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Patient was instructed on the importance of a good foot care. Calluses indicate that areas of the feet are receiving too much pressure. If the increased pressure continues, the skin may break down and it is possible to get a foot ulcer.
Patient was instructed on hypertension. People with high blood pressure usually do not have any symptoms, however very high hypertension may lead to headaches especially pulsating headaches behind the eyes that occur early in the morning, visual disturbances, nausea and vomiting.
Taught that Folic Acid is a B-Complex vitamin needed to form healthy cells, especially red blood cells.
The patience was advised the importance of preventing transmission of the virus by contact with body fluids, (vaginal or anal intercourse, oral sex) without using condom, sharing needles or sex toys, blood contact of any kind.
The patient was instructed in testicular cancer in the importance of performing testicular self-examination monthly to identify new or repeated tumors. The patient was instructed that the examination is best done after a warm shower or bath when the scrotum is relaxed. The patient was instructed to do the examination in standing position.
Patient was instructed new medication Vitamin D, is used for preventing and treating weak bones (osteoporosis), bone pain (osteomalacia), and an inherited disease (osteogenesis imperfecta) in which the bones are especially brittle and easily broken. It is also used for preventing falls and fractures in people at risk for osteoporosis.
Skilled nurse instructed patient about medication Dexamethasone is a corticosteroid that prevents the release of substances in the body that cause inflammation. Dexamethasone is also used to treat certain types of cancer. Your doctor may instruct you to follow a low-sodium, low-salt, potassium-rich, or high-protein diet. Follow these directions. Dexamethasone may cause an upset stomach. Take dexamethasone with food or milk. Dexamethasone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: upset stomach, stomach irritation, vomiting, headache, dizziness.
Instructed patient it's very important for you to take your HIV medicines exactly as directed. Not taking medications correctly may lower the level of immune system defenders called CD4 cells and cause the level of virus in your blood (viral load) to go up.
Instructed patient diet: Your doctor will probably recommend that you follow a low fat, no added-salt diet after discharge. This may reduce your risk of a heart attack in the future and your risk for requiring angioplasty or surgery again. You should try to have less than 30 percent of your calories from fat. Try to control your weight and eat less saturated fat and cholesterol.
SN instructed patient and caregiver that Apixaban ( Eliquis ) is a anticoagulant for the treatment of venous thromboembolic events. It is indicated for the following: to lower the risk of stroke and embolism in patients with nonvalvular atrial fibrillation, deep vein thrombosis ( DVT ) prophylaxis. DVT's may lead to pulmonary embolism ( PE ) in knee or hip replacement surgery patients, treatment of both DVT and PE, to reduce the risk of recurrent DVT and PE after initial therapy. Apixaban can increase the risk of bleeding and may cause serious, potentially fatal, bleeding. Concurrent use with drugs affecting hemostasis ( e.g. other anticoagulants, heparin, aspirin and other antiplatelet drugs, selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, and non steroidal anti-inflammatory drugs ( NSAIDs ) can further increase the risk of bleeding.