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Instructed patient on new medication Ciprofloxacin HCL, which is used to manage tract infection. In addition, warned of possible S/E, such as, headache, restlessness, tremor, dizziness, fatigue, drowsiness, insomnia, depression, light-headedness, confusion, hallucinations, seizures, paresthesia, thrombophlebitis, edema, nausea, diarrhea, vomiting, abdominal pain or discomfort, oral candidiasis, pseudomembranous colitis, dyspepsia, flatulence, constipation, crystalluria, interstitial nephritis, eosinophilia, leukopenia, neutropenia, thrombocytopenia, arthralgia, arthropathy, joint or back pain, joint inflammation, joint stiffness, tendon rupture, aching, neck or chest pain, rash, photosensitivity, Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, burning, pruritus, erythema, hyperpigmentation.
Instructed patient about dehydration. Common symptoms are: dry mouth, poor skin tugor, dry, flushed skin, decreased urine output, sunken eyes and weak, rapid pulse.
Instructed patient to avoid candies, chocolates, cookies, drinks and others foods rich in sugar. Patient was instructed on the importance of a good nutrition to control hyperglycemia: Avoid skipping meals. This can make people extra hungry, moody and unable to focus. Pay attention to the portion. Eat healthy.
Instructed on the importance of never attempting to restrain a person that is experiencing a seizure episode.
SN Instructed patient that should avoid alcohol while on insulin or in any diabetes medications that stimulate the pancreas to produce more insulin, drinking alcohol can cause a dangerous low blood sugar because your liver has to work to remove the alcohol from your blood instead of its main job to regulate your blood sugar.
The patient was instructed in gastroenteritis obtaining appropriate supplies, such as oral glucose electrolyte solutions. The patient was taught in defensive actions, like wash hands before eating and after toileting, drink pasteurized milk and chlorinated water; maintain foods at the appropriate hot or cold temperatures. The patient was advised that gastroenteritis is transmissible although the organisms are present in the feces.
Caregiver/A.L.F's staff was instructed in new medication; Follow your doctor's instructions carefully. Give the patient Doxycycline with a full glass of water or other liquid to avoid irritating your esophagus. Doxycycline can be taken with or without food. If stomach upset occurs, you can give him a glass of milk or after meals. Give the medicine at about the same time each day.
Instructed patient in medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
Instructed caregiver when should I call healthcare provider? Contact your healthcare provider or physician immediately:.If you have difficulty breathing and it is not relieved by your usual method of clearing secretions. When secretions become thick, if crusting occurs or mucus plugs are present, Your physician may recommend increasing your fluids or using cool mist humidification,If you have any other problems or concerns.
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