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Downtime Patient Discharge Instructions
#CHPCS099
Revised 09/11
Pneumococcal Vaccine Screen Completed & Computer Updated Diet: CHF: low salt, low fat foods; limit fluids as Activity: (include restrictions, positioning, mobility devices) CHF: Match your activity to the amount of energy you have. Weigh yourself daily. Notify your doctor if you have gained 3 or more pounds in a day or 5 pounds in a week. Pain Management Plan reviewed with patient Rx given to patient:_______________________ Special instructions: (dressings, drains, potential complications to watch for) CHF: Notify your doctor for: fever greater than 101°F; swelling in ankles, feet, hands, face or neck; weight gain; dizziness; productive cough; difficulty breathing; or any concerns/questions about your illness or medication. Smoking/Tobacco products, including second hand smoke, should be avoided. This is extremely important for your well-being. Contact the free Colorado Quitline at 800-639-7848 or website at www.co.quitnew.com for expert advice, counseling information on therapies and peer support. I hereby acknowledge receipt of above information. General Information About Medications and Food
Know proper storage of your medication – Cardiovascular Drugs
Oral Hypoglycemics
most medications should be kept away from extremes in heat, light, or moisture. Herbs, ACE Inhibitors (Benazapril, Captropril, Enalapril,
Glitazones (Avandia, Actos) May be taken
Fosinopril, Lisinopril, Quinapril, Ramipril, Moexipril, without regard to meals. May interfere with Trandolapril) May cause drowsiness or dizziness. medications. A useful website for medication Do not take if pregnant. Captopril and moexipril Metformin (Glucophage) Avoid excessive
information is www.safemedication.com (this should be taken 1 hour before meals. Others may alcohol intake. Proper diet and exercise are be taken without regard to meals, but take with Health Systems Pharmacists). Do not run out Sulfonylureas (Glycotrol, Amaryl,
of routine medications. Take only as directed. Beta Adrenergic Blockers (Atenolol,
Glyburide) May cause stomach upset. May Propranolol, Metoprolol, Nadolol, Sotalol, Timolol, medication or possible interactions, please etc.) Do not discontinue abruptly. Avoid alcohol, minutes before meal. Avoid alcohol. Proper nasal decongestants, and OTC cold preparations. May cause drowsiness or dizziness. May mask Analgesics
signs of hypoglycemia (diabetics). May be Antidepressants/Antianxiety
Benzodiazepines (Ativan, Halcion,
Aspirin – May cause stomach upset. Take
Digoxin (Lanoxin) Maintain a diet low in sodium.
Restoril, Tranxene, Valium, Xanax, etc.) You may require a potassium supplement or food May cause drowsiness or dizziness. Avoid Narcotics (Morphine, Codeine, Demerol)
high in potassium while on digoxin. Avoid alcohol. Patients on high dose or long-term antacids, cough, cold and allergy preparations and SSRI (Celexa, Luvox, Paxil, Prozac, Zoloft)
drowsiness. May cause constipation, drink Diuretics (water pills) Causes increased
May cause drowsiness or dizziness. Avoid Non-Steroidal Anti-Inflammatory meds
Dyazide, Maxzide. May cause stomach upset.
problems with insomnia, take early in the (Ibuprofen, Ketorolac, Naproxen, Diclofenac, Take with food or milk. Limit foods high in Etodolac, Nabumetone, Vioxx, Celebrex, etc.) May cause stomach upset. Take with Furosemide (Lasix) May cause stomach upset.
Miscellaneous
Take with food or milk. May cause sun sensitivity. Anticonvulsants (Dilantin, Neurontin,
Tramadol (Ultram) May cause drowsiness,
Valproate, Topomax, Gabitril, Keppra, Nitrates (Isordil, Sorbitrate, Imdur, etc.) Take on
dizziness, headache, nausea or vomiting. Lamictal, Trileptal, Tegretol, etc.) May an empty stomach with a glass of water. Avoid alcohol. May cause headache, dizziness, flushing alcohol. Take with food to reduce stomach – especially on initiation of therapy. Potassium Chloride (K-tabs, Micro-K, K-Dur,
Fentanyl (Duragesic) Patch Same as
Maintain good oral hygiene (Dilantin). etc.) May cause stomach upset. Take with food or Antihistamines. May cause drowsiness.
milk. Take with a full glass of water or juice. Spironolactone (Aldactone) Take with food or
cut patches. Place patch on intact skin. Bisphosphonates: Alendronate (Fosamax)
Statins (Baycol, Lipitor, Mevacor, Pravacol,
Antibiotics
Zocor) May cause sun sensitivity. Do not take if glass of water first thing in the morning on pregnant. Notify MD of unexplained muscle pain or an empty stomach. (Not even any coffee.) Finish the course of therapy. Caution: many weakness. Requires periodic blood liver enzymes antibiotics interfere with the effectiveness of following administration. If on a weekly Thiazides (Hydrodiuril, HCTZ) Take with food or
milk. Include foods high in potassium in diet. Augmentin (Amoxicillin/Clavulanate) Take
Foods High in Potassium
Grapefruit Juice (especially in large
Azithromycin (Zithromax) Suspension
quantities, i.e., 1 quart/day) May interact with medications cleared by liver enzymes hour before or 2 hours after eating. Tablet form may be taken without regard to meals. medications. Discuss this interaction with Cephalosporins (Keflex, Ceclor, Vantin,
Duricef, Cefzil, etc.) May be taken without Lithium Carbonate (Lithane, Eskalith,
Lithobid) May cause drowsiness. Avoid alcohol. Avoid Ibuprofen. Take with food Clarithromycin (Biaxin) May be taken
Gastrointestinal Preparations
or milk or after meals. Maintain adequate Erythromycin. Take with small amount of
H2 Blockers (Pepcid, Zantac, Axid, Tagamet)
Prednisone/Prednisolone. May cause
stomach upset. Take with food or milk. If Fluoroquinolones (Levaquin, Cipro,
Meclizine (Antivert, Bonine, Marezine) May
taking once daily, take early in the day to Floxin, Maxaquin, etc.) Don’t take with dairy avoid sleeplessness. May decrease ability products, antacids, or vitamins – separate Metoclopramide (Reglan) Take ½ hour before
meals. May cause drowsiness. Avoid alcohol. Theophylline (Theodur, Slobid, Theo-24,
Proton Pump Inhibitors (Prevacid, Omeprazole,
etc) May cause stomach upset. Take with easily. Drink plenty of fluids. Caffeine may Prilosec, Prilosec OTC, Protonix, Aciphex) food. Avoid large amounts of caffeinated interact with these medications, so avoid or use sparingly. May be taken with food if Triptans (Amerge, Imitrex, Maxalt, Zomig)
Laxatives
Metronidazole (Flagyl) Take with food to
Dioctyl Sodium Sulosuccinate (Colace,
dizziness. May cause sun sensitivity. For avoid stomach upset. Do not drink alcohol Docusate) Take with 8 oz. of water. migraine relief, not to prevent attacks. while taking this medication. (Abstain from Metamucil or Citrucel. Take with a full glass of
Warfarin (Coumadin) Avoid alcohol. Don’t
take aspirin, anti-inflammatory agents, or Nitrofurantoin (Macrobid, Macrodantin)
Take with food or milk to reduce stomach

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