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Instructed in new medication Avapro to manage hypertension. In addition, warned of possible S/E such as fatigue, anxiety, dizziness, headache, chest pain, edema, tachycardia, pharyngitis, rhinitis, sinus abnormality, diarrhea, dyspepsia, abdominal pain, nausea, vomiting, urinary tract infection, musculoskeletal trauma, or pain, upper respiratory tract infection, rash.
Instructed in factors that increase the risk of hypertension such as age, race, family history, stress, high sodium intake, high cholesterol intake, obesity and a sedentary life style.
Instructed to keep dressing clean and dry to prevent growth of bacteria.
Patient was instructed on Hyperglycemia. High blood sugar develops when there is too little insulin or when the body fails to respond properly to the insulin in the blood. High blood sugar emergencies often develop because of some underlying condition that may not be obvious, such as a heart attack, infection, or surgery.
Taught that resting in a lying or sitting position is aimed to reducing/controlling an episode of Angina Pectoris.
Take the Actonel tablet first thing in the morning, at least 30 minutes before you eat or drink anything or take any other medicine. Take each dose with a full glass (6 to 8 ounces) of water. Use only plain water (not mineral water) when taking a Actonel tablet. For at least the first 30 minutes after taking an Actonel tablet, do not lie down or recline; do not eat or drink anything other than plain water; and do not take any other medicines including vitamins, calcium, or antacids.
The patient was instructed in polycystic kidney disease in the need of stopping urinary zone infections. The patient was advised to rise fluid intake. The patient was taught in good perineal area care after urination and defecation. The patient was reviewed in proceeds, monitor, and record blood pressure.
The patient was instructed in pyelonephritis in the need of stopping repeated urinary tract infection. The patient was advised to keep the perineal area clean and dry. The patient was taught the method of finding midstream urine samples.
SN instructed patient / caregiver that the combination preparation fluticasone/salmeterol (Advair diskus) is a formulation containing fluticasone propionate and salmeterol xinafoate, used in the management of asthma and chronic obstructive pulmonary disease. Commun side effect / adverse reaction may include: Body aches or pain, choking, congestion, dryness of the throat, high-pitched noise when breathing, hoarseness, runny nose, sneezing, trouble with swallowing, voice changes. Less common side effect / adverse reaction: Cough-producing mucus, flu-like symptoms, irritation or inflammation of the eye, muscle pain, pain or tenderness around the eyes and cheekbones, sleep disorders, stuffy nose, white patches in the mouth or throat or on the tongue.
SN instructed patient / caregiver on Xanax / Alprazolam Which is a medication in the class of benzodiazepines. Explained that this medication is indicated in the management of anxiety and panic attacks and that it works by acting on the CNS to decrease anxiety. Explained to patient that the side effects include: dizziness, drowsiness, lethargy, headache, rashes, nausea, vomiting. Explained that abrupt discontinuation of this medication can cause withdrawal symptoms such as: sweating, nausea, vomiting, muscle cramps, tremors and seizures. Instructed patient to avoid ETOH, CNS depressants, and grapefruit juice while taking Xanax. Instructed to notify Physician if experiencing unrelieved anxiety or if experiencing persistence or worsening of medication side effects