solved

Scenario
A 41-year-old Hispanic male patient presents at the community walk-in clinic for an ER follow-up. He was seen yesterday for right knee pain after pivoting quickly during a soccer game. He hand carries an MRI report showing he was diagnosed with a full-thickness ACL tear. He was discharged with a knee immobilizer, crutches, and ibuprofen for pain. He has a follow-up appointment with ortho in three days. He reports minimal relief with 800 mg ibuprofen qid, rest, ice, and elevation. Current pain level is reported at a 9 out of 10, and you note the patient to be uncomfortable and grimacing in pain.
Case Questions
You have decided to prescribe an opioid analgesic for this patient. What analgesic would you prescribe, and why? PLEASE INDICATE NAME OF THE MEDICATION, DOSE, FREQUENCY.
Access Florida’s prescribing guidelines. Based on these guidelines, how many days of the opioid would you provide? What resources are available to help you prescribe safely for this patient? Are there any database checks required by your state to help you identify potential issues with drug diversion? Summarize Florida’s opioid prescribing guidelines – how many days of opioid you can prescribe, resources regarding safe prescribing and database for verification of any prescriptions safety/ diversion issues.
What are some additional nonpharmacological comfort measures to recommend for this patient? PLEASE DISCUSS NONPHARMACOLOGIC COMFORT MEASURES THAT WERE NOT ALREADY DISCUSS IN THE CASE. Please choose something other than RICE., crutches and knee brace – these are already discussed in the case.

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