Opioids Case Studies
Case study
The case study relates to Mr Brown, who was diagnosed with acute pulmonary oedema secondary to acute renal failure, due to excessive use of opioids. The assignment will address Mr Brown’s initial presentation and assessment, relevant past history, medications and the current assessment finding that had him admitted to the intensive care unit. The patient’s pathology results and drug treatment to correct his electrolyte imbalances will be discussed briefly. The assignment will discuss the effects of age related physiological effects on respiratory, cardiovascular and renal system and lastly the pathophysiology and treatment on opioid toxicity, acute renal failure and acute pulmonary oedema.
Mr Brown is a 76 year old male, presented …show more content…
Mr Brown was finally diagnosed with a spinal abscess of the thoracic spine (T7); post computed tomography and magnetic resonance imaging. Following the diagnosis the patient commenced on intravenous antibiotics. A substantial amount of opioids Morphine, Endone, Targin and Fentanyl patch in conjunction with a simple analgesia had been given to the patient for severe uncontrolled back pain. As stated previously Mr Brown was taking opioids prior to admission for chronic pain and may have a high tolerance to opioids; McAlister (2015) defines “opioids tolerance occurs when an individual over times requires greater amounts of the drug to obtain the original degree of it desired therapeutic …show more content…
The patient's fluid and diet intake had decreased, he slept more frequently, and was found to be confused at times; Mr Brown had high tolerance to opioids which later progressed to opioid toxicity. As noted age effects all elements of the body’s system and increased age did have an impact on Mr Brown. As the patient had a drop in blood pressure and circulating volumes, this sent the body into survival mode, therefore by decreasing blood flow to the kidneys, this caused the kidneys to become hypoperfused causing little to no urine; by producing no urine this cause a buildup of a waste and toxins within the body causing the patient to have serious
The case study relates to Mr Brown, who was diagnosed with acute pulmonary oedema secondary to acute renal failure, due to excessive use of opioids. The assignment will address Mr Brown’s initial presentation and assessment, relevant past history, medications and the current assessment finding that had him admitted to the intensive care unit. The patient’s pathology results and drug treatment to correct his electrolyte imbalances will be discussed briefly. The assignment will discuss the effects of age related physiological effects on respiratory, cardiovascular and renal system and lastly the pathophysiology and treatment on opioid toxicity, acute renal failure and acute pulmonary oedema.
Mr Brown is a 76 year old male, presented …show more content…
Mr Brown was finally diagnosed with a spinal abscess of the thoracic spine (T7); post computed tomography and magnetic resonance imaging. Following the diagnosis the patient commenced on intravenous antibiotics. A substantial amount of opioids Morphine, Endone, Targin and Fentanyl patch in conjunction with a simple analgesia had been given to the patient for severe uncontrolled back pain. As stated previously Mr Brown was taking opioids prior to admission for chronic pain and may have a high tolerance to opioids; McAlister (2015) defines “opioids tolerance occurs when an individual over times requires greater amounts of the drug to obtain the original degree of it desired therapeutic …show more content…
The patient's fluid and diet intake had decreased, he slept more frequently, and was found to be confused at times; Mr Brown had high tolerance to opioids which later progressed to opioid toxicity. As noted age effects all elements of the body’s system and increased age did have an impact on Mr Brown. As the patient had a drop in blood pressure and circulating volumes, this sent the body into survival mode, therefore by decreasing blood flow to the kidneys, this caused the kidneys to become hypoperfused causing little to no urine; by producing no urine this cause a buildup of a waste and toxins within the body causing the patient to have serious