Browse the corpus
Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
1 passage
The healthcare team, comprised of physicians, advanced practice practitioners, nurses, pharmacists, etc, must work together to address the proper medical use of controlled substances for pain control via pharmacotherapy. The healthcare team should schedule their patients for routine follow-up visits, including a history and physical exam, to monitor for adverse drug effects and misuse. It is also important to ensure these measures to limit controlled substances do not impair the ability of patients to obtain these medications when there is a legitimate medical need. Monitoring for signs of drug misuse is a critical responsibility for the healthcare team because of the epidemic rates of drug misuse worldwide, particularly in the USA, which leads to death because of respiratory depression as in the case of opioid analgesic overdose (eg, oxycodone, fentanyl). Methods for monitoring drug abuse as well as drug diversion include the following examples: assessment surveys, state prescription drug monitoring programs, urine screening, adherence checklists, motivational counseling, and dosage form counting. [Level 5]