cough-cold-flu
SN instructed in possible complication of PVD such as ulcers, cellulites, gangrene, thrombophlebitis, etc. SN instructed patient to walk for at least 15 minutes three to four times per day, gradually increasing her pace and duration of exercise. It is recommended not to cross the legs, which may interfere with blood flow; manage swelling by elevating the feet at rest. Vasodilation can be achieved by providing warmth to the affected extremity and preventing long periods of exposure to cold; maintain a warm environment at home and wear socks or insulated shoes at all times. Never apply direct heat to the limbs, such as with the use of a heating pad or extremely hot water to reduce the risk of burns. Verbalized understanding.
Sn teaching patient to take pain medication before pain becomes severe to achieve better pain control and decreases the amount of pain medication that is required. SN instructed patient on pain relief measures, including relaxation techniques, massage, stretching, positioning, and / or hot / cold packs.
SN instructed patient / caregiver regarding medication Glimepiride. SN instructed patient / caregiver that Glimepiride is a antidiabetic medication that lowers blood sugar level. SN instructed patient / caregiver to check blood sugar before taking the medication to avoid hypoglycemia. SN explained to patient / caregiver that low blood sugar ( hypoglycemia ) can occur during glimepiride therapy. SN explained that the symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion, or loss of consciousness. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of these side effects.
SN instructed patient / caregiver regarding medication Glipizide. SN informed patient / caregiver that Glipizide is used to help control blood sugar levels, causing the pancreas to release insulin, which helps to lower blood sugar. SN explained to patient / caregiver that the side effects include low blood sugar ( hypoglycemia ) can occur when on this medication. SN explained that symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion or loss of consciousness and should be reported to physician ( MD ) if persistently experienced.
SN instructed patient / caregiver regarding medication Metoprolol. Metoprolol is used for treating high blood pressure, heart pain, abnormal rhythms of the heart, and some neurologic conditions; it reduces the force of contraction of heart muscle and thereby lowers blood pressure. Side effects to report to physician ( MD ) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart rate, low blood pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( MD )
SN instruct the patient the following symptoms could be signs of a heart attack: chest discomfort, discomfort in one or both arms, back, neck, jaw, stomach, shortness of breath, cold sweat, nausea, or dizziness. Call 911 for emergent care if you experience any of these s / s ( symptoms / signs ).
Patient and CG instructed on Pravastatin. Pravastatin is used to lower cholesterol and triglycerides (types of fat) in the blood. Pravastatin is also used to lower the risk of stroke, heart attack, and other heart complications in people with or without coronary heart disease or other risk factors. Pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. This condition may be more likely to occur in older adults and in people who have kidney disease or poorly controlled hypothyroidism (underactive thyroid). Get emergency medical help if you have signs of an allergic reaction to pravastatin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Stop using and call your doctor at once if you have:unexplained muscle pain, tenderness, or weakness; fever, unusual tiredness; dark colored urine; chest pain; upper stomach pain, loss of appetite; or jaundice (yellowing of the skin or eyes). Common pravastatin side effects may include: muscle or joint pain; nausea, vomiting, diarrhea; headache; or cold symptoms such as stuffy nose, sneezing, sore throat.
SN also instructed pt on the disease process of hypothyroidism. The thyroid gland controls a lot of our body functions, when it is unable to produce the amount of thyroid hormone your body needs, you will need to take this hormone orally. Take this medication everyday as ordered by your MD. Report to SN or MD if you have sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, as these can be signs your medication is not the correct dose.
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. SN to instruct patient on disease process, typical symptoms of an underlying cardiovascular issue include: pain or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats
Patient instructed Protonix (pantoprazole) is a proton pump inhibitor that decreases the amount of acid produced in the stomach. Take once daily in the morning with or without food. Common Protonix side effects may include: headache, dizziness; stomach pain, gas, nausea, vomiting, diarrhea; joint pain; or fever, rash, or cold symptoms. Instructed to notify prescriber if unusual or bothersome side effects occur or medication is not effective.