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MedicalCareer版 - CK NBME 2 Block 4 - Q 10
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话题: pain话题: dosage话题: administer话题: he话题: control
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1 (共1页)
L********r
发帖数: 37
1
10. A mentally competent 76-year-old man is in the terminal stage of
multiple myeloma. He is unable to move and requires 24-hour nursing
care. Increasing doses of narcotics are needed to control severe pain.
As a result, when he is pain-free, respiratory function is impaired and
consciousness is clouded. The patient says he cannot live with this
degree of pain and asks to be given a lethal injection of pain medication.
Which of the following is the most appropriate step regarding the
pain medication?
A) Reduce the dosage so as not to impair respiration
B) Administer the dosage necessary to control pain despite respiratory
impairment
C) Administer the dosage necessary to control pain and add a centrally
acting stimulant
D) Appeal to the family to convince the patient to tolerate a bit more pain
How to differentiate answer B and C?
S******9
发帖数: 2837
2
B
L********r
发帖数: 37
3
Explain please.

【在 L********r 的大作中提到】
: 10. A mentally competent 76-year-old man is in the terminal stage of
: multiple myeloma. He is unable to move and requires 24-hour nursing
: care. Increasing doses of narcotics are needed to control severe pain.
: As a result, when he is pain-free, respiratory function is impaired and
: consciousness is clouded. The patient says he cannot live with this
: degree of pain and asks to be given a lethal injection of pain medication.
: Which of the following is the most appropriate step regarding the
: pain medication?
: A) Reduce the dosage so as not to impair respiration
: B) Administer the dosage necessary to control pain despite respiratory

1 (共1页)
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