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학습 자료 둘러보기 →When a patient with acute leukemia reports severe bone pain (9/10) unrelieved by scheduled morphine, the priority is to contact the healthcare provider to discuss adjusting the pain management plan. This reflects the interdisciplinary nature of palliative care.
Reassessment is critical. Inadequate analgesia despite an existing opioid regimen may indicate opioid tolerance, disease progression, or a new source of pain requiring a different intervention or dose titration.
Never administer a scheduled dose early without a specific PRN order. This action is outside the nursing scope of practice and carries a high risk of oversedation and respiratory depression.
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