Mr. K. is a 62-year-old man who lives
alone. He was admitted 4 days ago to an
extended-care facility on his third
postoperative day from a right total
knee replacement for care and
rehabilitation until he can safely care for
himself at home. He is prescribed
hydrocodone with acetaminophen
(Vicodin) for pain control. The
prescription reads: “Vicodin (5 mg
hydrocodone; 300 mg acetaminophen)
one to two tablets every 4 to 6 hours as
needed for pain.” He tells you that
overall, his pain is not bad except when
he comes back from physical therapy.
Then it is “really roaring.” He also says
he tries to take the drug just at that time
so that he does not become addicted.
1. What type of pain is he having?
2. How will you know the severity of
“really roaring” pain?
3. What specific type of drug is
4. What type of change(s) could be
made in drug delivery with the
current prescription to help relieve
his pain more effectively? .
5. What will you tell him about his
potential for addiction?
6. If he were to receive two Vicodin
tablets every 4 hours around the
clock, what would be his total dose
of acetaminophen for the day?
Please answer these questions in an
integrated essay that should be about 2