So Pregnant, So Miserable
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About this ebook
For mothers-to-be, pregnancy can be a challenging anxiety-filled time filled with intolerable symptoms of illnesses such as headaches, cough and cold, indigestion, nausea & vomiting, diarrhea, constipation, backache, infections among others caused by the changes occurring within them as their baby develops. Many women go to see their physician or even go to emergency room to seek relief but are concerned about the effects of the medications given to them on their babies' health.
In the book, So Pregnant, So Miserable, Dr Remchick uses his experience in the ER to recommend the safest over-the-counter and prescription medications (including safe and effective dosing, side effects and important points to remember with each) to take for these common pregnancy-caused illnesses in an easy-to-follow format, along with medication safety tips to optimally treat your condition while protecting your baby. In addition, he advises mothers-to-be on proven safe non-medication therapy options to consider to prevent and manage these bothersome symptoms. Dr Remchick also provides suggestions to prepare for your physician or ER visit in order to derive the most benefit from it.
John Remchick
Dr John Remchick, PharmD, BSPharm, RPh is a Clinical Pharmacy Specialist who has worked for several years in the Emergency Department of University Hospitals- Saint John Medical Center in Cleveland, Ohio. In his ER role, he works with physicians to determine the appropriate drug therapy to treat patients admitted for various acute illnesses and complaints. In addition to assisting with the care of patients admitted for traumas, cardiac arrests, strokes and other emergencies, he provides drug education to the ER physicians, residents, nurses, patients and their families. Prior to his ER appointment, Dr Remchick was a clinical pharmacy manager for the Cleveland Clinic Hedalth System (CCHS). Dr Remchick is an assistant clinical professor for the Northeastern College of Medicine (NEOCOM) College of Pharmacy and is BLS, ACLS, PALS and ENLS certified.
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So Pregnant, So Miserable - John Remchick
Preparing for your ER visit (or trip to the physician’s office)
Preparation ahead of time, before the need to go to the ER
Preparing for that visit to the emergency room, urgent care or physician’s office for pregnancy-related complaint starts before the need to be seen arises. Trying to assemble all the pertinent information your doctor will need to treat you as you are walking out the door headed for the ER at the last minute is not ideal as things can be overlooked or omitted during this stressful time.
The Agency for Healthcare Research and Quality has assembled a good list of what to assemble ahead of time, before having to go to the ER. There recommendations will be incorporated into this chapter.
Accurate and current records should always be kept regarding your personal medical history and medications. This information should be kept on paper, personal computer files or accessible on your phone. Chances are the ED or Urgent Care personnel will be unfamiliar with you and your past medical and prescription history, so it is best to provide too much versus not enough information.
Maintain documentation regarding your physical and mental health history, including any chronic conditions (diabetes, asthma, depression, anxiety), plus past surgeries with dates, physician names of those caring for you as well as the pharmacy that fills your prescriptions. The ED physician may wish to consult these specialists or pharmacists to optimize your care. Provide a history of your current pregnancy, other times you had to go to the ER including experiences from past pregnancies as well.
You should also be able to describe your lifestyle as well, including smoking, alcohol and drug use history.
Be sure to keep an up-to-date list of ALL medications you take at home. This would include all prescriptions taken for pregnancy or non-pregnancy related conditions, any over-the-counter medicines (such as antacids or cough medicine), vitamins, as well as dietary or herbal supplements.
Remember to list any allergies, intolerances associated with medications or FOOD. Be sure to provide the reactions associated with taking medications or food as well as this will help your doctor decide on the appropriate treatment for you. Also let your HCP know of any treatment failures from medications prescribed in the past for your symptoms as this is good information to provide as