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Medications
SN instructed patient about Linzess (linaclotide) which is indicated in adults for the treatment of irritable bowel syndrome with constipation. It can cause serious side effects, including diarrhea, the most common side effect, which can be severe. Diarrhea often begins within the first 2 weeks of treatment. Stop taking Linzess and call your doctor asap if you get severe diarrhea during treatment with Linzess. Other common side effect may include gas, stomach-area (abdominal) pain, swelling, or a feeling of fullness or pressure in your abdomen (distension). Tell your doctor if you have any side effect that bothers you or that does not go away. Call your doctor or go to the nearest hospital emergency room right away if you develop unusual or severe stomach-area (abdominal) pain, especially if you also have bright red, bloody stools or black stools that look like tar.
SN instructed on Morphine. This is used to treat moderate to severe pain. Short - acting formulations are taken as needed for pain. You should not take morphine if you have severe asthma or breathing problems, a blockage in your stomach or intestines, or a bowel obstruction called paralytic ileus. Morphine can slow or stop your breathing. Never use this medicine in larger amounts, or for longer than prescribed. Do not crush, break, or open an extended - release pill. Swallow it whole to avoid exposure to a potentially fatal dose. Morphine may be habit - forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Take morphine exactly as prescribed by your doctor. Follow all directions on your prescription label.
SN instructed patient / caregiver regarding medication Cephalexin. SN explained that Cephalexin is used to treat urinary tract infections, respiratory tract infections, and skin and soft tissue infections. SN explained that the side effects of this medication includes: diarrhea, dizziness, headache, indigestion, joint pain, stomach pain and tiredness. SN explained that the drug can also cause yellowing of the eyes or skin; red, blistered, swollen or peeling skin, unusual bruising or bleeding, decreased urination, severe cramps and confusion. SN instructed to notify physician if experiencing persistence or worsening of side effects.
SN instructed patient / caregiver on albuterol. SN explained that albuterol is a bronchodilator indicated in COPD for opening of the airways and decrease shortness of breath. SN explained that side effects include: nervousness, restlessness, tremor, chest pain, palpitations, headache, insomnia. SN instructed to notify physician immediately if shortness of breath is not relieved or is accompanied by diaphoresis, dizziness, palpitations, or chest pain.
SN instructed patient that eliquis could cause bruising, internal bleeding, increased bleeding time so if any falls, severe cuts or unexplained pain or pain pressure 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. Patient was able to be taught back.
SN instructed patient / caregiver that Aldactone is a potassium - sparing diuretic ( water pill ) that prevents the body from absorbing too much salt and keeps potassium levels from getting too low, treating congestive heart failure. SN instructed patient / caregiver to take Aldactone as prescribed by the doctor and do not use salt substitutes or low - sodiummilk products that contain potassium, because it may increase potassium levels too much. SN explained that side effects may include mild nausea, dizziness, headache, gastric pain. SN instructed to report to physician ( MD ) if patient experiences an allergic reaction, numbness, muscle pain or weakness, irregular heartbeats, urinating less, shallow breathing or tremors.
SN instructed patient / caregiver educated on medication Ethambutol. SN explained to patient that Ethambutol is an anti - tuberculous medication indicated for mycobacterial diseases such as Mycobacterium Avium Complex ( MAC ) and is usually used in combination with other anti - mycobacterial anti - infectives. SN explained that the side effects of this medication includes optic neuritis, hepatitis, abdominal pain, headaches, joint pain, fever, nausea and vomiting. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence or worsening of side effects.
SN instructed patient / caregiver instructed on medication Ketorolac. SN explained that Ketorolac is a non - opioid anti - inflammatory drug that works to decrease pain by inhibiting prostaglandin synthesis and producing peripherally mediated analgesia. SN explained that the side effects of this medication includes drowsiness, gastrointestinal bleeding, diarrhea, dry mouth and constipation. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if rash, itching, weight gain, edema, black stools, headache, or chills fever or muscle pain develops.
SN instructed patient / caregiver regarding medication Lovenox. SN informed patient / caregiver that Lovenox prevents clots from forming in the blood stream. SN instructed to keep prefilled syringes in room temperature 59 - 86°F. SN instructed patient / caregiver on proper administration of Lovenox and provided handout. SN informed that the most common side effect associated with Lovenox is bleeding. SN instructed to call Physician ( MD ) if patient / caregiver experiences any increased pain or symptoms / signs ( s / s ) of internal bleeding. SN Informed that a mild local irritation, pain, hematoma, ecchymosis, and erythema may occur at the site of injection. SN instructed to rotate injection sites around abdomen.
SN instructed patient / caregiver on Zofran - ondansetron. This medication blocks the actions of chemicals in the body that can trigger nausea and vomiting. Zofran is used to prevent nausea and vomiting that may be caused by surgery, cancer chemotherapy, or radiation treatment. Serious side effects include blurred vision or temporary vision loss ( lasting from only a few minutes to several hours ), slow heart rate, trouble breathing, anxiety, agitation, shivering, feeling like you might pass out, and urinating less than usual or not at all. Stop taking Zofran and call your doctor at once if you have any of these side effects. Ondansetron may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Zofran side effects get emergency medical help if you have signs of an allergic reaction to Zofran: rash, hives, fever, chills, difficult breathing, swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe constipation, stomach pain, or bloating, headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats, fast or pounding heartbeats, jaundice ( yellowing of the skin or eyes ); blurred vision or temporary vision loss ( lasting from only a few minutes to several hours ); high levels of serotonin in the body - agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting. Patient / caregiver verbalized understanding. Instruct to call agency for questions or concerns.