picc line
SN instructed patient about Gabapentin ( Neurontin ). It is a medication used to treat epilepsy, neuropathic pain and hot flashes. It is also used for restless leg syndrome. It is a first line agent for the treatment of neuropathic pain arising from diabetic neuropathy, post-herpetic neuralgia, and central neuropathic pain. Most common side effects of gabapentin in adult patients include dizziness, fatigue, drowsiness, weight gain, and peripheral edema. It may also produce sexual dysfunction in some patients, symptoms of which may include loss of libido, inability to reach sexual climax, and erectile dysfunction. It should be used carefully in patients with renal impairment due to possible accumulation and toxicity. Warning of an increased risk of depression and suicidal thoughts and behaviors in patients taking gabapentin. Report to Physician or nurse if any of those side effect / adverse reaction occurs.
SN instructed patient / caregiver regarding medication Metformin. SN explained to patient / caregiver that metformin is an oral anti - diabetic medication and is used to treat type 2 diabetes mellitus. SN explained that it is the first - line drug of choice for the treatment of type 2 diabetes, particularly in overweight and obese people. SN explained that using metformin alone will help to lower blood sugar when it is too high and help restore the way food is used to make energy. SN instructed patient to notify physician ( MD ) if experiencing symptoms / signs ( S / S ) of hypoglycemia such as shakiness, nervousness, sweating associated with dizziness / lightheadedness.
SN to instruct patient Call your doctor or nurse call line now or seek immediate medical care if: you have new or worse symptoms of a kidney infection. These may include: pain or burning when you urinate, a frequent need to urinate without being able to pass much 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.
Patient was explained that having a nephrostomy tube in for a long time increases the risk of getting an infection. Nephrostomy tube care focuses on preventing infection. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.. understanding was verbalized
SN instructed patient on how to get plenty of rest and sleep. Take your medicines exactly as prescribed. Call your doctor or nurse call line if you think you are having a problem with your medicine. Find healthy ways to deal with stress. Exercise daily. Get plenty of sleep. Eat regularly and well. Patient verbalized understanding.
Instructed patient Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You have signs of severe bleeding, such as: A severe headache that is different from past headaches. Vomiting blood or what looks like coffee grounds. Passing maroon or very bloody stools. Call your doctor or nurse call line now or seek immediate medical care if: You have unexpected bleeding, including: Blood in stools or black stools that look like tar. Blood in your urine. Bruises or blood spots under the skin. You feel dizzy or light-headed.
Instructed patient Call your doctor or nurse call line now or seek immediate medical care if: You are vomiting.You have new or worse belly pain.You have a fever. You cannot pass stools or gas.