medication
SN instructed that Torsemide is a loop diuretic. It works by making the kidney eliminate larger amounts of electrolytes ( especially sodium and potassium salts ) and water than normal ( diuretic effect ). It is used to treat edema ( swelling ) associated with heart, kidney, or liver failure, or with conditions in which there is excess body water. It is also used alone or with other medicines to treat high blood pressure. Torsemide may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm. If you also take cholestyramine, do not take it within 4 hours before or after taking torsemide. may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Torsemide may affect your blood sugar. Check blood sugar levels closely. Weight should be monitored while taking this medication.
SN instructed patient about medication Tramadol a narcotic - like pain reliever. You should not take tramadol if you are allergic to it, or if you have: severe asthma or breathing problems; a blockage in your stomach or intestines; if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications. Patient verbalized understanding the teaching. Those teaching will be reinforced.
SN instructed patient and caregiver on new pain medication Nucynta ( Tapentadol ) is used to help relieve moderate to severe short - term pain ( such as pain from an injury or after surgery ). It belongs to a class of drugs known as narcotic ( opioid ) analgesics. It works in the brain to change how your body feels and responds to pain. Some Common side effects are nausea, vomiting, constipation, dizziness, or drowsiness. Get medical help right away if you have any serious side effects, including: slow / shallow breathing, fainting, seizures, unusual drowsiness / difficulty waking up may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching / swelling ( especially of the face / tongue / throat ), severe dizziness, trouble breathing.
Sn instructed patient about that the Restoril should be used only by the person it was prescribed for. This medicine should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Misuse of habit-forming medicine can cause addiction, overdose, or death.
SN instructed on Morphine. This is used to treat moderate to severe pain. Short - acting formulations are taken as needed for pain. You should not take morphine if you have severe asthma or breathing problems, a blockage in your stomach or intestines, or a bowel obstruction called paralytic ileus. Morphine can slow or stop your breathing. Never use this medicine in larger amounts, or for longer than prescribed. Do not crush, break, or open an extended - release pill. Swallow it whole to avoid exposure to a potentially fatal dose. Morphine may be habit - forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Take morphine exactly as prescribed by your doctor. Follow all directions on your prescription label.
SN instructed patient / caregiver on medication Amikacin. SN explained that Amikacin is an anti - infective in the aminoglycoside family which is indicated as part of combination therapy for mycobacterium avium complex. SN explained that side effects include ototoxicity, nephrotoxicity, apnea and hypersensitivity. SN instructed patient / caregiver that call your physician ( MD ) if you experience to signs of hypersensitivity, tinnitus ( ringing of the ears ), vertigo ( dizziness ), muscle weakness, twitching, feeling of fullness in the head or hearing loss.
SN instructed patient / caregiver regarding medication Digoxin. Explained that Digoxin helps make the heart beat stronger and with a more regular rhythm to treat A - fib. Explained that the side effects may include mild nausea, vomiting, diarrhea and headache. SN instructed patient / caregiver to avoid becoming overheated or dehydrated during exercise, in hot weather or by not drinking enough fluids, because Digoxin overdose can occur more easily if dehydrated, and to call 911 if overdose is suspected. Explained that the overdose symptoms may include severe nausea, severe vomiting or diarrhea, loss of appetite, blurred vision, seeing halos around lights or objects, severe skin rash, fast / slow or uneven heartbeats, and feeling like passing out. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistent side effects or adverse effects.
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 / caregiver regarding medication Metoprolol. Metoprolol is used for treating high blood pressure, heart pain, abnormal rhythms of the heart, and some neurologic conditions; it reduces the force of contraction of heart muscle and thereby lowers blood pressure. Side effects to report to physician ( MD ) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart rate, low blood pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( MD )