high-blood-press
Medications
SN instructed patient / caregiver about the medication Isosorbide. SN explained that Isosorbide is a medication given to reduce the blood pressure and that it also reduces the heart rate. SN explained that the side effects of this medication includes fatigue, anxiety, weakness, dizziness, tachycardia, pulmonary edema, constipation and dry mouth. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if experiencing blurred vision, difficulty breathing, wheezing, dizziness, light - headedness, confusion, depression or dry mouth.
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.
SN instructed patient that the Glipizide is an oral diabetes medicine that helps control blood sugar levels by helping your pancreas produce insulin. That is used together with diet and exercise to treat Type 2 diabetes. Instructed patient to follow doctors orders and that it is to be taken 30 minutes before a meal twice a day. Reviewed symptoms / signs of hypoglycemia: headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Instructed on common side effects: mild nausea, diarrhea, constipation, dizziness, drowsiness or skin rash, redness or itching. Instructed patient to call 911 in the event of hives; difficulty breathing, swelling of your face, lips, tongue or throat.
Sn instructed about Jentadueto. This contains a combination of linagliptin and metformin. Linagliptin and metformin are oral diabetes medicines that help control blood sugar levels. Metformin works by decreasing glucose ( sugar ) production in the liver and decreasing absorption of glucose by the intestines. Linagliptin works by regulating the levels of insulin your body produces after eating.
Patient and CG instructed on Pravastatin. Pravastatin is used to lower cholesterol and triglycerides (types of fat) in the blood. Pravastatin is also used to lower the risk of stroke, heart attack, and other heart complications in people with or without coronary heart disease or other risk factors. Pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. This condition may be more likely to occur in older adults and in people who have kidney disease or poorly controlled hypothyroidism (underactive thyroid). Get emergency medical help if you have signs of an allergic reaction to pravastatin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Stop using and call your doctor at once if you have:unexplained muscle pain, tenderness, or weakness; fever, unusual tiredness; dark colored urine; chest pain; upper stomach pain, loss of appetite; or jaundice (yellowing of the skin or eyes). Common pravastatin side effects may include: muscle or joint pain; nausea, vomiting, diarrhea; headache; or cold symptoms such as stuffy nose, sneezing, sore throat.
Patient instructed on risk for internal bleeding R/T taking Warfarin. Any s/s of an internal bleed include: abdominal pain, black, tarry or bright red stool, coffee ground emesis, coughing up blood, unusual dark purple large bruising, & bloody urine. Patient should to seek immediate medical attention if any of these occur.
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.
SN instructed patient/ CG about Miralax to relieve constipation. SN instructed that MiraLax is used as a laxative to treat occasional constipation or irregular bowel movements. Common MiraLax side effects may include: bloating, gas, upset stomach; dizziness; or increased sweating.Get emergency medical help if you have any signs of an allergic reaction to MiraLax such as: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop taking this medicine and call your doctor at once if you have: severe or bloody diarrhea; rectal bleeding; blood in your stools; or severe and worsening stomach pain.
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.