DOI: 2/10/1987. The patient is a 69-year-old male truck driver who sustained a work-related injury when he lost footing and twisted his back. As per OMNI entry‚ he is status post fusion at L4-S1 in 1989‚ with hardware removal in 1996. Based on the progress report dated 11/20/15‚ the patient presents for follow up regarding his low back pain. He reports a 70% increase in pain over the past month. He attributes the increased pain to cold weather and lack of sleep. In regards to his low back‚ he describes
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Arthritis Care & Research Vol. 64‚ No. 4‚ April 2012‚ pp 465– 474 DOI 10.1002/acr.21596 © 2012‚ American College of Rheumatology SPECIAL ARTICLE American College of Rheumatology 2012 Recommendations for the Use of Nonpharmacologic and Pharmacologic Therapies in Osteoarthritis of the Hand‚ Hip‚ and Knee MARC C. HOCHBERG‚1 ROY D. ALTMAN‚2 KARINE TOUPIN APRIL‚3 MARIA BENKHALTI‚3 GORDON GUYATT‚4 JESSIE MCGOWAN‚3 TANVEER TOWHEED‚5 VIVIAN WELCH‚3 GEORGE WELLS‚3 AND PETER TUGWELL3 Guidelines and recommendations
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Name of Drug | | Mechanism of Action | Indication | Adverse Effect | Special Consideration | Nursing Responsibility | Rationale | Generic Name:AcetylcysteineBrand Name:(Fluimucil)Classification:MucolyticAntidote | Dosage:200mgFrequency:Route:Oral (diluted in ½ glass of water) | Splits links in the mucoprotein contained in respiratory mucus secretion‚ decreasing the viscosity of the mucus. | Mucolytic adjuvant theraphy for abnormal‚ viscid or inspissated mucus secretion in acute and chronic bronchopulmonary
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examination‚ muscle strength exam was +5 and reflexes are ++ 1 at L4 and S1 bilaterally and symmetric. There is hyperesthesia at right L4-5. Straight leg raise and Braggard’s were positive on the right at 40 degrees. Current medications include Flexeril‚ tramadol‚ tizanidine and meloxicam. Patient had an MRI of lumbar spine without contrast performed on 10/12/2016 (unofficial)‚ which showed degenerative disc at L5-S1 with broad-based left paracentral disc bulge results in mild spinal and bilateral neural
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I chose to review the article titled‚ “Integrative review: postcraniotomy pain in the brain tumour patient” by Rebecca Guilkey‚ Dian Von Ah‚ Janet Carpenter‚ Cynthia Stone‚ and Claire Draucker in 2016. This article focused on how craniotomies are known to be painful‚ but little attention is paid to postcraniotomy pain. This study was narrowed down to focusing on postcraniotomy pain in adults 21 or older who are patients in intensive care units (ICU). The study stated that postop pain in craniotomy
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(gammahydroxybutyrate) • Ketamines Opioids These drugs block the perception of pain by binding with opioid receptors and also induces a sense of euphoria (“high”). Examples • Codeine • Dipipanone • Heroin • Methadone • Morphine • Oxycodone • Pethidine • Tramadol Signs and Symptoms of Drug Overdose (OD) Central Nervous System (CNS) • Stimulants o Anxiety o Insomnia o Restless • Sedative Hypnotics and Opioids o Confusion o Hallucinations o Slurred speech o Drowsy o Unconscious Breathing • Stimulants
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sensory processing in CNS Combination of medication‚ physical theraphy and self-help strategies Nutrition gentle exercise and stretching-helps maintain muscle tone and reduces pain and stiffness. Meditate Non-narcotic pain relievers (e.g. tramadol) low doses of antidepressants – help improve sleep and relieve pain SHOULDER JOINT INTRODUCTION it is a type of synovial joint (ball and socket) it is freely moveable‚ nearly in all directions it is unstable joint (easily dislocate)‚ as the
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revealed no fractures to the Femur‚ Patella‚ Tibia‚ or Fibula. The MRI revealed a large tear surrounding the meniscus of the left knee. The patient was treated with a left knee splint and crutches with a prescription for Mobic 15mg daily and Tramadol/APAP 37.5 mg every 4-6 hours for pain. The patient was referred to Orthopedics for surgical repair. He has no past history of tobacco abuse‚ previous fractures‚ or surgeries. 2. Past Medical History: Allergies: No known drug allergies.
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Emergency Cart This is also known as crash carts are found in all hospitals and emergency rooms and contain supplies and equipment necessary to treat life-threatening situations. Emergency Cart is a wheeled cabinet or chest of drawers that contains all of the equipment necessary for emergency resuscitation. This is conveniently position throughout hospitals and other medical facilities so that they can be quickly accessed in an emergency. Functions: The function of a crash cart is to provide
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DOI: 2/24/2010. Patient is a 46-year-old female home attendant who sustained injury to her right wrist while she was changing her client’s diaper when the client squeezed her right hand. Per OMNI‚ she was diagnosed with right wrist sprain. She had a right wrist arthroscopy in 2010 performed by Dr. Graziosa. Based on the occupational therapy re-examination report dated 04/07/16‚ the patient presents for her 1st visit. She started to have shooting pain on the wrist going to her elbow. She was referred
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