Question

a nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching

Answer 1

The following statements should be included in patient teaching while taking naproxen enteric-coated tablets.

1. Take the medication in the dose prescribed by the doctor.
2. Don't break the tablet. Breaking the tablet releases small particles so the drug. They get absorbed quickly and have the capacity to cause side effects.
3. Swallow the tablet in the sitting or standing position.
4. Avoid lying down immediately after taking the pill.
5. You can take the pill with water and food. Food has no effect on the absorption.
6. Swallow the pill with a glass full of water (240 ml).
7. Don't exceed the dose by 660 mg in 24 hrs.
8. If you forget to take your dose - take is immediately when you remember it. If you have approached the timing of your next dose, just take the next dose. Do not take 2 pills to make up for loss dose.
9. If you have some underlying comorbidities, it is advisable for you to actively inform the doctor about it. You must inform your doctor about the following things:
   1. History of an allergic reaction to naproxen
   2. History of an allergic reaction to other NSAIDs ( like aspirin)
   3. History of cardiac disease.
   4. History of stroke
   5. History of heart failure
   6. History of peptic ulcer.
   7. History of asthma
   8. History of liver or kidney problems.
10. Stop taking the medicine if you develop any of the following:
    1. Skin rash with itching
    2. Difficulty in breathing
    3. Acute abdominal pain
    4. Yellowish discoloration of the whites of your eye.
    5. Black tarry stools

Naproxen

Class - Non-steroidal anti-inflammatory drug.

Mechanism of action- inhibits cyclooxygenase type 1 and 2 - this reduces the levels of prostaglandins. This reduces inflammation by reducing inflammatory cell aggregation and the release of inflammatory cytokines.

Uses

1. Pain-relief
2. Rheumatoid arthritis
3. Ankylosing spondylitis
4. Osteoarthritis
5. Dysmerrheo
6. Gout
7. Migraine