blood
Medications
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.
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 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.
Instructed patient on medication Amiodarone. This medication is used to stabilize the rhythm of your heart. Amiodarone is used to treat ventricular tachycardia or ventricular fibrillation. Take this medication at the same time daily as directed. May take with or without food. Avoid grapefruit, St. John's wort, & sunlight or tanning beds. common side effects include: nausea, vomiting, loss of appetite; or constipation. Call your doctor or get medical help at once if you have: chest pain, fast or pounding heartbeats, trouble breathing, vision problems, upper stomach pain, vomiting, dark urine, jaundice (yellowing of the skin or eyes), or if you cough up blood. Tell your doctor if you have signs of a thyroid problem, such as weight changes, extreme tiredness, dry skin, thinning hair, feeling too hot or too cold, irregular menstrual periods, or swelling in your neck (goiter).