Part 2 Following surgery, she was placed

Part 2 Following surgery, she was placed on morphine patient-controlled analgesia (PCA). She has been using 27 mg of morphine/24 hours with adequate pain control; however, she has developed redness and itching on her neck that is believed to be due to the morphine. Current Meds: Morphine PCA; metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; sertraline 50 mg daily. She will be discharged to a skilled nursing facility for rehabilitation therapy. You would like to convert her to a combination preparation of hydrocodone / APAP. What dosing regimen would you suggest? Recommend a monitoring plan for this patient. How would you assess pain response? The patient is concerned about the redness and itching that he developed while on morphine. Would you document this as an allergic reaction? What other interventions or education may be necessary at this time? SCIENCE HEALTH SCIENCE NURSING NSG 533

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