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Evan is a 26-year-old male who was in a car accident two yea…

Evan is a 26-year-old male who was in a car accident two years ago. At the time he suffered a muscular back pain. His doctor recommended an opioid, oxycodone, for pain relief. The prescription directions said to take one pill every 12 hours. He was given a prescription for 60 pills. He took the oxycodone continuously as prescribed for 30 days. When he ran out of the oxycodone he experienced diffuse muscle aches, restlessness, watery eyes, runny nose, and inability to sleep. His roommate had oxycodone left over from a previous injury and offered it to Evan. He immediately felt better.  Over the next two years, Evan became a regular patient at several different ER’s in the community as well as visiting urgent cares and doctor’s offices. He complains of various pains and always requests oxycodone.  He had been working as a project manager for a manufacturing company. However, over the last two years he has been fired from three different jobs for frequent job absences and frequent angry outbursts.  You recently started working at one of the local ER’s. Evan comes in claiming that he left his bottle of oxycodone at a hotel when he was out of town and he needs to get a refill even though his last prescription should have lasted him another 10 days. List three factors in his history suggest that he may suffer from opioid abuse disorder? (6Pt) Evan’s symptoms of muscle aches, restlessness, watery eyes, runny nose and inability to sleep all point to his suffering from ______________ syndrome.  (2pt) The need for more and more opioids to get the same effect is termed _______________. (2pt) What neurotransmitter release is triggered by opioids and leads to the euphoria and pleasure of opioid use? (2pt) What might have been a better strategy to manage Evan’s pain after his car accident and why? (6pt)