patient-unable
SN instructed patient about Sensipar (cinacalcet) is an agent that increases the sensitivity of the parathyroid gland to calcium in the body. This causes a decrease in levels of parathyroid hormone (PTH), calcium, and phosphorous in the body. Sensipar works best if you take it with food or shortly after eating a meal. Do not crush or break a Sensipar tablet. Swallow the pill whole. Call your doctor at once if you have a serious side effect such as numbness or tingly feeling around your mouth, fast or slow heart rate, muscle tightness or contraction, overactive reflexes, seizure, feeling short of breath, swelling, rapid weight gain, or feeling like you might pass out.
SN instructed patient about Xarelto (rivaroxaban) is an anticoagulant (blood thinner) that prevents the formation of blood clots. Used to treat A-fib and lower the risk of a stroke from a blood clot. Side effects include bruising, itching, muscle pain, pain in arms or legs. Serious side effects include: urine that looks red, pink, or brown;headache, dizziness, weakness, feeling like you might pass out;bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.
SN instructed patient about Aggrenox contains a combination of aspirin and dipyridamole. Aspirin is in a group of drugs called salicylates. It works by reducing substances in the body that cause pain, fever, and inflammation. Dipyridamole 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 "mini-stroke" (also called a transient ischemic attack or TIA).Avoid drinking alcohol while you are taking aspirin products. Alcohol may increase your risk of stomach bleeding. Side effects include joint pain, drowsiness, headache, upset stomach, mild heartburn, nausea, vomiting, or diarrhea.
SN instructed patient about Meclizine is an antihistamine that reduces the effects of natural chemical histamine in the body. It is used to treat or prevent nausea, vomiting, and dizziness caused by motion sickness. It is also used to treat symptoms of vertigo (dizziness or spinning sensation) caused by disease that affects your inner ear. S/E include dry mouth, headache, vomiting, tired feeling and drowsiness.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
Skilled nurse instructed patient about medication Furosemide, a 'water pill,' is used to reduce the swelling and fluid retention caused by various medical problems, including heart or liver disease. It is also used to treat high blood pressure. It causes the kidneys to get rid of unneeded water and salt from the body into the urine. Tell your doctor if any of these symptoms are severe or do not go away: muscle cramps, weak.
Instructed patient about medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
SN instructed patient about Glimepiride is an oral blood sugar-lowering drug in a class of medicines for controlling diabetes. Glimepiride lowers the sugar level in the blood by stimulating insulin to be secreted from the pancreas into the blood. Nausea and upset stomach may occur.
SN instructed patient on the importance of daily monitoring of the blood pressure; along with reporting an elevated BP of 160/90 and above to MD/SN stat.
SN instructed patient and/or caregiver on importance to follow medication regimen exactly as ordered by Md without skipping any doses, nor sharing with others.