Tracey has not got any relief from the most current breakthrough. Tracey has asked what her pain options are as she has reached her max Oxycodone order.

We were expecting this to happen as tracey and I did the IV dilaudid to oral Oxycontin last night and we figured she would need between 100 and 160 mg of Oxycontin to maintain the pain at a 1 or 2. Her current dose is 40 mg. We did discuss this with the pain guys and they said that they order as little as possible like 30% and manage the rest with breakthrough meds... The pain guys will need to increase her Oxycontin in order to manage her pain. ---

The Dr. just approved dilaudid IV push - just not sure of the dose.

Tracey is also worried about pain management while at radiation. we will talk to Dr. Stein in the morning.

pain 6, nausea 0