Read and answer the questions
Samantha, a very healthy 67-year-old female, is undergoing a total hip arthroplasty surgery. The surgeon has asked for pain regimen for Samantha’s stay on Med-Surg. The plan is for Samantha to discharge from the hospital on post-op day 1. She currently takes 5mg of hydrocodone daily at home on a consistent basis. The hospital formulary consists of the following medications: oxycodone 5mg, morphine IV 2mg, ketorolac IV 30mg, pregabalin 75mg, gabapentin 300mg, dexamethasone IV 10mg, acetaminophen 500mg, and celecoxib 200mg. Use the guidelines and relevant literature in your topic Resources to discuss the following:
Briefly explain the concept of milligram morphine equivalent (MME).
Discuss Samantha’s MME based on her home medication use.
Develop a plan for post-op day 0 and post-op day 1, using a multi-modal pain approach. Keep in mind the patient is to discharge on post-op day 1 after the completion of physical therapy.
Explain your rationale for the use of each individual medication. Consider pharmacokinetic aspects related to onset, peak, and duration. Specify which medications are scheduled and which are to be given as needed. Include monitoring parameters and other relevant information for the nursing staff administering the medications (e.g., CAM, used in managing central nervous system, pain, inflammation, and bone or joint disorders).
REF MUST BE WITH 5 YEARS