Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Oncology


Answer 4
  1. Add naproxen, 500 mg twice daily, plus controlled-release oxycodone, 20 mg every 12 hours. The World Health Organization (WHO) analgesic ladder suggests that, if pain persists after a trial with step 2 medications (eg, oxycodone/acetaminophen), then step 3 medications (long-acting opioid agonists) plus nonopioids and adjuvants as appropriate should be tried. Adding a long-acting opioid alone may not be as effective as combining agents; opioids are more effective when combined with nonsteroidal anti-inflammatory drugs. Interventional procedures are indicated in patients who experience inadequate pain control or unacceptable side effects with optimal pharmacologic management.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj