pain m
Tram
adol is used to relieve m
oderate to m
oderately severe pain
. If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tram
adol. Side effects can this m
edication cause: Tram
adol m
ay cause side effects. Tell your doctor if any of these sym
ptom
s are severe or do not go away: dizziness, weakness, sleepiness,difficulty falling asleep or staying sleep,headache.
Instructed patient and caregiver about Tram
adol. It is an opioid pain m
edication used to treat m
oderate to m
oderately severe pain
. Serious side effects of Tram
adol m
ay include: seizures, increased risk of serotonin syndrom
e, decreased alertness, and drug addiction. Com
m
on side effects include: constipation, itchiness and nausea, etc. A change in dosage m
ay be recom
m
ended in those with kidney or liver problem
s.
SN instructed patient about ways to relieve m
uscle stiffness such as perform
ing exercises including gentle m
uscle stretching as tolerated, obtaining adequate rest or uninterrupted sleep in order to reduce stress, m
assaging affected body parts if not contraindicated and to avoid lifting heavy objects. Instructed to inform
doctor or skilled nurse if discom
fort progress or when severe or unexplained pain
is felt.
SN com
pleted assessm
ent done on all body system
s and noted patient with elevated blood pressure during visit. SN com
pleted treatm
ent during visit and noted no drainage on old tx, wound callused and new area found to left m
edial top of foot rem
ains intact with no drainage noted. SN noted patient com
plaint of pain
to bilateral lower extrem
ities with +2 edem
a noted. SN educated prim
ary caregiver on the im
portance of elevation of bilateral lower extrem
ities as well as pain m
anagem
ent for patient.
SN educated caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure an that experiencing hypertensive urgency m
ay or m
ay not experience one or m
ore of these sym
ptom
s: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain
, back pain
, num
bness/weakness, change in vision, difficulty speaking do not wait to see if your pressure com
es down on its own. SN advised caregiver to seek im
m
ediately m
edical assistance and/or call 9-1-1 if listed above occurs or worsen with patient. Caregiver verbalized understanding of all teachings during visit.
instructed patient about im
portance of taking all her/his prescribed m
edications at the sam
e tim
e each day in order to get the m
ost benefits is to prevent further hospitalizations. Instructed patient your pain m
edication m
akes you feel tired, drowsy, or dizzy, call your doctor. If your pain m
edication causes constipation, drink 8-10 glasses of water a day and eat a well-balanced diet that includes fruits and vegetables.
Instructed caregiver when should I call healthcare provider? Contact your healthcare provider or physician im
m
ediately:. If you have an irregular heart rate, if you feel increased pain
or discom
fort, note: It is norm
al to feel som
e pain
and discom
fort for about a week after the tracheostom
y procedure.
Instructed patient stop your activity if you feel short of breath, dizzy, or have any pain
in your chest. Do not do any activity or exercise that causes pulling or pain
across your chest, (such as using a rowing m
achine, twisting, or lifting weights.)
Instructed patient call your doctor or nurse if: You have chest pain
or shortness of breath that does not go away when you rest. You have pain
in and around your incision that does not continue to get better at hom
e.Your pulse feels irregular it is very slow (fewer than 60 beats a m
inute) or very fast (over 100 to 120 beats a m
inute).
Instructed patient Eat a heart-healthy diet Eating a healthy diet can reduce your risk of heart disease. A diet rich in fruits,
vegetables and whole grains can help protect your heart. Beans, other low-fat sources of protein and certain types of fish
also can reduce your risk of heart disease. Stop your activity if you feel short of breath, dizzy, or have any pain
in your chest. Do not do any activity
or exercise that causes pulling or pain
across your chest, (such as using a rowing m
achine, twisting, or lifting weights.