Module 3 - drugs and conditions

• i believe you have lower back pain this is due to straining a muscle in the back area, it causes

• which can occur after sudden movement or excessive movement of lack of movement or poor posture

• it is assosciated with a aching or stiff pain

• this is commonly due to heavy lifting, poor lifting technique or lack of movement

acute lower back pain - NELT

• 
  

• shooting pain

• radiating

• fevers, nausea

• no relief after using product in a week

• regular exercise of the area, proper lifting technique, stretching

referral for lower back pain/self care

• Describe the pain (ache, stabbing, remitting, sudden)?

• Have you had this before?

• In previous episodes what medication has helped?

• How long did the pain last in previous episodes?

• Is there a history of injury with the lower back?

• Do you currently smoke?

• any inability to move, fever or bruising

• how would you describe the pain

questions for back pain/strain/sprain

• based on what you have told me I believe you have a strain, this occurs when you pull a muscle in the area, this is associated with symptoms such as pain, swelling, some inability to move, this can be due to sports related injury, overstretching the muscle and forceful movement, no alarming symptoms so i can provide something to help

strains - nelt

• these medications will help to reduce the production of the chemicals in the body which are causing the pain

• paracetamol - (500mg) 1 tablet 4-6 hours or 1 tablet qid (1g) - safe in pregnancy - max 8 tablets a day

• ibuprofen and paracetamol - 1-2 tablets every 6 hours - maximum 8 tablets a day

• diclofenac - 2 tablets initially, then 1 to 2 tablets every 8 hours as needed. Do not exceed 8 tablets in 24 hours

• topical NSAID - apply to the affected area 2 to 4 times a day

• rubefacient - 2-3 times a day

• topical can cause irritation and stinging

• avoid aspirin with warfarin, below 16 and pregnant and breastfeeding

• NSAIDs - nausea, vomiting

• paracetamol - nausea

treatment for strains/lower back pain/ tension type headache

• RICER - rest, ice, compress, elevate

• avoid HARM - heat, alcohol, running, massage

strains and sprains self care

• based on what you have told me I believe you have a sprain, this is caused by an injury to the joint, this is associated with pain, swelling, difficulty in moving. this is commonly caused by rolling or twisting the joint, sports, sudden movements no alarming symptoms so i can provide something to help

sprain nelt

• based on what you have told me, I believe your having period pain or just before, this is very common assosicated when you get your period, the body releases chemicals which cause the pain, usually associated with cramping, it is commonly caused by the arrival of your period, stress, you have no alarming symptoms so i can provide something to help

primary dysmenorrhoea - nelt

• naproxen sodium - take 2 tablets with food, then 1 tablet every 6-8 hours

• menfenamic acid - 2 capsules with food, then take three times a day if needed

• see the doctor if the pain persist when your not on your period, pain when urinating, fevers

• diarrhoea, heartburn

primary dysmenorrhoea and premenstrual syndrome treatment

• it would be good to do regular excerise

• using heat packs

• increasing dairy intake can help

• keeping symptoms diary, better sleep practises, minimise caffeine and alcohol

primary dysmenorrhoea self care

• any fever

• pain when urinating

• how would u describe the pain

• are you on your period

• are you going to be on your period soon

• how long does the pain last

• where is the pain located

• have you tried anything to help

• had this before

primary dysmenorrhoea. premenstrual syndrome questions

• based on what you have told me i believe you have pre menstrual syndrome, this usually occurs up to 2 weeks for getting your period and resolves a few days after getting your period, assosicated with mood swings, fatigue, lower libido, stress, poor sleep

premenstrual syndrome nelt

• based on the symptoms you have mentioned, i believe you have a tension type headache, this is due to increase blood flow to the head, this is a cause a throbbing or dull ache, like a band around the head, with no nausea or vomiting, this can be assosicated with stress, alot of caffeine intake, sleep disturbances

• referral - more than 10 times in a month

tension type headache - nelt

• using heat packs and cold packs

• excerising the neck

• reducing stress

• caffeine reduction

• keeping a headache diary

headache, migraine - selfcare

• any fevers or radiating pain

• where is the pain located on the head

• do you smoke

• how would you describe the pain

• do you drink alot of caffeine

• have you been stressed

• have you had this before

• how often have you had this

• any sleep problems and mood changes

• family history of migraines?

• any sensitivity to light

headache and migraine questions

• based on what you have told me i believe you have a migraine this is a recurrent problem which occurs on one side of the head, it can cause nausea, visual disturbances, it can be assosicated with stress, strong smells, sleep changes, caffeine, light sensitivity something we can treat as there are no alarming symptoms

migraine nelt

• soluble aspirin - 1 tablet every 4-6 hours - no more than 12 a day - avoid in preg

• NSAIDs - avoid in preg, ok in breastfeeding

• triptans - take 1 tablet and repeat after 2 hours if the migraine persists - can cause dizziness and drowsiness

• nausea with migraine - metochlorpramide - safe in pregnancy, - 2 tablets every 4 hours, max of 6 a day - may cause drowisness

• domperidone - 1 tablet 3 times a day - no more than 8 tablets -may cause drowisness

• prochloperazine - avoid in pregnancy - 1 tablet three times a day - may cause drowisness

• nausea meds - will treat the nausea by blocking the chemicals in the brain

• menstrual migraine - start 1-2 days before

migraine - treatment