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Instructed in that "oxygen therapy" is the administration of oxygen at a higher concentration than what is found in the environment. It can be given via cannula, mask catheter, etc. Oxygen must be ordered by a MD and administered exactly as prescribed.
Instructed in new medication Amitriptyline to manage depression. In additon, warned of possible S/E such as coma, seizures, hallucinations, delusions, disorientation, ataxia, tremor, peripheral neuropathy, anxiety, insomnia, restlessness, drowsiness, dizziness, weakness, fatigue, headache, extrapyramidal reactions, MI, stroke, arrhythmias, heart block, orthostatic hypotension, tachycardia, ECG changes, hypertension, edema, blurred vision, tinnitus, mydriasis, increased intraocular pressure, dry mouth, nausea, vomiting, anorexia, epigastric distress, diarrhea, constipation, paralytic ileum, urine retention, agranulocytosis, thrombocytopenia, leukopenia, eosinophilia, hypoglycemia, hyperglycemia, rash, urticaria, photosensitivity, diaphoresis and hypersensitivity reaction. Instructed to take full dose at bedtime but warned patient of possible morning orthostatic hypotension. Avoid alcohol during drug therapy. Consult MD before taking other medications. Avoid activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Drowsiness and dizziness usually subside after a few weeks. Dry mouth may be relieved with sugarless hard candy or gum. Saliva substitutes may be needed. Instructed to use a sun block, wear protective clothing and avoid prolonged exposure to strong sunlight. To prevent photosensitivity reactions. Do not stop drug therapy abruptly.
Instructed in new medication Synthroid and in S/E such as nervousness, insomnia, tremor, headache, fever, tachycardia, palpitations, arrhythmias, angina pectoris, cardiac arrest, diarrhea, vomiting, menstrual irregularities, weight loss, allergic skin reactions, diaphoresis or heat intolerance.
Instructed in measures to protect skin such as keeping skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible caking and irritation, etc.
Instructed patient to take his/her pills with a full glass of water and drink all the water even if the pill went down with the first swallow.
Patient was instructed on the importance to recognize the symptoms of depression to take action right away. Inability to remember things - fatigue or lost of energy, feeling "dragged out" and tire - lack of appetite or eating too much with accompanying weight changes - no interest in the things that used to bring pleasure - not sleeping at night or sleeping too much.
Instructed on the importance of getting adequate rest and eating well-balanced meals in order to decrease susceptibility to infections.
Instructed on some potential complications of constipation, such as: stool impaction (liquid bowel movement may ooze around hard stool in the colon).
The patient was instructed in dilated cardiomyopathy to take and record the pulse. The patient was taught to weigh daily at the same time using the same scale. The patient was advised to avoid hot, humid weather. The patient was instructed for home oxygen therapy.
Instructed patient unlike gauze bandages that merely cover a wound, V.A.C. therapy actively works to help the wound healing process. The V.A.C.therapy system helps: promote wound healing, provide a moist wound healing environment, draw wound edges together, remove fluid and infectious materials, reduce wound odor, reduce the need for daily dressing changes.