthesia, and promoting overall health and risks associated with smoking after the procedure. (ASAHQ) It is also important to educate the patient to consume no food or drinks after midnight the night before the scheduled procedure. (Health Communities) During my rotation I observed that the patient did indeed have labs drawn and a urine test run. Her lab

A wide range of medications were legitimate amid the Post-Civil Wars. Morphine was prominent to use as agony executioner to treat Armies' wounds particularly amid their leg expulsion and affliction from war zone. Morphine was the main medication that could respond quick to stop the agony. Morphine contains sedatives that could live in human body inside zero to two weeks depended how one's body response. Be that as it may, overdose could be risky for human body. Because of the improvement of Hypodermic Syringes accessible to buy for anybody, this pulled in numerous individuals to buy Morphine tranquilizes in easing their torments for wound and infection while ignorant of its habit. Amid Industrial Revolution, much new migration, for example,

The department of Health and Human Services protects and guides the health and well being of individuals here in America (Thacker, 2014). They fulfill these duties providing Americans with adequate and efficient health and human services and monitoring services designed to increase the efficiency of care in the health system (Thacker, 2014). One of the services being monitored by the department of Health and Human Services is the electronic health record system, which carries private and vital information of patient’s health record enabling all eligible participating health workers access to these records (Thacker, 2014). A breach of the protective health information of patients in a health organization creates chaos as these are against the health insurance portability and accountability (HIPAA) law (Thacker, 2014). Hence, measure will have to be put in place to determine what caused the breach and how to rectify it to ensure the breach never happens again (Thacker, 2014).