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Instructed patient to immediately report to MD when having suicidal thoughts.
Patient was instructed on list of precautions regarding food, such as, don
Patient was instructed on Osteoporosis. Take steps to prevent falls that might result in broken bones. Have your vision and hearing checked regularly, and wear slippers or shoes with a nonskid sole.
Instructed patient to report to nurse or MD at the first sign or symptom of pressure ulcer formation, for example: redness that remains half an hour after pressure has been removed from area.
Patient was instructed about how to check both feet daily looking over them carefully every day, and be sure check between all of the toes. Blisters and infections can start between the toes, and with diabetic neuropathy, may not feel them until they've become irritated or infected. If physical challenges occur, ask a family member to help. Further teaching is needed.
Instructed on the importance, when taking Levothyroxine, of not changing brands of thyroid preparations, as this may affect drug bioavailability.
Instructed on the importance of never attempting to restrain a person that is experiencing a seizure episode.
Instructed on some measures aimed to managing/controlling Emphysema, such as: avoid fatigue by using energy-conserving techniques, among others.
SN instructed patient / caregiver about Bethanechol. Sometimes given orally or subcutaneously to treat urinary retention resulting from general anesthetic, diabetic neuropathy of the bladder, or a side effect of antidepressants or to treat gastrointestinal atony (lack of muscular tone). Adverse reaction are rare following oral administration of Bethanechol, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. Adverse reactions that have been observed: Body as a Whole: malaise; Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation; Renal: urinary urgency; Nervous System: headache; Cardiovascular: a fall in blood pressure with reflux tachycardia, vasomotor response; Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating; Respiratory: bronchial constriction, asthmatic attacks; Special Senses: lacrimation, miosis.
SN instructed patient that Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat certain inflammatory diseases and for many different indications including: asthma, COPD, CIDP, rheumatic disorders, allergic disorders, ulcerative colitis and Crohn's disease, adrenocortical insufficiency, hypercalcemia due to cancer, thyroiditis, laryngitis, severe tuberculosis, urticaria ( hives ), lipid pneumonitis. Possible side effect may include, Increased blood sugar for diabetics, Difficulty controlling emotion, Difficulty in maintaining train of thought, Weight gain, Immunosuppression, Facial swelling, Severe, Depression, mania, psychosis, or other psychiatric symptoms, Unusual fatigue or weakness, Mental confusion / indecisiveness, Memory and attention dysfunction (Steroid dementia syndrome), Blurred vision. Take prednisone as ordered.