International Journal of Drug Design and Discovery Volume 1 • Issue 2 • April– June 2010. 115-123 Synthesis and in vitro Biological Activity of Organic Charge-transfer Complexes of lansoprazole, fluconazole, gabapentin and gabalactum with Chloranilic and Picric Acids Lingappa Mallesha and Kikkeri N. Mohana* Department of Studies in Chemistry, University o
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Post-operative instructions - englishPLANNED PARENTHOOD (PPSTSCHS)
Corporate Office: 3601 Fannin, Houston, TX 77004 [713-522-6240]
DISCHARGE MEDICATIONS Doxycycline 100mg. Start today. Take one blue capsule twice a day for 7 days. Take 15 to 20 minutes after eating a solid food. Doxycycline can cause nausea and vomiting if taken on an empty stomach. Metronidazole 500mg. Take all four white pills together tonight after dinner. Do not drink alcohol for 48 hours after taking this medication as this can cause severe vomiting. Ergonovine 0.2mg. One tablet 4 times a day for 2 ½ days. Other Medications ________________________________________________________________________________________ __________________________________________________________________________________________________ Contraceptive: ____________________________________________________________________________________________ (Refer to separate contraceptive information/instruction sheet.) Rho IMMUNOGLOBULIN INJECTION: ADMINISTERED NOT ADMINISTERED. Make an appointment for your three-week check-up during the week of: ___________. If you choose to see a Planned Parenthood clinician for your check-up, there will be a charge for these services. Please call your nearest Planned Parenthood Clinic or Private Health Care Provider a week in advance for your 3 week check-up. IN CASE OF QUESTIONS OR EMERGENCY, CALL: Please keep a copy of this sheet until after your 3 week - exam. (979) 846-1744 or Toll Free (877) 220-4520 Houston Clinic Daytime: 7:30 am – 4:30 pm (713) 831-6539 or Toll Free (800) 831-6538 Houston Clinic Evening: 3:00 pm – 7:30 am (713) 515-7701 or pager (713) 605-3955 or Toll Free 800-831-6538 Please use the evening phone numbers for medical emergencies only. Call if: * You have heavy bleeding, soaking through two maxi pads an hour for two or more hours in a row. * You have severe cramping that does not respond to ibuprofen (such as Advil, Motrin) or Aleve. * You have chills and/or fever of 100.4 degrees Fahrenheit or more. Please check your temperature with a thermometer before calling the nurse. A nurse will return your call within 30 minutes. Please stay by the phone number you have given us until the nurse has returned your call. If she has not returned your call in 30 minutes, call again. Speak slowly and leave your Area code and phone number. With a medical emergency requiring immediate attention you may choose to be seen in an emergency room at your expense, or call 911. I understand that the financial responsibility for emergency medical care not provided at Planned Parenthood is my own. Even if Planned Parenthood refers me to a hospital because of a complication, it will be my responsibility to arrange for payment of necessary fees, and not the responsibility of Planned Parenthood. WHAT TO EXPECT BLEEDING: Bleeding may be irregular, stopping and starting again and may last for 2 to 4 weeks. You may bleed as much as a heavy period, have very little spotting or bleeding, or not bleed at all. You may pass clots from the size of a pea to the size of a golf ball or larger. This is all normal. CRAMPING: Cramping may also be irregular and can last for 2 to 4 weeks. Take medications containing ibuprofen such as Advil, Motrin (600-800 mgs every 4-6 hours), or Aleve (two regular strength pills every 6 hours). (Tylenol is less effective) Heat is also good for cramps – place a heating pad on your abdomen or lower back; or stand in the shower and let warm water run on your abdomen or lower back and massage your abdomen. A warm bath may also help. DIZZINESS/DROWSINESS, NAUSEA/VOMITING: May be due to the sedation and may last for 24 hours following the procedure. Do not drive a vehicle before 24 hours have passed. Try taking a nap and eating a bland, nutritious meal, nothing fried or ** SEE OTHER SIDE OF PAGE FOR FURTHER INSTRUCTIONS** CLIENT CARE AND INSTRUCTIONS * You may resume normal physical activities tomorrow, or as soon as you feel well enough to do so. * DO NOT drive or do anything requiring balance or coordination for the rest of the day if you’ve had IV sedation. * DO NOT put anything in the vagina for 1 week after your procedure. This means no sexual intercourse, no tampons, and no douching for 1 week. Exception: If you have chosen NuvaRing as your birth control method you may insert it anytime within * It is possible to get pregnant as early as two weeks after an abortion. Use an effective birth control method if you do not * DO have a check up three weeks after your procedure to make sure you are no longer pregnant and that there are no complications. This would be a good time to ask for a pap smear, breast exam or to screen for sexually transmitted infections. You can also talk with the health care provider about your birth control needs during this check-up. * For your 3-week Post-op Appointment, please call at least 1 week in advance the Planned Parenthood Clinic nearest you. * Remember that there will be a charge for the 3-week check-up. HEALTH CENTER NAMES/ ADDRESSES 1960 HEALTH CENTER * DO resume normal activities as soon as you feel well enough to do so: You should begin to feel normal within 24-48hours. After your procedure your body will be undergoing some changes due to the drop in the pregnancy hormones. All pregnancy symptoms should disappear within 10 days; however, do not do a home pregnancy test until three weeks have passed because it will give you a false positive reading. ** Your first menstrual period will usually begin within 4 to 8 weeks. SHOULD ANY QUESTIONS ARISE, PLEASE CONTACT THE CLINIC. IF YOU WOULD LIKE ADDITIONAL COUNSELING AFTER YOUR PROCEDURE PLEASE CALL (713) 535-2400 FOR HOUSTON AND 1.979.846.1744 FOR BRYAN. WE WILL BE HAPPY TO SEE YOU AS SOON AS POSSIBLE. THERE WILL BE A $25.00 CHARGE FOR EACH 45-MINUTE SESSION. In Texas, the Department of Health is responsible for complaints, which may be registered with: Health Facility Licensure and Certification
Falls and Fall Prevention: A Clinical Perspective Elizabeth A. Phelan, MD, MS Associate Professor Medicine / Gerontology and Geriatric Medicine July 10, 2009 Objectives Know and understand: – How often falls occur – Consequences of falls – Why falls occur – How falls may be prevented Definition: coming to rest inadvertently on the ground or lowe