high blood pressure
Medications
Taught that Hyzaar is a combination of two (2) drugs: one drug relaxes the blood vessels and causes them to widen, while the other drug increases the amount of urine the body produces and, therefore, decreases excess water and salt in the body.
Advise patient to never share insulin pens or cartridges, sharing needles or pens can result in transmission of hepatitis viruses, HIV, or other blood-borne pathogens.
teach patient how control to monitor blood glucose and to report difficulties in glycemic control
Sn instructed patient on medication Glipizide, it is an oral diabetes medicine that helps control blood sugar levels by helping your pancreas produce insulin. Take glipizide 30 minutes before a meal. If you take this medicine once daily, take it 30 minutes before breakfast. Do not crush, chew or break an extended-release tablet. Swallow it whole.
SN instructed patient that Xifaxan is used for cessation of traveler's diarrhea and the reduction in risk of overt hepatic encephalopathy. Side effects are dizziness and peripheral edema. SN instructed patient to take rifaximin as directed and to complete therapy, even if feeling better. Caution patient to stop taking rifaximin if diarrhea symptoms get worse, persist more than 24–48 hr or are accompanied by fever or blood in the stool. Consult health care professional if these occur. Advise patient not to treat diarrhea without consulting health care professional. May occur up to several weeks after discontinuation of medication. Caution patient to avoid driving and other activities requiring alertness until response to medication is known.
SN instructed patient that Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat certain inflammatory diseases and for many different indications including: asthma, COPD, CIDP, rheumatic disorders, allergic disorders, ulcerative colitis and Crohn's disease, adrenocortical insufficiency, hypercalcemia due to cancer, thyroiditis, laryngitis, severe tuberculosis, urticaria ( hives ), lipid pneumonitis. Possible side effect may include, Increased blood sugar for diabetics, Difficulty controlling emotion, Difficulty in maintaining train of thought, Weight gain, Immunosuppression, Facial swelling, Severe, Depression, mania, psychosis, or other psychiatric symptoms, Unusual fatigue or weakness, Mental confusion / indecisiveness, Memory and attention dysfunction (Steroid dementia syndrome), Blurred vision. Take prednisone as ordered.
Sn instructed patient about Bystolic. This is a prescription medicine that belongs to a group of medicines called “beta blockers.” The most common 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, insomnia ( difficulty falling or staying asleep ), chest pain, bradycardia ( slow heartbeat ), dyspnea ( shortness of breath ), rash, and peripheral edema ( leg swelling due to fluid retention ). Other possible side effects include masking ( hiding ) the symptoms 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 / caregiver regarding medication Dilantin. Explained that Dilantin is an anticonvulsant and is used to control seizures. SN instructed patient / caregiver that the side effects of this medication includes headache, nausea, vomiting, constipation, dizziness, drowsiness, insomnia and nervousness, swelling of gums may also occur. SN instructed to call physician ( MD ) if patient experiences unusual eye movement, loss of coordination, slurred speech, confusion, blurred vision, or tingling of hands and feet. SN instructed patient / caregiver that blood draws are usually done regularly to make sure that the medication in the body is within therapeutic level.
SN instructed patient / caregiver regarding medication Lantus insulin. SN instructed patient / caregiver that insulin is used by the body to remove and use glucose from the blood and produce energy and that it is used in type 2 diabetes to overcome the resistance of the cells to insulin. SN explained that Lantus insulin starts working after 1 - 2 hours and peaks after 6 hours after injection, and has a duration of 18 - 26 hours. SN informed that hypoglycemia is the most common side effect that may occur during insulin therapy. SN instructed patient / caregiver to rotate insulin injection sites to avoid bruising and injury.
SN instructed patient / caregiver regarding medication Lovenox. SN informed patient / caregiver that Lovenox prevents clots from forming in the blood stream. SN instructed to keep prefilled syringes in room temperature 59 - 86°F. SN instructed patient / caregiver on proper administration of Lovenox and provided handout. SN informed that the most common side effect associated with Lovenox is bleeding. SN instructed to call Physician ( MD ) if patient / caregiver experiences any increased pain or symptoms / signs ( s / s ) of internal bleeding. SN Informed that a mild local irritation, pain, hematoma, ecchymosis, and erythema may occur at the site of injection. SN instructed to rotate injection sites around abdomen.