Pathophysiology Effects of Narcotic Analgesia Assignment

Description: 
This assessment task allows students to demonstrate theoretical knowledge around pathophysiological changes in disease, pharmacological management of disease, planning nursing care and evaluating care Students are required to answer the case scenario questions provided Students should attempt all questions in the case study .. You are just starting your shift as a graduate nurse and you are about to review your first patent William Tran is a 33-year-old man who has been admitted to the surgical ward - high dependency area post the formation of a temporary ileostomy Dunng admission. tt AS documented that William has a past history of Crohn's disease - ulcerative colitis and multiple hospitalizations for Crohns related illnesses including malabsorption and weight loss (55kg) 
He is presented Prednisolone Metronidazole Balsalazide He is also on a narcotic analgesia infusion (Morphine 60mg in 60 ml with Normal Saline 0 9% equaling concentration of 1mg/ml) with a continuous infusion rate of 3m1 hr and a patient-controlled analgesia demand dose of 2mg Poor to transfer to the ward he was prescribed and administered a loading dose of intravenous morphine (5mg) His social history reveals he has been partnered for 10 years Extended family the in Vietnam 

Question :

1.1 Describe the pathophysiology of acute pain. How does this differ from chronic pain? Include in your answer the pathophysiological effects of narcotic analgesia as a treatment option for acute pain. Demonstrate links to Tran's case. 
When you amve at Tran's bedside you notice that he is difficult to rouse and non-verbal Ho eyes ate closed You take an initial set of vital signs Temp 35 8, Pulse irregular 110 bpm BP 9865. RR 6. Sa02 93% 6Lt oxygen via Hudson mask 

1.2 Discuss THREE  types of nursing assessments in order of priority that would be appropriate for Tran's deterioration (excluding vital signs) and provide a description of each of these in the context of Trans complaint with rationale as to ythy_these would be your priority. 

1.3 Discuss THREE  nursing interventions (may include one pharmacological) you would initiate and provide rationale as to tuaLthese would improve physiological outcomes of Iran's problem. Nursing interventions would include nursing activities or actions that the nurse could initiate in response to nursing assessment findings. 

1.4 Discuss the administration (including administration, benefits. risks, and contraindications) of Morphine for Tran's pain. Include in your explanation what education you should provide to Trans on commencement of the patient-controlled analgesia (PCA) 

1.5 Report the major side effects of intravenous morphine apply your findings to Tran's case. Explain why this finding would need to be reported immediately to the Doctor.