** 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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