pain m
Patient was instructed on pain m
anagem
ent. Pain
is an unpleasant sensation that is caused by actual or perceived injury to body tissues and produces physical and em
otional reactions.
Instructed patient in new m
edication side effects ; the m
ost com
m
on side effect is hot flashes (50% of patients) and facial flushing. Alcohol m
ay worsen this reaction, and so it should be cautiously consum
ed. Other com
m
on side effects of the com
bination are diarrhea, constipation and overall pain
including pain
in the back, hips and stom
ach. Less com
m
on side effects are breast enlargem
ent and breast pain
, which m
ay be due to the bicalutam
ide alone.
Instructed patient in new m
edication side effects; the m
ost com
m
on side effect is hot flashes (50% of patients) and facial flushing. Alcohol m
ay worsen this reaction, and so it should be cautiously consum
ed. Other com
m
on side effects of the com
bination are diarrhea, constipation and overall pain
including pain
in the back, hips and stom
ach. Less com
m
on side effects are breast enlargem
ent and breast pain
, which m
ay be due to the bicalutam
ide alone.
Patient instructed on Nitroglycerin sublingual tablets usually give relief in 1 to 5 m
inutes. If the pain
is not relieved, you m
ay use a second tablet 5 m
inutes after you take the first tablet. If the pain
continues for another 5 m
inutes, a third tablet m
ay be used. If you still have chest pain
after a total of 3 tablets, contact your doctor or go to a hospital em
ergency room
right away. Do not drive yourself and call 911 if necessary.
Skilled nurse instructed patient about m
edication Oxycodone is used to treat m
oderate to severe pain
. Take this m
edicine exactly as prescribed by your doctor. Never share the m
edicine with another person. M
isuse narcotic pain m
edication can use addiction overdose, or death, especially in a child or other person using the m
edicine without a prescription. Com
m
on Oxycodone side effects m
ay include: m
ild drowsiness, headache, dizziness, tired feeling; stom
ach pain
, nausea, vom
iting, constipation, loss of appetite, dry m
outh, or m
ild itching.
SN instructed patient / caregiver that the com
bination preparation fluticasone/salm
eterol (Advair diskus) is a form
ulation containing fluticasone propionate and salm
eterol xinafoate, used in the m
anagem
ent of asthm
a and chronic obstructive pulm
onary disease. Com
m
un side effect / adverse reaction m
ay include: Body aches or pain
, choking, congestion, dryness of the throat, high-pitched noise when breathing, hoarseness, runny nose, sneezing, trouble with swallowing, voice changes. Less com
m
on side effect / adverse reaction: Cough-producing m
ucus, flu-like sym
ptom
s, irritation or inflam
m
ation of the eye, m
uscle pain
, pain
or tenderness around the eyes and cheekbones, sleep disorders, stuffy nose, white patches in the m
outh or throat or on the tongue.
SN instructed patient about on gastric ulcer. Gastric ulcers occur on the inside of the stom
ach. Pain
is the m
ost com
m
on sym
ptom
. The pain
is caused by the ulcer and is aggravated by stom
ach acid com
ing in contact with the ulcerated area. The pain
typically m
ay: Be felt anywhere from
your navel up to your breastbone. Be worse when your stom
ach is em
pty. Flare at night. Often be tem
porarily relieved by eating certain foods that buffer stom
ach acid or by taking an acid-reducing m
edication. Disappear and then return for a few days or weeks. See your doctor: If vom
iting of blood — which m
ay appear red or black. Dark blood in stools or stools that are black or tarry. Nausea or vom
iting. Unexplained weight loss. Appetite changes.
SN instructed patient about Gabapentin ( Neurontin ). It is a m
edication used to treat epilepsy, neuropathic pain
and hot flashes. It is also used for restless leg syndrom
e. It is a first line agent for the treatm
ent of neuropathic pain
arising from
diabetic neuropathy, post-herpetic neuralgia, and central neuropathic pain
. M
ost com
m
on side effects of gabapentin in adult patients include dizziness, fatigue, drowsiness, weight gain, and peripheral edem
a. It m
ay also produce sexual dysfunction in som
e patients, sym
ptom
s of which m
ay include loss of libido, inability to reach sexual clim
ax, and erectile dysfunction. It should be used carefully in patients with renal im
pairm
ent due to possible accum
ulation and toxicity. Warning of an increased risk of depression and suicidal thoughts and behaviors in patients taking gabapentin. Report to Physician or nurse if any of those side effect / adverse reaction occurs.
SN instructed patient that Prednisone is a synthetic corticosteroid drug that is particularly effective as an im
m
unosuppressant drug. It is used to treat som
e types of cancer, but has significant adverse effects. It is used for m
any different indications including: Pericarditis, m
ultiple sclerosis, nephrotic syndrom
e, to relieve the effects of shingles, lupus, m
yasthenia gravis, poison oak exposure, m
eniere's disease and as part of a drug regim
en to prevent rejection after organ transplant. Possible side effect m
ay include: Abdom
inal pain
, peptic ulcer, pain
ful hips or shoulders, steroid-induced osteoporosis, stretch m
arks, osteonecrosis - sam
e as avascular necrosis, insom
nia, severe joint pain
, cataracts or glaucom
a, anxiety, black stool, stom
ach pain
or bloating, severe swelling am
ong others. Take prednisone as ordered.
Sn instructed patient while you m
ay not be able to avoid the pain
that com
es with rheum
atoid arthritis ( RA ), you can take action to lim
it it. By taking your pain m
edication on a schedule. Don’t wait until you are in m
ore pain
and have to play "catch-up." Using a warm
, m
oist com
press to loosen up a stiff joint. Try an ice pack on an inflam
ed joint. M
assage m
ay also help. These tried-and-true treatm
ents are easy and can provide som
e quick relief for m
ild sym
ptom
s. Also instructed that on the im
portance to m
ake it a priority every day to relax. If you need ideas for healthy ways to m
anage stress, ask your doctor or a counselor. You m
ay want to try m
editation, and focus on things you enjoy. Patient verbalizes understanding.