** Bring this Plan to ALL Appointments**



** Bring this Plan to ALL Appointments**

Granite Falls Municipal

Hospital & Manor

After Hospital Care Plan for:

John Doe

Discharge Date:

November 3, 2010

Question or Problem about this Packet? Call your Discharge Advocate: 320-564-6237

Serious health problem? : Call Dr. Darrell Carter 320-564-2511 or

Granite Falls Municipal Hospital 320-564-3111 or 911

EACH DAY follow this schedule:

MEDICINES

|What time of day do I take this |Why am I taking this medicine? |Medication name |How much do I take? |How do I take this medicine? |

|medicine? | |Amount | | |

| |Blood Pressure |PROCARDIA XL |1 pill |By mouth |

| | |NIFEDIPINE | | |

| | |90 mg | | |

| | | | | |

|[pic] | | | | |

| | | | | |

|Morning | | | | |

| |Blood Pressure |HYDROCHLOROTHIAZIDE |1 pill |By Mouth |

| | |25 mg | | |

| |Blood Pressure |CLONIDINE HCI |3 pills |By Mouth |

| | |0.1 mg | | |

| |Cholesterol |LIPITOR |1 pill |By Mouth |

| | |ATORVASTATIN CALCIUM | | |

| | |20 mg | | |

| |Stomach |PROTONIX |1 pill |By Mouth |

| | |PANTOPRAZOLE SODIUM | | |

| | |40 mg | | |

|What time of day do I take this |Why am I taking this medicine? |Medication name |How much do I take? |How do I take this medicine? |

|medicine? | |Amount | | |

| |Heart |ASPRIN EC |1 pill |By mouth |

| | |325 mg | | |

|[pic] | | | | |

| | | | | |

| | | | | |

|Morning | | | | |

| |To stop smoking |NICOTINE |1 patch |On skin |

| | |14 mg/24 hr | | |

| |Then, after 4 weeks |NICOTINE |1 patch |On skin |

| |Use |7 mg/24 hr | | |

| |Blood Pressure |COZAAR |1 pill |By Mouth |

| | |LOSARTAN POTASSIUM | | |

| | |50 mg | | |

| |Infection in eye |VIGAMOX |1 drop |In your left eye |

| | |MOXIFLOXACIN HCI | | |

| | |0.5 % soln | | |

| | | | | |

| |Blood Pressure |ATENOLOL |1 pill |By mouth |

|Noon | |75 mg | | |

| | | | | |

|[pic] | | | | |

| | | | | |

| | | | | |

| |Blood Pressure |LISINOPRIL |1 pill |By mouth |

| | |40 mg | | |

| |Infection in eye |VIGAMOX MOXIFLOXACIN HCI |1 drop |In your left |

| | |0.5 % soln | |eye |

|What time of day do I take this |Why am I taking this medicine? |Medication name |How much do I take? |How do I take this |

|medicine? | |Amount | |medicine? |

|[pic] |Infection in eye |VIGAMOX |1 drop |In your left eye |

| | |MOXIFLOXACIN HCI | | |

|Evening | |0.5 % soln | | |

| | | | | |

|[pic] |Blood Pressure |CLONIDINE HCI |3 pills |By mouth |

| | |0.1 mg | | |

|Bedtime | | | | |

| | | | | |

|If you need it for headache |Headache |TRAMADOL HCI |1-2 pills Every 6 hours If you |By Mouth |

| | |50 mg |need it | |

|If you need it for chest pain |Chest Pain |NITROGLYCERIN |1 pill every 5 minutes (if need |Under your tongue |

| | |0.4 mg |more than 3 pills, call 911) | |

|If you need to stop smoking |To stop Smoking |NICORELIEF |Gum |Chew |

| | |NICOTINE POLACRILEX | | |

| | |4 mg gum | | |

|If you need it for headaches |Headache |PERCOCET |1 pill 3 times each day if you |By mouth |

| | |OXYCODONE-ACETAMINOPHEN |need it | |

| | |5-325 mg | | |

** Bring this Plan to ALL Appointments**

What is my main medical problem?

When are my appointments?

|Tuesday, |Thursday, |Wednesday, |

|November 10th |November 26th |December 1st |

|at 11:30 a.m. |at 3: 20 p.m. |at 9:00 a.m. |

|Dr. Darrell Carter |Dr. Jones |Dr. Smith |

|Primary Care Physician |Rheumatologist |Cardiologist |

|(Doctor) | | |

|At ACMC- Granite Falls |At ACMC- Granite Falls |At Methodist Hospital- St Louis Park |

| | |Doctor’s Office Building |

| | |4th floor |

|For a follow-up |For your arthritis |To check your heart |

|Appointment | | |

|Office Phone #: |Office Phone #: |Office Phone#: |

|(320)564-2511 |(320)564-2511 |(612) 555-1234 |

What exercises are good for me?

What should I eat?

What are medication allergies?

Where is my pharmacy?

Try to Quit Smoking: call Marcia Kells, CNP at 320-564-2511 ACMC-Granite Falls, MN

[pic] [pic]

Check the box and write notes to remember what to talk about with Dr.

October 2010

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

|1 |2 |3 |4 |5 |6 |7 |

|8 |9 |10 |11 |12 |13 |14 |

|15 |16 |17 |18 |19 |20 |21 |

|22 |23 |24 |25 |26 |27 |28 |

|29 |30 |31 | | | | |

November 2010

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

| | | |1 |2 |3 |4 |

|5 |6 |7 |8 |9 |10 |11 |

|12 |13 |14 |15 |16 |17 |18 |

|19 |20 |21 |22 |23 |24 |25 |

|26 |27 |28 |29 |30 | | |

My Medical Problem:

Noncardiac

Chest Pain

Noncardiac Chest pain is chest pain that is not caused by a heart problem.

• If your chest pain gets different or worse, call your doctor.

• Take your medications as prescribed.

• Carry your medicine with you.

• See your doctor and ask questions.

My Medical Problem:

Hypertension

Hypertension means high blood pressure.

[pic]

• Try to walk for 20 minutes each day.

• Avoid salty foods.

• Take your medications as prescribed.

• Carry your medicine with you.

• See your doctor and ask questions.

-----------------------

Questions for

Dr Darrell Carter

For my appointment on

Nov. 10, 2010

I have questions about:

□ My medicines _____________________________________________

□ My pain _________________________________________________

□ Feeling stressed ____________________________________________

What other questions do you have? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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