bedbound-patient
Instructed patient and caregiver about Tramadol. It is an opioid pain medication used to treat moderate to moderately severe pain. Serious side effects of Tramadol may include: seizures, increased risk of serotonin syndrome, decreased alertness, and drug addiction. Common side effects include: constipation, itchiness and nausea, etc. A change in dosage may be recommended in those with kidney or liver problems.
Patient instructed on stress avoidance techniques such as: listening to relaxing music, meditation, distracting oneself from the stressor/s, and to engage in immersive yet relaxing activities.
SN instructed patient that Avodart is used to treat benign prostatic hyperplasia. It increases the risk of erectile dysfunction and decreased sexual desire, decreased semen amount, breast enlargement or breast tenderness, among others.
SN instructed patient that Zocor( Simvastatin) reduces levels of "bad" cholesterol (low-density lipoprotein, or LDL) and triglycerides in the blood, while increasing levels of "good" cholesterol (high-density lipoprotein, or HDL). Zocor is used to lower cholesterol and triglycerides in the blood. It is also used to lower the risk of stroke, heart attack, and other heart complications in people with diabetes, coronary heart disease, or other risk factors.
SN instructed patient that Zocor( Simvastatin) may infrequently cause muscle problems , which can rarely lead to very serious conditions called rhabdomyolysis and autoimmune myopathy. Daily use of alcohol may increase your risk for liver problems, especially when combined with simvastatin.
SN instructed patient about ways to relieve muscle stiffness such as performing exercises including gentle muscle stretching as tolerated, obtaining adequate rest or uninterrupted sleep in order to reduce stress, massaging affected body parts if not contraindicated and to avoid lifting heavy objects. Instructed to inform doctor or skilled nurse if discomfort progress or when severe or unexplained pain is felt.
SN instructed patient that Robitussin its used as a cough medicine, and it is sell over the counter. It contains (Dextromethorphan and guaifenesin) a combination medicine used to treat cough and chest congestion caused by the common cold, infections, or allergies. Common side effects may include: dizziness, drowsiness; sleep problems (insomnia); diarrhea; or feeling nervous, restless, anxious, or irritable. Robitussin Overdose may cause breathing problems and cardiac arrhythmia.
SN instructed patient and caregiver that Zithromax (Azithromycin) is an antibiotic useful for the treatment of bacterial infections. Most common side effects are diarrhea , nausea, abdominal pain and vomiting. Nervousness, dermatologic reactions, and anaphylaxis have been reported. As with all antimicrobial agents, pseudomembranous colitis can occur during and up to several weeks after azithromycin therapy.
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.
SN educated caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure an that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain, back pain, numbness/weakness, change in vision, difficulty speaking do not wait to see if your pressure comes down on its own. SN advised caregiver to seek immediately medical assistance and/or call 9-1-1 if listed above occurs or worsen with patient. Caregiver verbalized understanding of all teachings during visit.