A 27-year-old white male sprained his left ankle playing softball 4 days ago. He went to the local urgent care where the ankle was x-rayed and a grade 2 sprain was diagnosed. He was given crutches and advised to elevate and apply ice every 4 hours for several days. He was given 10 Percocet (q4-6 hrs prn) at the urgent care which has used. Today, he is on your schedule for a follow-up. He is requesting a refill of his Percocet because, although he feels improvement, he is still experiencing discomfort in the ankle.
As his nurse practitioner, what would you advise?
As a nurse we dont have the right to refill medicines without doctors order..
Aware the patient about the side effects which may occur due to continous intake of these medicines.These include tolerence and dependence of perocet and other complications.
Assess the ankle and affected area for further management.
If it is necessary inform the doctor and get advise for him.
Perocet is a powerful class of opioid drugs. the inappropriate use of these drug cause dependence, addiction and respiratory depression; even sometimes death.
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