EMR: Ellie Grant
Ellie Grant · EMR
Ellie Grant
Grant, Ellie
Age 84 · #28451793 · Intratrochanteric hip fracture
Pain Score (0–10) 7/10
Besides her reported pain score, what other findings, if observed, would indicate Ellie is in pain? Select all that apply.
No: A patient calmly chatting is not showing signs consistent with significant pain.
Yes: Guarding a fractured limb reflects an attempt to protect it from pain.
No: Resting quietly with eyes closed doesn't indicate pain on its own.
Yes: Grimacing is a common nonverbal sign of pain.
Yes: Reluctance to move or reposition often signals pain with movement.
Ellie has several PRN orders available. Review the MAR and administer the most appropriate medication.
Morphine
Dose / Route
2–4 mg IV
Frequency
q4h PRN severe pain (7–10)
Last Dose Given
2 days ago, 0700
Hydromorphone (Dilaudid)
Dose / Route
0.2–0.4 mg IV
Frequency
q4h PRN severe pain (7–10)
Last Dose Given
Never given
Ketorolac (Toradol)
Dose / Route
15 mg IV
Frequency
q6h PRN moderate pain (4–6)
Last Dose Given
2 days ago, 0700
Percocet (Oxycodone 5mg / Acetaminophen 325mg)
Dose / Route
1–2 tab PO
Frequency
q4–6h PRN moderate–severe pain (4–10)
Last Dose Given
5 hours ago
Medication Administered!
You gave Ellie 2 oxy/acetaminophen tablets and documented them in the EMR, but something else catches your eye.
Take Card #56
Card 56 back
(image coming soon)
Medication Error