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Medications
Patient was instructed on how to react drug side effects: To lessen dizziness stands up slowly. Sit or lie down at the first sign of dizziness. Go up and down the stairs slowly.
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.
Instructed patient that when using Atenolol he/she should be aware of symptoms of CHF and report inmediately if they appear, for example: difficulty breathing, specially when lying down, night cough, swelling of extremities, dizziness, confusion, depression, fever.
Instructed patient to flush all expired medication down the toilet.
Instructed patient to take his/her pills with a full glass of water and drink all the water even if the pill went down with the first swallow.
Instructed on the importance of staying fully upright (sitting, standing or walking) for at least 30 minutes after taking Fosamax; also, advised patient not to lie down until after his/her first food of the day after its intake.
Taught that Sensipar helps to slow down the development of bone disease and prevents mineral imbalance.
Taught that Fosamax works by decreasing the activity of cells which break down bone.
SN instruced patient and PCG to rise slowly from a sitting/supine position while taking this drug because Forteo may cause orthostatic hypotension. Patient should sit or lie down if symptoms occurs.
SN explained to patient that Lovenox has to be administer by deep subcutaneous injection with patient lying down.