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Zofran - ondansetron Teaching 2183

SN instructed patient / caregiver on Zofran - ondansetron. This medication blocks the actions of chemicals in the body that can trigger nausea and vomiting. Zofran is used to prevent nausea and vomiting that may be caused by surgery, cancer chemotherapy, or radiation treatment. Serious side effects include blurred vision or temporary vision loss ( lasting from only a few minutes to several hours ), slow heart rate, trouble breathing, anxiety, agitation, shivering, feeling like you might pass out, and urinating less than usual or not at all. Stop taking Zofran and call your doctor at once if you have any of these side effects. Ondansetron may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Zofran side effects get emergency medical help if you have signs of an allergic reaction to Zofran: rash, hives, fever, chills, difficult breathing, swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe constipation, stomach pain, or bloating, headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats, fast or pounding heartbeats, jaundice ( yellowing of the skin or eyes ); blurred vision or temporary vision loss ( lasting from only a few minutes to several hours ); high levels of serotonin in the body - agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting. Patient / caregiver verbalized understanding. Instruct to call agency for questions or concerns.

Lisinopril Teaching 2219

SN instructed patient about the drug lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension ACE is important because it is an enzyme responsible for producing the chemical, angiotensin II. Angiotensin II causes muscles in most arteries, including the arteries of the heart, to contract, thereby narrowing the arteries and elevating blood pressure. ACE inhibitors such as lisinopril lower blood pressure by reducing the production of angiotensin II, thereby relaxing arterial muscle and enlarging arteries. When the blood pressure is lower, the heart - including the failing heart - does not have to work as hard to pump blood. The arteries supplying the heart with blood also enlarge during treatment with ACE inhibitors. This increases the flow of blood and oxygen to the heart, further improving the ability of the heart to pump bloodSide effects include: dizziness due to a drop in blood pressure, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools. Pt verbalized understanding.

Tracheostomy Teaching 2245

Tracheostomy care Instructed patient caregiver Signs and symptoms of difficulty breathing are: Retractions Pulling of the skin between the ribs, under the breastbone or around the trach itself. Also symptoms of difficulty breathing are: Sweaty and pale skin, a person is sweaty and pale and seems to be working hard to breathe while at rest, dusky lips or nail beds. The lips or nail beds look dark, dusky or blue.

COPD Teaching 2258

Chronic obstructive pulmonary disease (COPD) is a condition in which the bronchioles (breathing tubes) leading to the lung develop thickened membranes that secrete large amounts of sputum and pus or in which the tine alveoli (air sacs) within the lungs become inelastic and sometimes break open and trap air. COPD causes breathing to become more difficult because air is taken in and cannot be expelled completely.

Sulfamethoxazole Teaching 2322

SN instructed patient about Sulfamethoxazole. Call your doctor right away if you notice any of these side effects: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Blistering, peeling, or red skin rash, Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes, Chest pain, cough, or trouble breathing, Confusion, weakness, Muscle twitching, Severe diarrhea, stomach pain, cramps, bloating, Skin rash, purple spots on your skin, or very pale or yellow skin, Sore throat, fever, muscle pain, Uneven heartbeat, numbness or tingling in your hands, feet, or lips, Unusual bleeding, bruising, or weakness. If you notice these less serious side effects, talk with your doctor: Mild nausea, vomiting, or loss of appetite.

Symbicort Teaching 2332

Patient instructed on Symbicort as following: is used long-term to improve symptoms of COPD, including chronic bronchitis and emphysema, for better breathing and fewer flare-ups. Do not use Symbicort for sudden severe symptoms of COPD or asthma. Use only as directed. SE include chest pain, fast and irregular heartbeat, tremor, increased blood pressure, headache or nervousness, Fungal infection in your mouth or throat (thrush). Rinse your mouth with water without swallowing after using Symbicort to help reduce your chance of getting thrush. Call your healthcare provider if you notice any of the following symptoms: increase in mucus production or change in color, fever, increased cough, chills, or increased breathing problems.

Breathing Teaching 2346

SN instructed patient/ caregiver that Bradycardia can be a serious problem if the heart doesn't pump enough oxygen-rich blood to the body. For some people, however, bradycardia doesn't cause symptoms or complications.SN explained that If you have bradycardia, your brain and other organs might not get enough oxygen, possibly causing these symptoms: Near-fainting or fainting (syncope) Dizziness or lightheadedness, Fatigue, Shortness of breath, Chest pains, Confusion or memory problems, Easily tiring during physical activity.If you faint, have difficulty breathing or have chest pain lasting more than a few minutes, get emergency care or call 911 or your local emergency number.

Baclofen Teaching 2349

SN instructed patient/ caregiver about Baclofen.That it is a muscle relaxer and an antispastic agent. SN instructed to Get emergency medical help if you have signs of an allergic reaction to baclofen such as: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: weak or shallow breathing; confusion, hallucinations; or a seizure (convulsions). Common baclofen side effects may include: drowsiness, dizziness, weakness, tired feeling; headache; sleep problems (insomnia); nausea, constipation; or urinating more often than usual.

COPD Teaching 2457

SN instructed if your breathing gets bad, oxygen can help make it easier. With COPD, your lungs don't absorb oxygen the way they should, so they can't get it to the rest of your body. That makes it harder for your body and your organs to do their jobs. When you use extra oxygen, breathing is easier and you're able to do more every day.

Shortness of Breath Teaching 2519

Instructed what can you do to manage shortness of breath (SOB) be active even if you have severe lung problems, you can do small amounts of exercise. Take it slowly and use abdominal breathing as much as possible. Increase the amount of exercise you do little by little to improve your breathing and feel better. Showering or bathing keep the bath water shallow and lukewarm. Open a window in the bathroom to let in fresh air and let out steam. Sit in the shower. Position the shower water away from your face. Rest when you need to.