high-blood-press
Medications
SN instructed in new medication Apresoline ( Hydralazine ), its uses as a vasodilator to decrease BP and common side effects such as; Headache, anorexia, dizziness, hypotension, nausea, vomiting, diarrhea, palpitations, tachycardia, angina pectoris. Patient was instructed on the signs and symptoms of hypotension that may happen in a few seconds or minutes of standing up after been sitting or lying down. It feel like fainting. Signs include: dizziness, blurry vision, confusion, weakness and nausea. Those symptoms go away if sitting or lying down for few minutes until the blood pressure adjusts to normal.
Fludrocortisone is a corticosteroid. It works by causing the kidneys to retain sodium and acting as a replacement for cortisone when the body does not produce enough.Carry an ID card at all times that says you take fludrocortisone. Tell your doctor or dentist that you take fludrocortisone before you receive any medical or dental care, emergency care, or surgery.Fludrocortisone may cause an increase in blood pressure, salt and water retention, and calcium and potassium loss. Talk with your doctor to see if you need to decrease the amount of salt in your diet or take a calcium or vitamin D supplement. Check with your doctor if any of these most common side effects persist or become bothersome:Difficulty sleeping; dizziness or lightheadedness; headache; increased appetite; increased sweating; indigestion; nervousness
SN instructed that the metoprolol lowers blood pressure by decreasing workload of heart. Watch for dizziness, lightheadedness when getting up, headache, stomach upset, loss of taste, fatigue and insomnia.
SN instructed patient / caregiver about Bethanechol. Sometimes given orally or subcutaneously to treat urinary retention resulting from general anesthetic, diabetic neuropathy of the bladder, or a side effect of antidepressants or to treat gastrointestinal atony (lack of muscular tone). Adverse reaction are rare following oral administration of Bethanechol, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. Adverse reactions that have been observed: Body as a Whole: malaise; Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation; Renal: urinary urgency; Nervous System: headache; Cardiovascular: a fall in blood pressure with reflux tachycardia, vasomotor response; Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating; Respiratory: bronchial constriction, asthmatic attacks; Special Senses: lacrimation, miosis.
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 on medication Hydrochlorothiazide. SN explained to patient that Hydrochlorothiazide ( HCTZ ) is a medication indicated for edema and hypertension. SN explained to patient / caregiver that it is a diuretic that reduces fluid volume overload which, in turn, lowers blood pressure. Explained that side effects of this medication includes dizziness, dehydration, weakness, pancreatitis, anemia and nausea. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence or worsening of side effects.