Do I need to consider:
Family history?
Current diagnosis? She has osteoarthritis and rheumatoid arthritis.
She also had elective surgery to her left hip 2 days ago.
Current medication? This patient is on Dicofenac
What is the rationales behind these?
Why do i need to consider above when administrating oxycontin?
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You need to consider what her doctor prescribed her and leave it at that.
For the patient’s safety, you need to consider documented hypersensitivity to oxycodone (the suffix “contin” means slow release”).
Current meds? Diclofenac is fine, but ask about MAOIs, other CNS depressants (you don’t want to knock out her respiratory drive), and tricyclic antidepressants (oxycodone may increase toxicity of TCAs).
Comorbid conditions? E.g. caution in COPD, emphysema, and renal insufficiency.
The medical history is pretty straightforward, allergies/adverse events from oxycodone, other medications that may react adversely with oxycontine (diclofenac is an NSAID which shouldn’t cause too many problems), prior history of substance abuse.
I’d be more concerned about issues related to mobility and having this woman “altered” with either oxycontin itself or in combination with any other medications she’s taking (i.e. benzodiazipines, sleeping medications, beta-blockers, etc).