back-pain
Medications
SN instructed patient about Tramadol. SN instructed that it is an opiate pain medication used to treat moderate to moderately severe pain. SN Taught that the most common adverse effects of tramadol include nausea, dizziness, dry mouth, indigestion, abdominal pain, vertigo, vomiting, constipation, drowsiness and headache. SN Instructed patient to take pain medication before pain becomes severe to achieve better pain control.
Instructed in new medication Bextra to manage osteoarthritis. In addition. warned of possible S/E such as dizziness, headache, cerebrovascular disorder, peripheral edema, hypertension, angina pectoris, arrhythmia, heart failure, aneurysm, sinusitis, abdominal fullness, abdominal pain, diarrhea, dyspepsia, flatulence, nausea, renal impairment, thrombocytopenia, leukopenia, anemia, hepatitis, hyperglycemia, hypercholesterolemia, hyperkalemia, hyperlipidemia, hyperuricemia, hypocalcemia, hypokalemia, increased or decreased weight, back pain, myalgia, upper respiratory tract infection, bronchospasm, rash, flu-like syndrome, accidental injury.
Instructed in new medication Vioxx to manage osteoarthritis. In addition, warned of possible S/E such as headache, asthenia, fatigue, dizziness, aseptic meningitis, hypertension, lower-extremity edema, sinusitis, diarrhea, dyspepsia, epigastric discomfort, heartburn, nausea, abdominal pain, GI bleeding, urinary tract infection, hyponatremia, back pain, bronchitis, upper respiratory tract infection, pulmonary edema and flu-like syndrome. Patient may experience signs and symptoms of GI bleeding, including bloody vomitus, blood in urine and stool and black, tarry stools. Advised to call MD if he experiences these signs or symptoms. Report rash, unexplained weight gain or edema. Avoid aspirin and products containing aspirin unless prescriber has instructed otherwise. Avoid OTC anti-inflammatories such as ibuprofen (Advil) unless prescriber has instructed it. All NSAIDs including Rofecoxib may adversely affect the liver. Signs and symptoms of liver toxicity include nausea, fatigue, lethargy, itching, jaundice, right upper quadrant tenderness and flu-like syndrome. Instructed to stop therapy and call MD immediately if patient experiences these signs or symptoms. Women must inform MD if they become pregnant, or they are planning on becoming pregnant while taking drugs. This drug may be taken without regard to food although taking it with food may decrease GI distress. The most common adverse effects of this drug are dyspepsia, epigastric discomfort, heartburn and nausea. Taking drug with food may help minimize these effects.
SN instructed patient that eliquis could cause bruising, internal bleeding, increased bleeding time so if any falls, severe cuts or unexplained pain or pain pressure call 911 anytime you think you may need emergency care. For example, call if: You cough up blood, you vomit blood or what looks like coffee grounds, you pass maroon or very bloody stools. Patient was able to be taught back.
SN educated patient and caregiver on Lidocaine patches. These patches are used to relieve the pain of post-herpetic neuralgia (PHN; the burning, stabbing pains, or aches that may last for months or years after a shingles infection). It works by stopping nerves from sending pain signals. To apply the patches, follow these steps: 1. Look at the skin that you plan to cover with a lidocaine patch. If the skin is broken or blistered, do not apply a patch to that area. 2. Use scissors to remove the outer seal from the package. Then pull apart the zipper seal. 3. Remove up to three patches from the package and press the zipper seal tightly together. The remaining patches may dry out if the zipper seal is not tightly closed. 4. Cut patch(es) to the size and shape that will cover your most painful area. 5. Peel the transparent liner off the back of the patch(es). 6. Press the patch(es) firmly onto your skin. If you are applying a patch to your face, be careful not to let it touch your eyes. If you do get lidocaine in your eye, wash it with plenty of water or saline solution. 7. Wash your hands after handling lidocaine patches. 8. Do not reuse lidocaine patches.
Instructed in new medication Advair diskus to manage asthma. In addition, warned of possible S/E such as sleep disorders, tremor, hypnagogic effects, compressed nerve syndromes, headache, pain, palpitations, pharyngitis, sinusitis, hoarseness (or dysphonia), rhinorrhea, rhinitis, sneezing, nasal irritation, blood in nasal mucosa, keratitis, conjunctivitis, eye redness, viral eye infections, congestion, nausea, vomiting, abdominal pain and discomfort, diarrhea, gastroenteritis, oral discomfort and pain, constipation, oral ulcerations, oral erythema and rashes, oral candidiasis, appendicitis, dental discomfort and pain, unusual taste, muscular pain, arthralgia, articular rheumatism, muscle stiffness, tightness, rigidity, bone and cartilage disorders, upper respiratory tract infection, upper respiratory tract inflammation, lower respiratory tract viral infection, bronchitis, cough, pneumonia, urticaria, flakiness, disorders of sweat and sebum, sweating, hives, viral infections, chest symptoms, fluid retention, bacterial infections, allergic reactions.
SN instructed in therapies normally used with medicine to help control pain. Heat: Heat helps decrease pain and muscle spasms. Apply heat to the area for 20 to 30 minutes every 2 hours for as many days as directed. Ice: Ice helps decrease swelling and pain. Ice may also help prevent tissue damage. Use an ice pack or put crushed ice in a plastic bag. Cover it with a towel and place it on the area for 15 to 20 minutes every hour as directed. Massage therapy: This may help relax tight muscles and decrease pain. Physical therapy: This teaches you exercises to help improve movement and strength, and to decrease pain.
SN instructed patient on importance of pain management. Take pain medication as ordered. Do not wait for pain to become severe. If your pain is not controlled and you are taking your medication as prescribed contact your doctor or nurse. Do not take your medication more often than prescribed without talking with your physician. Patient verbalized instruction.
SN to educate patient concerning the use of gabapentin is to increased pain relief affects by using the CNS to decrease symptoms of pain and assist Tramadol or other prescribed pain medications, even Tylenol ER in ultimate pain relief. SN to advise patient to not allow pain level to linger for long periods of time; try taking either drug 30mins or so apart, only when due at prescribed times.
SN instructed about Acetaminophen/codeine is a combination medication used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. Potential side effects are nausea, vomiting, constipation, lightheadedness, dizziness, or drowsiness may occur.