NUR 570 Advanced Pharmacology. Case study discussion

See specific details in the grading rubric.
Initial response and responses to peers' posts due Friday July 10 2020 at 2359 History
A 64-year-old female presents with a 2 day history of intense pain along her left posterior chest wall. She comes in today complaining of a burning rash in this area. Calamine lotion and Tylenol have been ineffective. She is grieving over the recent death of her spouse of 40
years
Assessment
Examination reveals allodynia along the left T5 T7 dermatome, with a blistering rash in the middle aspect of the dermatome. She is exhausted and unable to sleep or eat due to intense pain
An otherwise healthy older adult woman with a remote history of chickenpox presents with a classic case of herpes zoster. It is imperative to start antiviral therapy immediately. She is prescribed Valtrex I g three times a day, along with Vicodin 5/500, starting with half a tablet every 3 to 4 hours She is to return to the office in 2 days.
Follow-l'p Visit
She returns 2 days later, stating that the pain continues to be severe, but the blistery rash has not worsened. She takes one Vicodin every
4 hours, is able to sleep for short periods, and eats little.
Examination reveals severe allodynia along the left T5 T7 dermatome. The blisters are drying and no new blisters have formed. When she returns 1 week later, the blisters have resolved, but she continues to have significant allodynia. She cannot wear her undergarments. She continues to take Vicodin every 4 hours without relief of pain. The patient requests something else to relieve the pain.
Questions
As the nurse practitioner part of managing this patient is a therapeutic regimen to alleviate pain.
For question one answer choice a or b. Then based on selection answer questions 2 and 3. l)a) Would you prescribe another opioid medication to manage the patient's pain? OR b) Would you prescribe a non-opioid medication to manage the patient's pain?
2) Please support your answer for question a or b why or why not.
3) Complete all the following based on answer to question one.
a) State name, route, dose, purpose, frequency of the medication you would prescribe
b)Rationale for selection based on specific type of pain being managed
c)Specific education related to the medication you have prescribed for the patient
Case Study Discussion Forum Grading RublifiWeek Five Week Six