high blood pressure
Medications
SN instructed patient that eliquis could cause bruising, internal bleeding, increased bleeding time so if any falls, severe cuts or unexplained pain or pain pressure call 911 anytime you think you may need emergency care. For example, call if: You cough up blood
, you vomit blood
or what looks like coffee grounds, you pass maroon or very blood
y stools. Patient was able to be taught back.
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;blood
y or tarry stools, coughing up blood
or vomit that looks like coffee grounds.
SN instructed patient / caregiver regarding medication Glimepiride. SN instructed patient / caregiver that Glimepiride is a antidiabetic medication that lowers blood
sugar level. SN instructed patient / caregiver to check blood
sugar before taking the medication to avoid hypoglycemia. SN explained to patient / caregiver that low blood
sugar ( hypoglycemia ) can occur during glimepiride therapy. SN explained that the symptoms of low blood
sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion, or loss of consciousness. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of these side effects.
SN instructed patient / caregiver regarding medication Glipizide. SN informed patient / caregiver that Glipizide is used to help control blood
sugar levels, causing the pancreas to release insulin, which helps to lower blood
sugar. SN explained to patient / caregiver that the side effects include low blood
sugar ( hypoglycemia ) can occur when on this medication. SN explained that symptoms of low blood
sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion or loss of consciousness and should be reported to physician ( MD ) if persistently experienced.
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 blood
y 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.
High
blood
cholesterol is first treated with exercise, weight loss, and a diet low in cholesterol and saturated fats. When these measures fail, cholesterol-lowering medications such as Simvastatin can be added.
Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood
to clot and why it's important in patients taking Coumadin, because high
amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.
SN instructed patient that lovaza is approved in the U.S. for treatment of patients with very high
triglycerides (hypertriglyceridemia). Lovaza is indicated for: Hypertriglyceridemia, used as monotherapy , or in combination with a statin for patients with mixed dyslipidemia. Also as a secondary prevention after myocardial infarction. Infrequent side effects of lovaza: burping, indigestion, rash, taste problem. Rare side effects of Lovaza: blood
clotting disorder. Life threatening allergic reaction, abnormal liver function tests, Itching.
SN instructed patient regarding medication Lipitor. SN informed patient / caregiver that Lipitor is a medication that reduces levels of bad cholesterol ( LDL ) and triglyceride in the blood
while increasing the level of good cholesterol ( HDL ). SN explained that this medication is used to treat high
cholesterol and to lower risk of stroke, heart attack or other heart complication in people with type 2 diabetes. SN informed patient / caregiver that patient should eat low cholesterol diet and avoid drinking alcoholic beverages when taking lipitor because it increase risk of liver damage. SN explained to patient / caregiver that side effects to watch out for are unexplained muscle pain, fever and dark colored urine, swelling urinating less than usual and weight gain. SN instructed patient / caregiver to report any persistence or worsening of side effects.
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.