diverticulosis-and-diverticulitis
Medications
SN instructed patient that the Glipizide is an oral diabetes medicine that helps control blood sugar levels by helping your pancreas produce insulin. That is used together with diet and exercise to treat Type 2 diabetes. Instructed patient to follow doctors orders and that it is to be taken 30 minutes before a meal twice a day. Reviewed symptoms / signs of hypoglycemia: headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Instructed on common side effects: mild nausea, diarrhea, constipation, dizziness, drowsiness or skin rash, redness or itching. Instructed patient to call 911 in the event of hives; difficulty breathing, swelling of your face, lips, tongue or throat.
Sn teaching patient that Atrovent ( Ipratropium ) is used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. It is also used to treat air flow blockage and prevent the worsening of chronic obstructive pulmonary disease ( COPD ).
SN explained that the Tresiba is a long - acting insulin used to control high blood sugar in adults with diabetes. SN instructed about more frequents side effects of tresiba ( reactions at the injection site, itching, rash, allergic reactions , skin thickening or pits at the injection site ( lipodystrophy ), weight gain, and swelling of your hands and feet, among others). SN oriented to notify the doctor if any of these side effects are severe. SN instructed that the insulin dose may need to change because of change in level of physical activity or exercise, increased stress, change in diet, weight gain or loss, or illness.
SN instructed patient on proper use of insulin such as keeping currently in use vials in refrigerator not in freezer, take insulin exactly as prescribed and never to adjust dose without orders from physician ( MD ), and to never use insulin that has changed color or consistency. SN educated patient on sites of body that insulin can be administered including abdomen, upper arms, thighs or buttocks. Patient verbalized understanding.
SN instructed pt regarding Keppra (levetiracetam), it is an anti-epileptic drug, also called an anticonvulsant. Keppra is usually taken once every 12 to 24 hours. Take the medicine at the same time each day. You may take this medicine with or without food. Use Keppra regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. Do not stop using this medicine suddenly, even if you feel fine. Stopping suddenly may cause increased seizures. Follow your doctor's instructions about tapering your dose. Avoid drinking alcohol. It can increase some of the side effects of Keppra and may also increase the risk of seizures. Levetiracetam may impair your thinking or reactions. Avoid doing anything that requires your attention until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents. Common Keppra side effects may include: dizziness, drowsiness; feeling tired; weakness; feeling aggressive or irritable; loss of appetite; stuffy nose; or infection. Call your doctor at once if you have: unusual changes in mood or behavior (unusual risk-taking behavior, being irritable or talkative); confusion, hallucinations, loss of balance or coordination; extreme drowsiness, feeling very weak or tired; bruising, severe tingling, numbness, pain, muscle weakness; problems with walking or movement; the first sign of any skin rash, no matter how mild; or signs of an infection - fever, swollen gums, painful mouth sores, pain when swallowing, skin sores, cold or flu symptoms, cough, trouble breathing. Pt verbalized understanding of uses and denies experiencing any SE. Pt stated he does not drink alcohol.
SN instructed patient and care giver to take Carafate (sucralfate) on an empty stomach, at least 1 hour before or 2 hours after a meal and avoid taking any other medications within 2 hours before or after you take Carafate. Side effects of Carafate include: nausea, vomiting, GI upset/pain, constipation, diarrhea, insomnia, dizziness, drowsiness or headache.
SN instructed patient/CG to seek medical attention if you have signs of an allergic reaction to Augmentin such as: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe stomach pain, diarrhea that is watery or bloody; pale or yellowed skin, dark colored urine, fever, confusion or weakness; loss of appetite, upper stomach pain, jaundice (yellowing of the skin or eyes); easy bruising or bleeding; little or no urination; or severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
SN instructed patient and caregiver on new medication Amoxicillin; It can treat infections and stomach ulcers. It comes from the penicillin family. It is ok to take food before taking amoxicillin to decrease possible stomach upset.
Patient instructed Pravastatin is a medication used to treat high cholesterol. Instructed to follow a low fat diet to help reduce cholesterol. May take with or without food. Medication should be taken in the evening. Grapefruit and grapefruit juice may interact with pravastatin and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.
Patient instructed Levothyroxine is a medication used to treat hypothyroidism. Labs will need to be drawn routinely to check effectiveness & dose may need to be changed. Patient instructed to take this medication 30min. before breakfast & all other meds. Swallow the tablet or capsule whole, with a full glass (8 ounces) of water. The tablet may dissolve very quickly and could swell in your throat. Avoid the following food products, which can make your body absorb less levothyroxine: grapefruit juice, infant soy formula, soybean flour, cotton seed meal, walnuts, and high-fiber foods.