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Instructed patient on Prednisone which is used for allergy reactions, rheumatoid arthritis among other diseases. Side effects include: swelling in hands, face and feet, increased hunger, muscle weakness and abdominal distention. One interaction of Prednisone is it may cause hypernatremia, hypokalemia, fluid retention, and elevation in blood pressure.
Instructed patient on Coenzyme Q10 which is used for heart problems. It has also been used for reducing the number of migraine headaches. Nausea, loss of appetite, upset stomach, or diarrhea may rarely occur. If any of these effects persist or worsen, contact your home health nurse or doctor promptly.
Instructed patient on isorsobide which is used to treat and prevent chest pain, side effects of isorsobide are headache, dizziness, lightheadedness, nausea or vomiting. Headache is often a sign that this medication is working; treat it with an aspirin or non-aspirin pain reliever as recommended by your doctor. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
Instructed patient on Atorvastatin which is used to lower cholesterol, some side effects include confusion, memory problems; fever, unusual tiredness, and dark colored urine; swelling, weight gain, urinating less than usual or not at all, increased thirst, increased urination, hunger, dry mouth, and fruity breath odor.
Instructed patient on Dulcolax ( Bisacodyl ) which is used to treat constipation. Most common side effects include: Stomach/abdominal pain or cramping, nausea, diarrhea, or weakness. If any of these side effects persist or become severe contact MD or HH nurse.
SN instructed patient on heart healthy diet: reduce na intake by choosing fresh vegetables instead of canned, choose healthy fats which includes olive and canola oil, walnuts and flax seeds, avoid foods that include margarine, avoid fried foods, and eat more soluble fiber foods such as apples, broccoli, carrots and avoid fatty meats such as hotdogs, sausage and bacon.
SN instructed pt on high risk med Basaglar KwikPen Subcutaneous Do not take Basaglar during episodes of low blood sugar or if you are allergic to insulin glargine or any of the ingredients in Basaglar. Do NOT reuse needles or share insulin pens, even if the needle has been changed.The most common side effect of insulin, including Basaglar, is low blood sugar (hypoglycemia), which may be serious and life threatening. Signs and symptoms may include dizziness or light-headedness, sweating, confusion, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, mood change, or hunger.
Educated patient on new medication; Amitiza which is used to treat chronic constipation, or constipation caused by opioid (narcotic) pain medicine. It may also be used to treat irritable bowel syndrome in women with constipation as the main symptom.
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. SN to instruct patient on disease process, typical symptoms of an underlying cardiovascular issue include: pain or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats
Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Massage or stroking the affected area toward your heart using firm, but not painful, pressure may help move the excess fluid out of that area. Patient verbalized understanding.