Cupping for Lower Back Pain - Cupping Treatment for Back Pain
6 Lower Back Pain
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Case No.: Date: SUBJECTIVE OBJECTIVE ASSESSMENT PLAN PATIENT EDUCATION PROBLEM 1.VITAL SIGNS 2.LAB TESTS 3.MED.LIST ETIOLOGY OF PROBLEM 1.EVALUATE CURRENT THERAPY FOR PROBLEM 2.EVALUATE NEED FOR THERAPY GOALS FOR TREATMENT OF PROBLEM RECOMMEND 1. DRUG TREATMENT FOR PROBLEM 2. MONITORING PARAMETERS FOR EACH DRUG LISTED 3. FURTHER TESTS FOR PROBLEM IF NEEDED 4. DRUGS TO BE AVOIDED AND WHY LOW BACK PAIN (LBP) LUMBAGO 36 y/o male , was admitted on 26/06/2014 with c/o Pain in back since 20 days Pain is adiatin! to belt hi" #" to le$t $oot , di%c#lty in walkin! , sittin! PMH! h/o hea&y wei!ht li$tin!, 'months back by bendin! $owad V"#$%&! P(:)6/min *.P: 120/)0 mm o$ +! bdomen : -o$t , *owel so#nds (- : Clea C : ai S'" ! -tai!ht e! (aise - ( est : 60 de!ee $o le$t le! 5 Ne!ati&e $o i!ht le! ( : imbo Physio action C*++ # , -" $#"/ ! 7n8. amadol 79 *D 7n8. Ce$io one 1!m 79 D 7n8. ndanseton 4m! 79 he ma8oity o$ *P does not ha&e a clea ca#se b#t is belie&ed to be the es#lt o$ non;seio#s m#scle o skeletal iss#es s#ch as s"ains o stains. besity, smokin!, wei!ht !ain d#in! "e!nancy, stess, "oo "hysical condition, "oo "ost#e and "oo slee"in! "osition may also contib#te to low back "ain. 7n this case, ow back "ain d#e to -li""ed disc 3, 4 , ' <-1 1 amadol <centally actin! anal!esic elie&es "ain Ce$tia one <-#!ical Po"hyla is ndanseton 5 (anitidine +cl ; o "e&ent na#sea, &omitin!, o othe com"lications $om acid bein! "od#ced b#t not #sed in "atient #nde!one s#!ey 79 =#ids, ae !i&en to "atients $o two "imay easons, to e"lace =#ids they ha&e lost tho#!h illness o in8#y, o to "o&ide =#ids when they ae #nable to dink as (ed#ce the "ain by s#!ey. 1 -#!ey is ecommended and d#! teatment incl#des amadol and othe s#!ical "o"hyla is ntibiotics, ntacids 5 79 =#ids 2 >#scle ela ant can be added 2 o amadol monito es"iatoy ate 5 blood "ess#e and o ndanseton blood "ess#e monitoin! is e?#ied 3 @ (ay; Disco!am, >(7 4 Nil d&ice the "atient Pay attention to th body, Pain is a wa sk him/he to disc the acti&ity with d o "hysiothea"ist be$oe "oceedin! -it 5 -lee" Com$ot and be s#e that lo back is s#""oted ose wei!ht i$ bes i$t Po"ely: D n hea&y loads by "lac "ess#e on lowe b Ase le!s to li$t a always bend yo# kn so yo# ams D '$+#, # /0 P $+,$ P+$ #" S+" V $# &5$+$ C/%% 6 /0 P $+,$ RVS N$6$+ C "##//+7819129 (AP) INDIA
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a case study on lower back pain
Transcript of 6 Lower Back Pain
Case No.: Date:
SUBJECTIVEOBJECTIVEASSESSMENTPLANPATIENT EDUCATION
PROBLEM
1.VITAL SIGNS2.LAB TESTS3.MED.LIST
ETIOLOGY OF PROBLEM
1.EVALUATE CURRENT THERAPY FOR PROBLEM2.EVALUATE NEED FOR THERAPY
GOALS FOR TREATMENT OF PROBLEM
RECOMMEND1. DRUG TREATMENT FOR PROBLEM2. MONITORING PARAMETERS FOR EACH DRUG LISTED3. FURTHER TESTS FOR PROBLEM IF NEEDED4. DRUGS TO BE AVOIDED AND WHY
LOW BACK PAIN (LBP) / LUMBAGO
36 y/o male , was admitted on 26/06/2014 with c/o Pain in back since 20 daysPain is radiating to belt hip up to left foot , difficulty in walking , sitting
PMH: h/o heavy weight lifting, 5months back by bending forward
Vitals:PR:76/min B.P: 120/70 mm of HgAbdomen : Soft , Bowel sounds +RS : ClearGC : FairSpine:Straight Leg Raise (SLR) Test : + 60 degree for left leg & Negative for right leg Rx : Limbo Physio Traction
Current medication:Inj. Tramadol IV BDInj. Cefrioxone 1gm IV ODInj. Ondansetron 4mg IV SOSInj. Ranitidine HCl IV BDT. Tramadol HCl p/o BDI.V. Fluid 40ml/hr
The majority of LBP does not have a clear cause but is believed to be the result of non-serious muscle or skeletal issues such as sprains or strains. Obesity, smoking, weight gain during pregnancy, stress, poor physical condition, poor posture and poor sleeping position may also contribute to low back pain.In this case, Low back pain due to Slipped disc L3, L4 , L5 S11) Tramadol centrally acting analgesic relieves pain Ceftriaxone Surgical ProphylaxisOndansetron & Ranitidine Hcl - To prevent nausea, vomiting, or other complications from acid being produced but not used in patient undergone surgery
IV fluids, are given to patients for two primary reasons, to replace fluids they have lost through illness or injury, or to provide fluids when they are unable to drink as they normally would Reduce the pain by surgery.1) Surgery is recommended and drug treatment includes Tramadol and other surgical prophylaxis (Antibiotics, Antacids & IV fluids2) Muscle relaxant can be added
2)For Tramadol monitor respiratory rate & blood pressure and For Ondansetron blood pressure monitoring is required3) X Ray- Discogram, MRI4) Nil
Advice the patient to Pay attention to the body, Pain is a warning. Ask him/her to discuss the activity with doctor or physiotherapist before proceeding
Sit & Sleep Comfortably and be sure that lower back is supported
Lose weight if Obese
Lift Properly: DO not lift heavy loads by placing pressure on lower back. Use legs to lift and always bend your knees so your arms
Department of Pharmacy Practice, Sri Venkateswara College of Pharmacy, RVS Nagar, Chittoor-517127 (AP), INDIA
