pain m
SN instructed pt regarding Keppra (levetiracetam
), it is an anti-epileptic drug, also called an anticonvulsant. Keppra is usually taken once every 12 to 24 hours. Take the m
edicine at the sam
e tim
e each day. You m
ay take this m
edicine with or without food. Use Keppra regularly to get the m
ost benefit. Get your prescription refilled before you run out of m
edicine com
pletely. Do not stop using this m
edicine suddenly, even if you feel fine. Stopping suddenly m
ay cause increased seizures. Follow your doctor's instructions about tapering your dose. Avoid drinking alcohol. It can increase som
e of the side effects of Keppra and m
ay also increase the risk of seizures. Levetiracetam
m
ay im
pair your thinking or reactions. Avoid doing anything that requires your attention until you know how this m
edicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents. Com
m
on Keppra side effects m
ay include: dizziness, drowsiness; feeling tired; weakness; feeling aggressive or irritable; loss of appetite; stuffy nose; or infection. Call your doctor at once if you have: unusual changes in m
ood or behavior (unusual risk-taking behavior, being irritable or talkative); confusion, hallucinations, loss of balance or coordination; extrem
e drowsiness, feeling very weak or tired; bruising, severe tingling, num
bness, pain
, m
uscle weakness; problem
s with walking or m
ovem
ent; the first sign of any skin rash, no m
atter how m
ild; or signs of an infection - fever, swollen gum
s, pain
ful m
outh sores, pain
when swallowing, skin sores, cold or flu sym
ptom
s, cough, trouble breathing. Pt verbalized understanding of uses and denies experiencing any SE. Pt stated he does not drink alcohol.
Instructed patient Call your provider right away if you have any of the following: Pain
or burning in your shoulder, chest, back, arm
, or leg Fever of 100.4 F (38.0 C) or higher Chills Signs of infection at the catheter site (pain
, redness, drainage, burning, or stinging)
Instructed patient avoid any activities that cause m
ild pain
in your arm
. Talk to your healthcare team
if you have concerns about pain
or range of m
otion. Don't lift anything heavier than 10 pounds with the affected arm
.
SN to instruct patient Call your doctor or nurse call line now or seek im
m
ediate m
edical care if: you have new or worse sym
ptom
s of a kidney infection. These m
ay include: pain
or burning when you urinate, a frequent need to urinate without being able to pass m
uch urine, pain
in the flank, which is just below the rib cage and above the waist on either side of the back, blood in the urine.
Instructed patient Keep the dressing (or bandage) clean, dry, and secured to the skin. Do not put lotions or ointm
ents under the dressing. Call your provider right away if you have any of the following: Pain
or burning in your shoulder, chest, back, arm
, or leg Fever of 100.4?F (38.0?C) or higher Chills Signs of infection at the catheter site (pain
, redness, drainage, burning, or stinging)
SN instructed patient/ caregiver about Gentam
icin. SN explained that Gentam
icin is an antibiotic that fights bacteria. Gentam
icin is used to treat severe or serious bacterial infections. You should not use this m
edicine if you are allergic to gentam
icin or sim
ilar antibiotics such as am
ikacin, kanam
ycin, neom
ycin, parom
om
ycin, streptom
ycin, or tobram
ycin. Com
m
on side effects m
ay include: vision problem
s; nausea, vom
iting, loss of appetite, weight loss; a light-headed feeling, like you m
ight pass out; itching or rash; pain
where the m
edicine was injected; a headache, m
ood changes; or joint pain
. Get em
ergency m
edical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Instructed patient on isorsobide which is used to treat and prevent chest pain
, side effects of isorsobide are headache, dizziness, lightheadedness, nausea or vom
iting. Headache is often a sign that this m
edication is working; treat it with an aspirin or non-aspirin pain
reliever as recom
m
ended by your doctor. If any of these effects persist or worsen, notify your doctor or pharm
acist prom
ptly.
SN instructed patient/CG on Acetam
inophen pain m
edication usually used to treat m
inor to m
oderate pain
. SN instructed patient/CG to never exceed 3000 m
g in a 24 hour period. As with any m
edication Acetam
inophen m
ay have side effects, and if you experience SOB or a life threatening side effect please call 911 and seek em
ergency treatm
ent.
SN instructed on interm
ittent claudication which is a condition caused by narrowing of the arteries that supply the legs with blood. Interm
ittent claudication causes pain
in your calves when walking, Patients with interm
ittent claudication develop pain
when they walk because not enough oxygen-containing blood reaches the active leg m
uscles. There are two m
ain ways to treat claudication: m
edication and a surgical treatm
ent, called revascularization. M
edication therapies are often used initially as they are non-invasive. Com
pression therapy can also be used as a noninvasive way to treat sym
ptom
s of claudication. Interm
ittent calf com
pression has been shown in studies to im
prove sym
ptom
s-free walking distance.
SN to assess cardiovascular status, identify any signs and sym
ptom
s of im
paired cardiovascular function. SN to instruct patient on disease process, typical sym
ptom
s of an underlying cardiovascular issue include: pain
or pressure in the chest, which m
ay indicate angina, pain
or discom
fort in the arm
s, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats