Mr. K. is a 62-year-old man who lives alone. He was admitted 4 days ago to an extended-care facility on his third postoperative day for a right total knee replacement for care and rehabilitation until he can safely care for himself at home. He has prescribed hydrocodone with acetaminophen (Vicodin) for pain control. The prescription reads: “Vicodin (5 mg hydrocodone; 300 mg acetaminophen) one to two tablets every 4 to 6 hours as needed for pain.” He tells you that overall, his pain is not bad except when he comes back from physical therapy. Then it is “really roaring.” He also says he tries to take the drug just at that time so that he does not become addicted.
What type of pain is he having?
How will you know the severity of “really roaring” pain?
What specific type of drug is Vicodin?
What type of change(s) could be made in drug delivery with the current prescription to help relieve his pain more effectively? .
What will you tell him about his potential for addiction?
If he were to receive two Vicodin tablets every 4 hours around the clock, what would be his total dose of acetaminophen for the day?
Please answer these questions in an integrated essay that should be about 2 pages.
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