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Instructed to recognize S/S of Rheumatoid arthritis such as loss of appetite, fatigue, weakness, pain and tenderness of joint, weight loss, swelling, etc.
Instructed in complication requiring medical intervention associated with hypertension such as SOB, blurred vision, headache and extreme weakness.
Patient was instructed on Osteoporosis. Take steps to prevent falls that might result in broken bones. Have the vision and hearing checked regularly, and wear slippers or shoes with a nonskid sole. Do exercises that improve balance and coordination. Limit alcohol use that clearly increases the risk of falling.
Taught that Fosamax works by decreasing the activity of cells which break down bone.
Instructed on some measures aimed to controlling/managing Parkinson
Instructed in limit to three eggs per week.
Instructed patient eating yogurt or drinking buttermilk may help reduce gas, To control gas at night, do not eat after 8 p.m. This will give your bowel time to quiet down before you go to bed.
Instructed patient the stoma is your bowel. It is protected by mucus so stool or urine won’t hurt it. A stoma rarely becomes infected. The most important thing is to protect the skin around your stoma. A correct fitting pouching system is the best way to prevent an infection of your skin. If there is a small leak under my skin barrier, is it okay to patch it with tape or paste: Always change your pouching system at the first signs of leakage.
SN instructed caregiver that Amiodarone is a class of antiarrhythmic agent used for various types of cardiac dysrhythmias, both ventricular and atrial. Despite relatively common side-effects, it is used in arrhythmias that are otherwise difficult to treat with medication. The most serious reaction that is due to amiodarone is interstitial lung disease. Hypothyroidism and hyperthyroidism. Corneal micro-deposits . Abnormal liver enzyme results. Much rarer are jaundice, hepatomegaly, and hepatitis. Low-dose amiodarone has been reported to cause pseudo-alcoholic cirrhosis. Long-term administration of amiodarone is associated with a light-sensitive blue-grey discoloration of the skin, and peripheral neuropathies. Gynecomastia and an association between amiodarone and an increased risk of cancer, especially in males
SN instructed patient / caregiver regarding medication Glimepiride. SN instructed patient / caregiver that Glimepiride is a antidiabetic medication that lowers blood sugar level. SN instructed patient / caregiver to check blood sugar before taking the medication to avoid hypoglycemia. SN explained to patient / caregiver that low blood sugar ( hypoglycemia ) can occur during glimepiride therapy. SN explained that the symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion, or loss of consciousness. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of these side effects.