pain management
Instructed ALF's staff in new medication of Clopidogrel ( Plavix ) to reduce atherosclerotic events. In addition, warned of possible side effects such as headache, dizziness, fatigue, depression, pain, edema, hypertension, rhinitis, epistaxis, abdominal pain, gastritis, constipation, diarrhea, ulcers, arthralgia, coughing, rash, pruritus and others.
VITAMIN C
Patient was instructed in new medication Vitamin C side effects such as; nausea, vomiting, heartburn, abdominal cramps, and headache. Dental erosion may occur from chronically chewing vitamin C tablets.
Instructed patient and caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure. 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. Seek immediately medical assistance and/or call 9-1-1.
SN instructed patient about Xarelto (rivaroxaban) is an anticoagulant (blood thinner) that prevents the formation of blood clots. Used to treat A-fib and lower the risk of a stroke from a blood clot. Side effects include bruising, itching, muscle pain, pain in arms or legs. Serious side effects include: urine that looks red, pink, or brown;headache, dizziness, weakness, feeling like you might pass out;bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.
SN instructed patient about Aggrenox contains a combination of aspirin and dipyridamole. Aspirin is in a group of drugs called salicylates. It works by reducing substances in the body that cause pain, fever, and inflammation. Dipyridamole keeps platelets in your blood from sticking together to form clots. Aggrenox is used to reduce the risk of stroke in people who have had blood clots or a "mini-stroke" (also called a transient ischemic attack or TIA).Avoid drinking alcohol while you are taking aspirin products. Alcohol may increase your risk of stomach bleeding. Side effects include joint pain, drowsiness, headache, upset stomach, mild heartburn, nausea, vomiting, or diarrhea.
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.
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.
instructed patient about importance of taking all her/his prescribed medications at the same time each day in order to get the most benefits is to prevent further hospitalizations. Instructed patient your pain medication makes you feel tired, drowsy, or dizzy, call your doctor. If your pain medication causes constipation, drink 8-10 glasses of water a day and eat a well-balanced diet that includes fruits and vegetables.
Instructed caregiver when should I call healthcare provider? Contact your healthcare provider or physician immediately:. If you have an irregular heart rate, if you feel increased pain or discomfort, note: It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure.
Instructed patient stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.)
Instructed patient call your doctor or nurse if: You have chest pain or shortness of breath that does not go away when you rest. You have pain in and around your incision that does not continue to get better at home.Your pulse feels irregular it is very slow (fewer than 60 beats a minute) or very fast (over 100 to 120 beats a minute).