pain m
SN instructed patient on Colostom
y Care. You contact your healthcare provider if: You have a fever, you have a foul odor com
ing from
your colostom
y bag or stom
ach that lasts longer than a week, your skin around the stom
ach becom
es red and irritated, you have nausea, vom
iting, pain
, cram
ping, or bloating, you do not have regular bowel m
ovem
ents through your stom
ach, the size of your stom
ach changes, you have questions or concerns about your condition.
SN instructed patient / caregiver on Hydrocodone is an orally active narcotic analgesic ( pain
reliever ) and antitussive ( cough suppressant ). SN instructed patient / caregiver that com
m
on side effects include dizziness, light - headedness, nausea, sedation, vom
iting. SN instructed that side effects m
ay be alleviated by lying down, and if they persist or worsen to notify physician. SN instructed to call physician im
m
ediately if the patient experiences slow / irregular breathing, slow / irregular heartbeat, change in the am
ount of urine or any allergic reactions. SN instructed patient / caregiver not to take m
ore than 8 tabs in one day and wait 6 hours in between adm
inistration to avoid com
plications.
SN instructed patient regarding m
edication Ciprofloxacin which is the antibiotic prescribed by patient's physician for UTI. SN instructed patient that the m
edication's com
m
on side effects include nausea, vom
iting, diarrhea and abdom
inal pain
. SN Instructed patient to notify physician if any of these sym
ptom
s persist or worsen. Em
phasized to patient the im
portance of com
pleting the full course of the antibiotic regim
en as prescribed to achieve the m
axim
um
therapeutic effect of the m
edication.
SN instructed patient / caregiver that Actos is an antidiabetic m
ed that is used to lower blood sugar. SN explained that it is im
portant to not take m
edication when blood sugar is low. SN instructed to patient / caregiver to check blood sugar level before taking the m
edication to avoid hypoglycem
ia. SN instructed that side effects of the m
edication include: SOB, swelling or rapid weight gain, chest pain
, N / V, jaundice, blurred vision, pale skin, easy bruising. SN instructed patient / caregiver to inform
physician if experiencing any of these side effect.
SN instructed patient / caregiver that Advair Diskus is a com
bination of inhaled drugs that is used to treat asthm
a and chronic bronchitis. SN instructed patient / caregiver on com
m
on side effects including upper respiratory tract infection & headaches. SN instructed to call physician / nurse for adverse effects including nausea, vom
iting, diarrhea, m
outh or throat candidiasis, or m
usculoskeletal pain
.
Sn instructed patient about Bystolic. This is a prescription m
edicine that belongs to a group of m
edicines called “beta blockers.” The m
ost com
m
on side effects people taking Bystolic report are headache, fatigue ( tiredness ), dizziness ( if you feel dizzy, sit or lie down and tell your doctor right away ), diarrhea, nausea, insom
nia ( difficulty falling or staying asleep ), chest pain
, bradycardia ( slow heartbeat ), dyspnea ( shortness of breath ), rash, and peripheral edem
a ( leg swelling due to fluid retention ). Other possible side effects include m
asking ( hiding ) the sym
ptom
s of low blood sugar and hyperthyroidism
( overactive thyroid ), especially a fast heartbeat. Tell your doctor if you gain weight or have trouble breathing while taking Bystolic. Patient verbalized fair understanding .
SN instructed patient regarding m
edication Lipitor. SN inform
ed patient / caregiver that Lipitor is a m
edication that reduces levels of bad cholesterol ( LDL ) and triglyceride in the blood while increasing the level of good cholesterol ( HDL ). SN explained that this m
edication is used to treat high cholesterol and to lower risk of stroke, heart attack or other heart com
plication in people with type 2 diabetes. SN inform
ed patient / caregiver that patient should eat low cholesterol diet and avoid drinking alcoholic beverages when taking lipitor because it increase risk of liver dam
age. SN explained to patient / caregiver that side effects to watch out for are unexplained m
uscle pain
, fever and dark colored urine, swelling urinating less than usual and weight gain. SN instructed patient / caregiver to report any persistence or worsening of side effects.
SN instructed patient / caregiver regarding m
edication Lovastatin. SN instructed patient / caregiver that Lovastatin lowers cholesterol by reducing body's production of cholesterol. SN explained to patient / caregiver that the side effects of this m
edication includes abdom
inal cram
ps, elevated liver enzym
es, rashes and unexplained m
uscle pain
/ tenderness. SN instructed patient / caregiver to notify physician ( M
D ) if any of these adverse effects are felt.
SN instructed patient / caregiver regarding m
edication Lyrica. SN instructed patient that Lyrica is used to relieve nerve pain
as in fibrom
yalgia and neuralgia. SN explained to patient / caregiver that side effects of this m
edication includes ataxia, dizziness, peripheral edem
a, trem
ors, and weight gain. SN instructed to notify physician ( M
D ) if experiencing persistence or worsening of side effects.
SN instructed patient / caregiver regarding m
edication M
etoprolol. M
etoprolol is used for treating high blood pressure, heart pain
, abnorm
al rhythm
s of the heart, and som
e neurologic conditions; it reduces the force of contraction of heart m
uscle and thereby lowers blood pressure. Side effects to report to physician ( M
D ) when taking M
etoprolol including diarrhea, constipation, fatigue, insom
nia, nausea, depression, m
em
ory loss, fever, lightheadedness, slow heart rate, low blood pressure, cold extrem
ities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( M
D )