pain
Medications
Sn instructed patient that venelex ointment contains balsam peru 87.0mg and castor oil usp 788.0mg in an ointment base of glyceryl monostearate and trypsin. It promotes debridement of eschar and other necrotic tissue. Balsam peru is a effective capillary bed stimulant used to increase circulation in the wound site area. Also, balsam peru has a mildly bactericidal action. Castor oil improves epithelialization by reducing premature epithelial desiccation and cornification. Also, it can act as a protective covering and aids in the reduction of pain. Venelex ointment is used to promote wound healing and the treatment of decubitus ulcers, varicose ulcers and dehiscent wounds. Venelex™ ointment is easy to apply and quickly reduces odors frequently accompanying a decubitus ulcer. The wound may be left open or appropriate dressing applied. Please note that wounds generally heal poorly in the presence of hemoglobin or zinc deficiency. Venelex™ ointment can relieve pain and promote healing. Venelex ointment is for external use only. Do not apply to fresh arterial clots. Avoid contact with eyes. Keep this and all other medications out of reach of children. Keep tightly closed. Use only as directed by a physician. When applied to a sensitive area, a temporary stinging may occur. Apply a thin film of venelex™ ointment topically a minimum of twice daily or as often as necessary. Wound may be left unbandaged or appropriate dressing can be applied. To remove, wash gently with an appropriate wound cleanser.
SN instructed pt regarding Keppra (levetiracetam), it is an anti-epileptic drug, also called an anticonvulsant. Keppra is usually taken once every 12 to 24 hours. Take the medicine at the same time each day. You may take this medicine with or without food. Use Keppra regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. Do not stop using this medicine suddenly, even if you feel fine. Stopping suddenly may cause increased seizures. Follow your doctor's instructions about tapering your dose. Avoid drinking alcohol. It can increase some of the side effects of Keppra and may also increase the risk of seizures. Levetiracetam may impair your thinking or reactions. Avoid doing anything that requires your attention until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents. Common Keppra side effects may include: dizziness, drowsiness; feeling tired; weakness; feeling aggressive or irritable; loss of appetite; stuffy nose; or infection. Call your doctor at once if you have: unusual changes in mood or behavior (unusual risk-taking behavior, being irritable or talkative); confusion, hallucinations, loss of balance or coordination; extreme drowsiness, feeling very weak or tired; bruising, severe tingling, numbness, pain, muscle weakness; problems with walking or movement; the first sign of any skin rash, no matter how mild; or signs of an infection - fever, swollen gums, painful mouth sores, pain when swallowing, skin sores, cold or flu symptoms, cough, trouble breathing. Pt verbalized understanding of uses and denies experiencing any SE. Pt stated he does not drink alcohol.
SN instructed patient/ caregiver about Gentamicin. SN explained that Gentamicin is an antibiotic that fights bacteria. Gentamicin is used to treat severe or serious bacterial infections. You should not use this medicine if you are allergic to gentamicin or similar antibiotics such as amikacin, kanamycin, neomycin, paromomycin, streptomycin, or tobramycin. Common side effects may include: vision problems; nausea, vomiting, loss of appetite, weight loss; a light-headed feeling, like you might pass out; itching or rash; pain where the medicine was injected; a headache, mood changes; or joint pain. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Instructed patient on isorsobide which is used to treat and prevent chest pain, side effects of isorsobide are headache, dizziness, lightheadedness, nausea or vomiting. Headache is often a sign that this medication is working; treat it with an aspirin or non-aspirin pain reliever as recommended by your doctor. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
SN instructed patient/CG on Acetaminophen pain medication usually used to treat minor to moderate pain. SN instructed patient/CG to never exceed 3000 mg in a 24 hour period. As with any medication Acetaminophen may have side effects, and if you experience SOB or a life threatening side effect please call 911 and seek emergency treatment.
Patient instructed Protonix (pantoprazole) is a proton pump inhibitor that decreases the amount of acid produced in the stomach. Take once daily in the morning with or without food. Common Protonix side effects may include: headache, dizziness; stomach pain, gas, nausea, vomiting, diarrhea; joint pain; or fever, rash, or cold symptoms. Instructed to notify prescriber if unusual or bothersome side effects occur or medication is not effective.
Instructed patient on new medication Sulindac. Sulindac is a nonsteroidal anti-inflammatory drug (NSAID). Sulindac works by reducing hormones that cause inflammation and pain in the body. Sulindac is used to treat pain or inflammation caused by arthritis, ankylosing spondylitis, tendinitis, bursitis, or gout. Patient verbalized understanding.
SN instructed patient and caregiver on SIMVASTATIN. Simvastatin is a cholesterol-lowering medicine. It inhibits the production of cholesterol by the liver. 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. Simvastatin is generally well-tolerated and side effects are rare. Minor side effects of Simvastatin include constipation, diarrhea, fatigue, gas, heartburn, and headache. Major side effects of Simvastatin include abdominal pain or cramps, blurred vision, dizziness, easy bruising or bleeding, itching, muscle pain or cramps, rash, and yellowing of the skin or eyes.
SN educated patient and caregiver on Lidocaine patches. These patches are used to relieve the pain of post-herpetic neuralgia (PHN; the burning, stabbing pains, or aches that may last for months or years after a shingles infection). It works by stopping nerves from sending pain signals. To apply the patches, follow these steps: 1. Look at the skin that you plan to cover with a lidocaine patch. If the skin is broken or blistered, do not apply a patch to that area. 2. Use scissors to remove the outer seal from the package. Then pull apart the zipper seal. 3. Remove up to three patches from the package and press the zipper seal tightly together. The remaining patches may dry out if the zipper seal is not tightly closed. 4. Cut patch(es) to the size and shape that will cover your most painful area. 5. Peel the transparent liner off the back of the patch(es). 6. Press the patch(es) firmly onto your skin. If you are applying a patch to your face, be careful not to let it touch your eyes. If you do get lidocaine in your eye, wash it with plenty of water or saline solution. 7. Wash your hands after handling lidocaine patches. 8. Do not reuse lidocaine patches.
SN instructed patient to keep pre-filled syringes at room temperature. SN instructed/demonstrated patient / caregiver on proper administration of Lovenox. SN informed that the most common side effect associated with Lovenox is bleeding. Patient was instructed to call Physician (MD) they experience any increased pain signs or symptoms of excessive bleeding/bruising. SN Informed that mild localized irritation, pain, hematoma, ecchymosis may occur at the site of injection.