pain m
Instructed in new m
edication Advair diskus to m
anage asthm
a. In addition, warned of possible S/E such as sleep disorders, trem
or, hypnagogic effects, com
pressed nerve syndrom
es, headache, pain
, palpitations, pharyngitis, sinusitis, hoarseness (or dysphonia), rhinorrhea, rhinitis, sneezing, nasal irritation, blood in nasal m
ucosa, keratitis, conjunctivitis, eye redness, viral eye infections, congestion, nausea, vom
iting, abdom
inal pain
and discom
fort, diarrhea, gastroenteritis, oral discom
fort and pain
, constipation, oral ulcerations, oral erythem
a and rashes, oral candidiasis, appendicitis, dental discom
fort and pain
, unusual taste, m
uscular pain
, arthralgia, articular rheum
atism
, m
uscle stiffness, tightness, rigidity, bone and cartilage disorders, upper respiratory tract infection, upper respiratory tract inflam
m
ation, lower respiratory tract viral infection, bronchitis, cough, pneum
onia, urticaria, flakiness, disorders of sweat and sebum
, sweating, hives, viral infections, chest sym
ptom
s, fluid retention, bacterial infections, allergic reactions.
Serious side effects of Actonel are chest pain
, difficulty or pain
when swallowing, pain
or burning under the ribs or in the back, new or worsening heartburn, severe joint, bone, or m
uscle pain
, or jaw pain
, num
bness, or swelling. Stop taking the m
edication and call the doctor im
m
ediately if any of these side effects occur.
Sn explain that the joint pain
can affect one or m
ore joints. The joint pain
can be caused by m
any types of injuries or conditions. It m
ay be linked to arthritis, bursitis, and m
uscle pain
. No m
atter what causes it, this can be very bothersom
e. Som
e things that can cause joint pain
are: Autoim
m
une diseases such as rheum
atoid arthritis and lupus Bursitis Chondrom
alacia patellae Crystals in the joint: Gout ( especially found in the big toe ) and Calcium
pyrophosphate deposition (CPPD ) ( pseudo gout ) Infections caused by a virusInjury, such as a fracture Osteoarthritis Osteom
yelitis ( bone infection ), Septic arthritis ( joint infection ) Tendinitis Unusual exertion or overuse, including strains or sprains.
SN instructed in therapies norm
ally used with m
edicine to help control pain
. Heat: Heat helps decrease pain
and m
uscle spasm
s. Apply heat to the area for 20 to 30 m
inutes every 2 hours for as m
any days as directed. Ice: Ice helps decrease swelling and pain
. Ice m
ay also help prevent tissue dam
age. 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 m
inutes every hour as directed. M
assage therapy: This m
ay help relax tight m
uscles and decrease pain
. Physical therapy: This teaches you exercises to help im
prove m
ovem
ent and strength, and to decrease pain
.
SN instructed patient on im
portance of pain m
anagem
ent. Take pain m
edication as ordered. Do not wait for pain
to becom
e severe. If your pain
is not controlled and you are taking your m
edication as prescribed contact your doctor or nurse. Do not take your m
edication m
ore often than prescribed without talking with your physician. Patient verbalized instruction.
Instructed patient Exercise Although resting for short periods can alleviate pain
, too m
uch rest m
ay actually increase pain
and put you at greater risk of injury when you again attem
pt m
ovem
ent. Research has shown that regular exercise can dim
inish pain
in the long term
by im
proving m
uscle tone, strength, and flexibility. Exercise m
ay also cause a release of endorphins, the body's natural pain
killers. Som
e exercises are easier for certain chronic pain
sufferers to perform
than others.
SN to educate patient concerning the use of gabapentin is to increased pain
relief affects by using the CNS to decrease sym
ptom
s of pain
and assist Tram
adol or other prescribed pain m
edications, even Tylenol ER in ultim
ate pain
relief. SN to advise patient to not allow pain
level to linger for long periods of tim
e; try taking either drug 30m
ins or so apart, only when due at prescribed tim
es.
SN instructed about Acetam
inophen/codeine is a com
bination m
edication used to help relieve m
ild to m
oderate pain
. It contains an opioid pain
reliever (codeine) and a non-opioid pain
reliever (acetam
inophen). Codeine works in the brain to change how your body feels and responds to pain
. Acetam
inophen can also reduce a fever. Potential side effects are nausea, vom
iting, constipation, lightheadedness, dizziness, or drowsiness m
ay occur.
Instructed in new m
edication Protonix to m
anage esophagitis. In addition, warned of possible S/E such as headache, insom
nia, asthenia, dizziness, chest pain
, pharyngitis, rhinitis, sinusitis, diarrhea, flatulence, abdom
inal pain
, eructation, constipation, nausea, vom
iting, urinary frequency, hyperglycem
ia, back pain
, neck pain
, hypertonia, rash, bronchitis, increased cough, etc. The drug can be taken without regard to m
eal.
Instructed in new m
edication Levaquin to m
anage infection. In addition, warned of possible S/E such as headache, insom
nia, dizziness, encephalopathy, chest pain
, palpitations, vasodilation, nausea, diarrhea, vom
iting, abdom
inal pain
, dyspepsia, flatulence, vaginitis, eosinophilia, hypoglycem
ia, back pain
, tendon rupture, rash, pruritus, hypersensitivity reactions, etc. Instructed to take drug as prescribed, even if signs and sym
ptom
s disappear. Take drug with plenty of fluids and avoid antacids, sucralfate, and products containing iron or zinc for at least 2 hours before and after each dose. Avoid excessive sunlight, use sun block, and wear protective clothing when outdoors. Stop drug usage and notify prescriber if rash or other S/S of hypersensitivity develop. Notify prescriber if patient experiences pain
or inflam
m
ation. Tendon rupture can occur with drug. Instructed to Diabetic patient to m
onitor glucose level and notify prescriber if a hypoglycem
ia reaction occurs. Notify prescriber if loose stools or diarrhea occurs.