cough-cold-flu
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: unexplained rapid weight gain and dry or frothy cough, among others.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
Instructed patient in medication Plavix prevent unwanted blood clots that can occur with certain heart or blood vessel conditions. While you take Plavix: you may bruise and bleed more easily, you are more likely to have nose bleeds, and it will take longer for any bleeding to stop. Call your doctor right away if you have any of these signs or symptoms of bleeding: unexpected bleeding or bleeding that lasts a long time, blood in your urine (pink, red or brown urine), red or black stools, bruises that happen without a known cause or get larger cough up blood or blood clots vomit blood or your vomit looks like coffee grounds.
Instructed patient about Losartan, it is used toTreat hypertension and reducing the risk of stroke in patients with hypertension and left ventricular hypertrophy. Possible SE/AR may include, Diarrhea, Muscle cramps, Dizziness, Insomnia, Nasal congestion. Losartan also may cause: A persistent cough, an increase serum potassium and Impotence.
SN instructed patient and caregiver about Bactrim. Bactrim is an antibiotic used to treat certain bacterial infections, including urinary tract infections, ear infections, enteritis, pneumonia, traveler's diarrhea, and episodes of difficulty breathing in people with chronic bronchitis. Serious allergic reactions, such as skin rash, sore throat, fever, joint pain, cough, shortness of breath, paleness, or yellowing of your skin or the whites of your eyes. Low platelet levels that may be life-threatening, but usually go back to normal within a week of stopping treatment with Bactrim. Watery and bloody stools.
Instructed patient if you have a hard time breathing, you may have secretions in your trach tube. Take out the inner cannula to check for mucous and clean if necessary. Then replace it. If your breathing does not get better, keep using your humidity, and cough hard.
SN advised patient don't rub the injection site. This could cause bruising. Don't push air bubbles out of the syringe unless your doctor tells you to. Each syringe comes with air bubbles. Call 911 anytime you think you may need emergency care. For example, call if: You cough up blood.You vomit blood or what looks like coffee grounds.You pass maroon or very bloody stools.
Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you will be encouraged to cough and deep breathe. You may be given a spirometer, a device for breathing exercises to keep fluid out of your lung, once all your tubes have been removed, you will be encouraged to shower daily and wash your incision with a mild soap to prevent infection.
SN instructed patient that Beclometasone dipropionate is a potent glucocorticoid steroid. In the form of an inhaler ( Clenil, Qvar ), a wide number of brands of which are available, it is used for the prophylaxis of asthma. As a nasal spray, it is used for the treatment of rhinitis (hay fever and sinusitis). In some instances, it is used by oral pathologists in the treatment of unusually severe aphthous ulcers. Possible side effect / adverse reaction: occasionally, it may cause a cough upon inhalation. Deposition on the tongue and throat may promote oral candidiasis, which appears as a white coating, possibly with irritation. This may usually be prevented by rinsing the mouth with water after using the inhaler. Other side effect may rarely include: a smell similar to burning plastic, unpleasant taste, hoarseness or nasal congestion, pain or headache, and visual changes. Allergic reactions may occur, but rarely. Nasal corticosteroids may be associated with central serous retinopathy
SN instructed patient about Flonase ( Fluticasone). It is used to treat asthma, allergic rhinitis, nasal polyps, various skin disorders and Crohn's disease and ulcerative colitis. If taken correctly, the nasal spray and oral inhaler formulation have less corticosteroid side effects than the tablet formulation because they limit systemic absorption. However, if the spray or inhaler is used at higher than recommended doses or with other corticosteroids, serious side effects can occur. These systemic corticosteroid side effect include weakened immune system, increased risk of systemic infections, osteoporosis, and elevated pressure in the eyes. Nasal spray common side effects may include nasal irritation, HA, nausea, vomiting, diarrhea, nosebleed, and cough. Rare side effects include painful white patches in nose or throat, sore throat, bruising , vision problems, swelling of face or neck, and difficulty breathing or swallowing.