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7 Cards in this Set
- Front
- Back
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The primary NP is seeing a patient who reports chronic lower back pain. The patient reports having difficulty sleeping despite taking ibuprofen at bedtime each night. The NP should prescribe |
Cyclobenzaprine, Flexeril. Is indicated for chronic low back pain and provides an added benefit of aiding sleep, which is a common problem among patients with back pain. The other medications are used for acute lower back pain which are Valium, metaxalone, Robaxin |
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A patient reports having an acute onset of low back pain associated with lifting a heavy object the day before. Besides advising the patient to rest and apply ice the NP should prescribe |
A non-steroidal anti-inflammatory drug NSAID. NSAIDs and acetaminophen are first-line analgesia treatments for low back pain. Opioids are used for severe low back pain. The other two medications are not first-line treatments |
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A patient who was in a motor vehicle accident has been treated for lower back spasms with metaxalone, Skelaxin. For one week and reports decrease but persistent pain. A CT scan is normal. The NP should |
Order physical therapy. May be used as an injury begins to heal. This patient is experiencing Improvement of symptoms, So Physical Therapy may now be helpful. Ice and rest are useful in the first 24 to 48 hours after injury |
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The patient with lower back pain and right sided sciatica has taken an NSAIDs and a TCA for one week. The patient reports some decrease in pain but is experiencing increased tingling and numbness of the right leg. The NP should |
Order a MRI study. Acute episodes of low back pain should be treated with an analgesic for 1 to 2 weeks. A muscle relaxant is used to treat spasms. Patients with sciatica should be treated for 6 weeks. If a neurologic deficit progresses MRI should be ordered. Physical therapy is not indicated until Serious injury is ruled out. And neurology consultation is necessary and urgent conditions with bilateral neurological findings. The TCA may be continued, but the progression of symptoms necessitates radiologic evaluation |
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70 year old patient has low back pain and has begin taking metaxalone, Skelaxin. The NP should cancel this patient to |
Take care to avoid slips and Falls. Use of any muscle relaxant puts elderly patients at risk for Falls, so patients should be advised to take precautions. It is not necessary to increase fluids or avoid NSAIDs. This drug does not have hypertensive effects, so it is not necessary to provide caution to rise out of chair slowly |
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A patient comes to the clinic complaining of low back pain on relieved by NSAIDs. The patient has a history of angle closure glaucoma and renal disease. The NP should prescribe |
Metaxalone, Skelaxin. Metaxalone may be taken by patients with angle closure glaucoma and is metabolized by the liver so it is safe for this patient. Tizanidine should not be given to patients with renal disease because clearance may be reduced by the more than 50%. After using NSAIDs with no relief, recommendations are to change to a muscle relaxant. Cyclobenzaprine is not recommended in patients with glaucoma |
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A patient has acute low back pain caused by lifting a heavy object. The patient reports having one or two drinks with meals each day. The NP should prescribe |
An NSAID. Skeletal muscle relaxants should not be taken with alcohol because effects are additive. Acetaminophen has toxic effects on the liver, and patients who consume alcohol regularly should avoid acetaminophen and diazepam |
