pain m
Medications
Instructed in new m
edication Plavix to reduce atherosclerotic events. In addition, warned of possible S/E such as headache, dizziness, fatigue, depression, pain
, edem
a, hypertension, rhinitis, epistaxis, abdom
inal pain
, gastritis, constipation, diarrhea, ulcers, arthralgia, coughing, rash, pruritus and others.
Instructed in new m
edication Vioxx to m
anage osteoarthritis. In addition, warned of possible S/E such as headache, asthenia, fatigue, dizziness, aseptic m
eningitis, hypertension, lower-extrem
ity edem
a, sinusitis, diarrhea, dyspepsia, epigastric discom
fort, heartburn, nausea, abdom
inal pain
, GI bleeding, urinary tract infection, hyponatrem
ia, back pain
, bronchitis, upper respiratory tract infection, pulm
onary edem
a and flu-like syndrom
e. Patient m
ay experience signs and sym
ptom
s of GI bleeding, including bloody vom
itus, blood in urine and stool and black, tarry stools. Advised to call M
D if he experiences these signs or sym
ptom
s. Report rash, unexplained weight gain or edem
a. Avoid aspirin and products containing aspirin unless prescriber has instructed otherwise. Avoid OTC anti-inflam
m
atories such as ibuprofen (Advil) unless prescriber has instructed it. All NSAIDs including Rofecoxib m
ay adversely affect the liver. Signs and sym
ptom
s of liver toxicity include nausea, fatigue, lethargy, itching, jaundice, right upper quadrant tenderness and flu-like syndrom
e. Instructed to stop therapy and call M
D im
m
ediately if patient experiences these signs or sym
ptom
s. Wom
en m
ust inform
M
D if they becom
e pregnant, or they are planning on becom
ing pregnant while taking drugs. This drug m
ay be taken without regard to food although taking it with food m
ay decrease GI distress.
The m
ost com
m
on adverse effects of this drug are dyspepsia, epigastric discom
fort, heartburn and nausea. Taking drug with food m
ay help m
inim
ize these effects.
Instructed in new m
edication Zoloft to m
anage depression. In addition, warned of possible S/E such as headache, trem
or, dizziness, insom
nia, som
nolence, paresthesia, hypoesthesia, fatigue, nervousness, anxiety, agitation, hypertonia, twitching, confusion, palpitations, chest pain
, hot flashes, dry m
outh, nausea, diarrhea, loose stools, dyspepsia, vom
iting, constipation, thirst, flatulence, anorexia, abdom
inal pain
, increased appetite, m
ale sexual dysfunction, m
yalgia, rash, pruritus and diaphoresis.
M
ajor side effects of Sim
vastatin include abdom
inal pain
or cram
ps, blurred vision, dizziness, easy bruising or bleeding, itching, m
uscle pain
or cram
ps, rash, and yellowing of the skin or eyes.
Isosorbide is used to prevent chest pain
(angina) and reduce strain on the heart in patients with heart disease (coronary artery disease). Isosorbide m
ononitrate relaxes and widens blood vessels so blood can flow m
ore easily. This m
edication will not relieve chest pain
once it occurs. This m
edication m
ay also be used in addition to other drugs to im
prove the sym
ptom
s of congestive heart failure (e.g., trouble breathing).
Instructed ALF's staff in new m
edication of Clopidogrel ( Plavix ) to reduce atherosclerotic events. In addition, warned of possible side effects such as headache, dizziness, fatigue, depression, pain
, edem
a, hypertension, rhinitis, epistaxis, abdom
inal pain
, gastritis, constipation, diarrhea, ulcers, arthralgia, coughing, rash, pruritus and others.
VITAM
IN C
Patient was instructed in new m
edication Vitam
in C side effects such as; nausea, vom
iting, heartburn, abdom
inal cram
ps, and headache. Dental erosion m
ay occur from
chronically chewing vitam
in C tablets.
SN instructed patient about Xarelto (rivaroxaban) is an anticoagulant (blood thinner) that prevents the form
ation of blood clots. Used to treat A-fib and lower the risk of a stroke from
a blood clot. Side effects include bruising, itching, m
uscle pain
, pain
in arm
s or legs. Serious side effects include: urine that looks red, pink, or brown;headache, dizziness, weakness, feeling like you m
ight pass out;bloody or tarry stools, coughing up blood or vom
it that looks like coffee grounds.
SN instructed patient about Aggrenox contains a com
bination of aspirin and dipyridam
ole. Aspirin is in a group of drugs called salicylates. It works by reducing substances in the body that cause pain
, fever, and inflam
m
ation. Dipyridam
ole keeps platelets in your blood from
sticking together to form
clots. Aggrenox is used to reduce the risk of stroke in people who have had blood clots or a "m
ini-stroke" (also called a transient ischem
ic attack or TIA).Avoid drinking alcohol while you are taking aspirin products. Alcohol m
ay increase your risk of stom
ach bleeding. Side effects include joint pain
, drowsiness, headache, upset stom
ach, m
ild heartburn, nausea, vom
iting, or diarrhea.
Instructed patient and caregiver about Tram
adol. It is an opioid pain m
edication used to treat m
oderate to m
oderately severe pain
. Serious side effects of Tram
adol m
ay include: seizures, increased risk of serotonin syndrom
e, decreased alertness, and drug addiction. Com
m
on side effects include: constipation, itchiness and nausea, etc. A change in dosage m
ay be recom
m
ended in those with kidney or liver problem
s.
SN instructed patient / caregiver about Ipratropium
Brom
ide/Albuterol(Duoneb); get em
ergency m
edical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using albuterol and ipratropium
and call your doctor at once if you have a serious side effect such as: wheezing, choking, or other breathing problem
s,chest pain
, pounding heartbeats or fluttering in your chest, dangerously high blood pressure (severe headache, anxiety, uneven heart beat), swelling of your ankles or feet, eye pain
, or seeing halos around lights, pain
ful or difficult urination. Other com
m
on side effects m
ay include: m
ild headache, or cold sym
ptom
s such as stuffy nose, sneezing, cough, or sore throat.