cough-cold-flu
SN instructed patient / caregiver that Guaifenesin is an expectorant used to help clear mucous and congestion and codeine is used to quiet to cough. SN instructed patient / caregiver to take as directed and with food if stomach upset occurs. Informed that drowsiness, constipation, stomach upset, nausea, vomiting, dizziness or headache may occur the first several days the body adjusts to the medication, call physician ( MD ) if these effects continue or become bothersome or if developing skin rash, itching or rapid heart rate. SN instructed patient / caregiver to take the needed cough medication and stop when symptoms clear up.
SN educated patient/caregiver on medication Trelegy inhaler. This inhaler combines 3 medicines in 1 inhaler, an inhaled corticosteroid (ICS) medicine (fluticasone furoate), an anticholinergic medicine (umeclidinium), and a long-acting beta2-adrenergic agonist (LABA) medicine (vilanterol). ICS medicines such as fluticasone furoate help to decrease inflammation in the lungs. Anticholinergic medicines such as umeclidinium and LABA medicines such as vilanterol help the muscles around the airways in your lungs stay relaxed to prevent symptoms such as wheezing, cough, chest tightness, and shortness of breath. Common side effects include: thrush in your mouth and throat, (rinse your mouth with water without swallowing after use to help prevent this.) bronchitis, PNA, upper respiratory infection, painful urination, throat/mouth pain, cough, hoarseness.
SN instructed caregiver about Hydrocodone. Hydrocodone is used to treat moderate to severe pain and as an antitussive to treat cough. Common side effects of hydrocodone may include, nausea, vomiting, constipation, drowsiness, dizziness, lightheadedness, fuzzy thinking, anxiety, abnormally happy or sad mood, dry throat, difficulty urinating, rash, itching, and narrowing of the pupils. Serious side effects include slowed or irregular breathing and chest tightness. Symptoms of hydrocodone overdose include narrowed or widened pupils, slow, shallow, or stopped breathing, slowed or stopped heartbeat, cold, clammy, or blue skin, excessive sleepiness, loss of consciousness, seizures, or death. Hydrocodone can be habit-forming, causing physical and psychological dependence.
SN instructed patient / caregiver about Ipratropium Bromide/Albuterol(Duoneb); get emergency medical 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 problems,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, painful or difficult urination. Other common side effects may include: mild headache, or cold symptoms such as stuffy nose, sneezing, cough, or sore throat.
SN to instruct patient/caregiver regarding self-management of atrial fibrillation, is an irregular and often rapid heart rate that can increase your risk of strokes, heart failure and other heart-related complications, to prevent atrial fibrillation, it's important to live a heart-healthy lifestyle to reduce your risk of heart disease. A healthy lifestyle may include:eating a heart-healthy diet, increasing your physical activity, avoiding smoking, maintaining a healthy weight, limiting or avoiding caffeine and alcohol, reducing stress, as intense stress and anger can cause heart rhythm problems, using over-the-counter medications with caution, as some cold and cough medications contain stimulants that may trigger a rapid heartbeat. Patient verbalized.
SN instructed that the Coronavirus (COVID-19) Delta variant grows more rapidly in the respiratory tract. Typically, vaccinated people are either asymptomatic or have very mild symptoms if they contract the Delta variant. Their symptoms are more like those of a common cold, such as cough, fever or headache, with the addition of significant loss of smell. You should wear a mask, even if you do not feel sick. This is because several studies have found that people with COVID-19 who never develop symptoms (asymptomatic) and those who are not yet showing symptoms (pre-symptomatic) can still spread the virus to other people.
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).
Instructed on some measures aimed to controlling/managing Angina Pectoris, such as: dress warmly in cold weather, avoid sleeping in cold rooms and avoid becoming overheated, among others.
Patient was instructed on respiratory infection. Sometimes accompanied by 'pink eye', muscle aches, fatigue, malaise, headaches, muscle weakness, uncontrollable shivering, and loss of appetite, fever and extreme exhaustion are rare during a cold and are more usual in influenza. The symptoms of a cold usually resolve after about one week, but can last up to two.
The patient was instructed in frostbite indicating the application of dry, sterile dressings to small, open areas. The patient was advised the importance of protecting the extremity from temperature extremes and rapid changes in temperature because the tissue is delicate to temperature changes and refreezing causes tissue damage. The patient was explained to elude fitted, constrictive clothing or pressure to an area that might cut circulation. The patient was recommended defensive procedures to avoid future incidents or reinjury of the frostbitten part, protective, multilayered, warm, nonconstrictive clothing avoiding of cold temperatures, exhaustion, and malnutrition. The patient was advised that there may be long-term remaining effects, increased sensitivity to cold, burning and itchy, and increasing sweating. The patient was explained that lower extremities are affected, to avoid weight bearing and offer instruction in the use of ambulatory aids. The patient was taught in the importance of elevating the affected extremity. The patient was advised in range-of-motion exercises to prevent contractures.