Pharm 3

Pharm 3
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  • Nurse Suzie, I am experiencing pain. Do I have any medications for that?
  • Yes Mrs. Carter you have Ketorolac ordered as needed. What do you rate your pain on a scale of 1-10 and where is the pain at?
  • I would rate my knee pain at an 8 out of 10. 
  • Mrs. Carter, have you ever taken Ketorolac before?
  • This medication is used to decrease pain. Common side effects include drowsiness, headache, diarrhea and sweating. Please report any itching, tinnitus, or difficulty breathing.
  • No, I have not.
  • No, you have been taking this medication for the limit of 5 days already. In the future know that Ketorolac can decrease the effectiveness for antihypertensive medications.
  • Will I get a prescription for Ketorolac to go home with? Will I be able to take this with my antihypertensive medications?
  • Okay, I understand.
  • This medication is administered PRN every 4-6 hours for pain with food, milk, or a glass of water. Advise patient to avoid driving or other activities requiring alertness. High fat foods should be avoided because it can reduce effectiveness of Ketorolac. Alcohol use should be discontinued due to the risk of GI bleeding. 
  • Pharmacological action: Inhibits prostaglandin synthesis, producing peripherally mediated analgesia and it also has antipyretics and anti-inflammatory properties. Other complications include: dizziness, abnormal thinking, urinary frequency, GI bleed and heart attack. Contact HCP if rash, itching, visual disturbances, tinnitus, weigh gain, edema, black stool, persistant headache, or flu-like symptoms occur.
  • Teaching: Duration of this medication should not exceed 5 days. Therefore, the plan is to discontinue the medication before patient is discharged.Safety Considerations: Avoid concurrent use of alcohol and aspirin, NSAIDs, acetaminophen or other OTC medications without consulting doctor first.Drug interactions: anticoagulants, methotrexate, diuretics, cyclosporine, and glucocorticoids.
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