SN educated patient and caregiver on Xarelto. Increased risk of bleeding. Xarelto can cause bleeding which can be serious, and may lead to death. This is because Xarelto is a blood thinner medicine (anticoagulant) that lowers blood clotting. During treatment with Xarelto you are likely to bruise more easily, and it may take longer for bleeding to stop. You may be at higher risk of bleeding if you take Xarelto and have certain other medical problems.
SN instructed patient on Nifedipine. You can take nifedipine before or after meals. Do not bite, chew or break the tablets/capsules. When you first start taking nifedipine you may get a headache or feel flushed. These symptoms usually go after a few days.
Educated patient on side effects of macrobid. Some of the side effects include: changes in facial skin color, general feeling of discomfort or illness, hives, itching, skin rash, sudden trouble in swallowing or breathing., swelling of the face, mouth, hands, or feet and troubled breathing. Understanding was verbalized.
SN explained to patient that Diflucan is used to treat serious fungal or yeast infections, such as urinary tract infections. It works by stopping the growth of Candida. It usually starts to work within one day, but it may take 3 days for your symptoms to improve and up to 7 days for your symptoms to disappear. Nausea, vomiting, diarrhea, stomach upset/pain, headache, dizziness, or hair loss may occur while using Diflucan.
SN to educate patient concerning the use of gabapentin is to increased pain relief affects by using the CNS to decrease symptoms of pain and assist Tramadol or other prescribed pain medications, even Tylenol ER in ultimate pain relief. SN to advise patient to not allow pain level to linger for long periods of time; try taking either drug 30mins or so apart, only when due at prescribed times.
Patient and caregiver educated on precautions to be exercised while taking Topiramat (Topamax). Topamax can induce extreme dry mouth and diarrhea. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with fluid supplementation. Topamax intake can induce some dizziness. Also, Topamax use can result in a side-effect of increased ammonia in the blood, which also contributes to increased nausea, confusion, and dizziness. Patient instructed to avoid activities where loss of consciousness (passing out) could result in serious danger to self or those around you (including swimming, driving a car, climbing in high places, etc.). Patient instructed to talk to his doctor before engaging in such activities.
SN instructed patient and caregiver on medication levofloxacin used to treat a variety of bacterial infections . Reviewed side effects with both and advised to drink plenty of fluids while taking this medication , continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may result in a return of the infection.
SN educated patient on sucralfate medication. Patient was instructed that this medication is used to treat and prevent ulcers in the intestines. Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly. Patient verbalized understanding.
SN educated pt on Simvastatin. Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
SN instructed patient and caregiver on side effects of amoxicillin/clavulanate. Along with its needed effects, amoxicillin/clavulanate may cause some unwanted effects. Call your doctor immediately if any of the following side effects occur: hives or welts, itching, redness of the skin, skin rash, thick. Understanding was verbalized.