SPARKONE Question

Which of the following would be most helpful in managing this patient’s acute pain?

Discontinue fentanyl patch; start morphine (patient-controlled analgesia [PCA]) with basal rate in addition to a patient-administered dose

Discontinue fentanyl patch; start oral morphine at 30 mg by mouth every 4 hours as needed

Continue fentanyl patch; start morphine PCA with basal rate in addition to a patient-administered dose

Continue fentanyl patch; start morphine PCA without basal rate, but with a patient-administered dose

Continue fentanyl patch; start oral hydromorphone, 4 mg by mouth every 2 hours as needed

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