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Instructed that depression may surface with other mood disorders such as seasonal major depression, postpartum depression and bipolar disorder.
Instructed in possible adverse reactions to Lanoxin including, anorexia, nausea, vomiting, diarrhea, yellow-green halos around visual images, fatigue, headache, and generalized muscle weakness.
Patient was instructed on hypertension. Callor other emergency services immediately if having any of the following symptoms: a sudden, severe headache, chest pain (angina), other symptoms of heart attack, symptoms of a stroke.
Taught that Lamictal is an anticonvulsant that is thought to work by restoring the balance of certain substances (neurotransmitters) in the brain.
SN instructed patient about oxygen use precautions: Oxygen is a safe gas as long as it is used properly. Do not store your oxygen system near any heat sources or open flames. Do not smoke or allow others to smoke in the same room as your oxygen system, sparks from a cigarette could cause facial burns. Post “No Smoking” signs in the room where your oxygen is kept.
SN instructed patient the skin around a fistula needs to be clean, dry, and grease-less for effective pouch adherence. Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition.
Instructed patient when should you contact your caregiver?, The skin around the nephrostomy tube is red, swollen, itches, or has a rash, you have a fever, you have lower back or hip pain, There are changes in how your urine looks or smells, a large amount of urine is draining into the drainage bag over a short period of time.
Instructed patient it is very important to prevent infection, which might require removal of the PICC line. The nurse will show you how to keep your supplies sterile, so no germs will enter the catheter and cause an infection.
SN instructed patient about some measures aimed to managing & controlling hypertension, such as: eating low sodium diet , increase more fruits to increase your potassium, walk daily for 30 minutes, and have regular check-ups, as directed by Physician.
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.