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Instructed in new medication Dibucaine and in S/E such as hypersensitivity reactions, rash, swelling, burning, stinging and tenderness.
Instructed in new medication Alprazolam to manage anxiety. In addition, warned of possible S/E such as drowsiness, light-headedness, headache, confusion, tremor, dizziness, syncope, depression, insomnia, memory impairment, nervousness, minor changes in EEG patterns, hypotension, tachycardia, blurred vision, nasal congestion, dry mouth, nausea, vomiting, diarrhea, constipation, increased salivation, weight gain or loss, muscle rigidity, dermatitis. Avoid hazardous activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Avoid alcohol while taking drug. Smoking may decrease effectiveness of drug. Do not stop using drug abruptly because withdrawal symptoms or seizures may occur.
Instructed patient on how to recognize the signs and symptoms of angina such as: SOB, chest pain, anxiety, indigestion, sweating, and shortness of breath. Contact your primary care physician if the condition worsens, or if you exhibit other symptoms.
Taught that history of diabetes, cardiac disease and renal disease are potential factors of cerebrovascular accident (stroke).
Taught that observing joint protection principles is a measure aimed to controlling/managing Rheumatoid Arthritis.
Taught that, in Congestive Heart Failure (CHF), the decrease in the amount of blood pumped with each heart contraction causes an increase in circulatory pressure.
SN instructed patient to drink 2 to 3 quarts of water a day. This helps to keep the stool fluid, and it also prevents dehydration.
SN advised patient and caregiver to report any signs and symptoms of ototoxicity or nephrotoxicity. Caregiver verbalizzed understanding of instructions given.
Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
SN instructed patient / caregiver regarding medication Labetalol. SN explained to patient / caregiver that Labetalol is an anti - hypertensive medication. SN explained that the side effects of this medication includes fatigue, weakness, anxiety, bradycardia and orthostatic hypotension. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence or worsening of side effects.