[Answered]: Following surgery, she was placed on morphine…

Following surgery, she was placed on morphine patient-controlled analgesia (PCA). She has been using 27 mg of morphine/24 hours with adequate pain control; however, she has developed redness and itching on her neck that is believed to be due to the morphine. Current Meds: Morphine PCA; metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; sertraline 50 mg daily. She will be discharged to a skilled nursing facility for rehabilitation therapy. You would like to convert her to a combination preparation of hydrocodone / APAP. • What dosing regimen would you suggest? • Recommend a monitoring plan for this patient. • How would you assess pain response? • The patient is concerned about the redness and itching that he developed while on morphine. Would you document this as an allergic reaction? • What other interventions or education may be necessary at this time?