DRUG MECHANIS INDICATION / ADVERSE EFFECT NURSING

NAME M OF CONTRAINDICATI RESPONSIBILIT

ACTION ON IES

Generic: This Indications: CARDIOVASCULA BEFORE:

Pregabalin medication R: 
binds to - Treatment of - Edema Dx:
Brand: calcium Neuropathic CNS: 
- Assessed
Lyrica channels in pain or post - Dizziness, patients
CNS tissues herpetic pain drowsiness, for
Class: which impaired history of
regulate Contraindications: concentratio hypersens
Analgesics
n, impaired itivity or
neurotrans
- Myopathy thinking. opioid
Therapeutic mitter
(known/suspe dependen
: release. Does
cted), - GASTROIN ce on
Analgesic not bind to analgesics
Lactation. TESTINAL: 
opioid and to
- Patients who - Dry mouth,
Pharmacolo receptors. any
are Abdominal
gic: Decreased componen
physically pain, constip
Nonopioid neuropathic t of
ation,
or post post- dependent on Pregabali
analgesics increased
opioid n
herpetic appetite
products.
Dosage: pain. analgesics EENT: 
75mg Reduces - Blurred - Checked
Drug to Drug
intensity of vision. the time
Interaction:
Route: pain stimuli MISC: and
Oral incoming - Allergic dosage
- Concurrent
from reactions, before
use with administe
sensory fever
thiazolidine- ring
nerve ones: medicatio
endings. pioglitazone, n
Pain comes rosiglitazone, - Assessed
from the alcohol, type,
septic location
benzodiazepin
arthritis left and
e, or other intensity
knee sedatives/hyp of pain
surgery and notics. Tx:
the presence
of musculo- - Administe
skeletal knee red drug
traction - Drug to Food at right
attached, Interaction: time,
- NONE dosage
impacting
and
on sensitive patient
nerve - Implemen
endings. The ted
patient was appropria
experiencing te manual
pain due to therapy
technique
the trauma
s, physical
caused by agents
the and
procedure, therapeuti
knee skeletal c exercises
traction to reduce
attached pain.
and limited
Edx:
ROM.
- Instructed
Source: the
patient
2018 Davis’s
that
Drug Guide Pregabali
for Nurses 2 n should
only be
discontinu
ed
gradually
over at
least 1
week.

- Reiterate
d
potential
side
effects
- Educated
patient in
possible
side
effects

DURING:

Dx:

- Assessed
if any
contraindi
cated
drugs
were
given
before
administe
ring
 Pregabali
n
- Assessed
if the
patient
has taken
the
medicatio
n
- Checked
if patient
has taken
the
medicatio
n

Tx:

- Obtained
BP and
RR before
and
periodical
ly during
administr
ation
- Advised
patient to
avoid
alcohol
and other
CNS
depressan
ts because
of the
increased
risk of
sedation
and
decreased
CNS
function.
- Monitore
d patient
according
ly for any
signs of
visual
disturban
ces

Edx:
 - Reiterate
d the
importanc
e of drug
taken
- Encourag
ed to
report if ,
dizziness,
constipati
on and
abdomina
l pain
- Encourag
ed patient
and
family to
report
unusual
changes to
healthcar
e
profession
al

AFTER:

Dx:

- Checked
if patient
manifeste
d any
adverse
effects
- Assessed
the
effectiven
ess of the
analgesic
- Assessed
bowel and
bladder
function

Tx:

- Obtained
vital signs
- Monitore
d other
changes in
 mood and
behavior,
including,
confusion,
drowsines
s, and
anxiety.
Notify
physician
if these
changes
become
problemat
ic.
- Discontin
ued drug
and
notified
physician
if any
usual
changes
Edx:
- Encourag
ed to
verbalize
feelings if
any
adverse
effects
occur

NURSING CARE PLAN: ACUTE PAIN

Assessment Explanation of the Objective Nursing Intervention

Problem
Subjective: Pain comes from the STO: DX
knee caused by the
“I feel pain on my surgical trauma of knee After 30 - 45 minutes of  Assessed the patient’s
left leg” as and attached nursing intervention, perception of the
verbalized, pointing musculoskeletal traction, patient and S/O will be effectiveness of
towards the left knee limited ROM as a result techniques used for p
able to have better
attached with of the septic arthritis relief in the past.
musculoskeletal knee. The patient was understanding of
traction and rated experiencing upon treatment given and
pain as 6/10, pain is moving the leg/knee. present condition/illness  Assessed and
aggravated on documented pain
of the patient characteristics
grimace,

Objective:
 Noted lifestyle effects
LTO:
Observed evidence pain
of: pain, After 24- 48 hours of
protective/guarding nursing intervention TX
behavior, grimace, patient would be able to
with expressive verbalize and perform  Provided the patient
behavior non-pharmacologic pain family with adequate
relief strategies, information about ac
Nursing Diagnosis: pain and options
relaxation technique and
available for pain
Acute pain related to diversion activities management.
invasive surgical
knee procedure,  Demonstrated relaxa
secondary and technique, diversion
musculoskeltal activity, ROM exercis
traction. and non-pharmacolog
pain relief strategies

 Assisted in doing ADL

EDX

 Validated the patient

feelings and emotions
regarding current he
status.

 Evaluated which non

pharmacologic
treatment works agai
management of pain

 Encouraged non-
 pharmacological
interventions when p
is relatively well
controlled with
pharmacological
interventions.

ACUTE PAIN