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I got 11 tablets because i thought that with the .5 tablet left after each regular dose you have to waste the other half as its a CD?
61856
QuestionComment
if the breakthrough dose is 10mg, the daily dose must be six times more so 60mg (6 tablets). if shes taking 3 breakthrough doses thats another 3 tablets. 3+6=9 tablets.

61900
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Schistosomiasis
User
subscriber
Pseudopseudopseudopseudohypoparathyroidism
QuestionComment
I assumed it meant the break through doses only as the 15 mg morphine was already part of her daily regimen. So I put 3
62334
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Uremic Tanoy
Concept
Chapter
Osteoporosis, otherwise known as thin bones, is a condition associated with high risk of low trauma fractures due to reduced bone mineral density. Osteoclast activity exceeds osteoblast activity, meaning that bone resorption is occurring at a greater rate than bone formation.

**Symptoms and Signs**

- Generally asymptomatic until a fragility fracture occurs
- Back pain
- Kyphosis (stooped posture)
- Fragility fractures

**Risk factors**

- Female sex
- Increasing age
- Smoking
- Corticosteroid use
- Low BMI (< 20-25kg/m<sup>2</sup>)
- Low body weight (<58kg)
- Vitamin D deficiency

**Protective factors**

- Higher BMI
- Exercise - mechanical loading stimulates bone formation

**Diagnosis**
Osteoporosis can be detected on dual-energy x-ray absorptiometry (DEXA) scan.
A T score of < -2.5 indicates osteoporosis

**Management**

- Fall prevention
- Vitamin D and calcium supplementation
- Hormone replacement therapy (postmenopausal women)
- Oral bisphosphonates
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Calculating the number of tablets needed for a breakthrough dose of morphine
Topic
13
Neurosurgery
Since the hospital only has 10mg tablets, that means for her regular morphine dose, she requires 1.5 tablets each time. 1.5 x 4 = 6

She has had 3 doses of 10mg morphine as breakthrough pain which is 3 tablets. 6 + 3 = 9 tablets.
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9
tablets
Case Presentation:

A 75-year-old woman is admitted to the medical ward for palliative care. Her regular medicines are listed (below). Weight 60kg.

**PH** Hypertension, Hypercholesterolaemia, Osteoarthritis, Iron deficiency anaemia

**DH** Amlodipine 5mg PO OD, Morphine 15mg PO QDS

She is still complaining that she is in pain. She is being given 10mg morphine tablets as a way to manage her breakthrough pain.

Throughout the day, the patient requires 3 breakthrough doses to control her pain.

Given that hospital only stocks 10mg tablets, how many morphine tablets will the patient have had by the end of the day?