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Unsteady On Feet, Having Mini Blackouts, ESKD, On Dialysis. Need Suggestion On Medication?
I am a nurse and have a patient who is unsteady on his feet and having miniblackouts. He has ESKD and has been on dialysis for 10 years. The medications I am concerned about are Lyrica 75 mg nocte, oxycontin 30mg nocte and cialis 5mg. I think the issue may be the lyrica as he sometimes takes double the dose at night. Any suggestions on how to manage this? He has quite severe peripheral neuropathy and chronic pain. tks
Mon, 28 Oct 2013
User's Response
HI
Thank for asking to HCM
I have gone through the history given here, I think your patient's main concern is blackout and unsteady on feet, If I would be doctor of your patient then I would reassess the case right from the beginning, I would stop all the medicine non of it would help the patient instead it may worsen the clinical condition, serum electrolyte has to be done in this case so we can manage the hydration, blood pressure should be under normal range, mean while I would put the patient on conservative line of treatment, vitamin supplements would be of great choice with good nursing care, such strategy gives good result, take care of your patient, any further question will be appreciated bye
Thank for asking to HCM
I have gone through the history given here, I think your patient's main concern is blackout and unsteady on feet, If I would be doctor of your patient then I would reassess the case right from the beginning, I would stop all the medicine non of it would help the patient instead it may worsen the clinical condition, serum electrolyte has to be done in this case so we can manage the hydration, blood pressure should be under normal range, mean while I would put the patient on conservative line of treatment, vitamin supplements would be of great choice with good nursing care, such strategy gives good result, take care of your patient, any further question will be appreciated bye
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