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Instructed patient on the possible side effects of NTG, including headache, dizziness with position changes, weakness, flushing, palpitations, fainting, nausea and vomiting. Instructed patient to notify MD if any side effects occur.
Patient was instructed on oral hygiene tips for seniors. Daily brushing and flossing of the natural teeth is essential to keep them in good health. Plaque can build up quickly on the teeth of older adults, especially if oral hygiene is neglected, and lead to tooth decay and gum disease. Brush at least twice a day with fluoride containing toothpaste. Floss at least once a day. Visit the dentist regularly for cleaning and examination.
Instructed on the importance of pacing herself between activities as a measure aimed to increasing tolerance to physical activities.
Instructed on the importance of using adjunctive equipment (e.g., cane) as a measure aimed to reducing the risk of falls/injuries.
Instructed on some signs/symptoms of Osteoporosis, such as: backache and frequent fractures, among others.
Instructed in possible complication of PVD such as ulcers, cellulites, gangrene, thrombophlebitis, etc.
The patient was advised to avoid lifting/stooping in order to decrease back pain. The patient was encouraged to avoid or stop smoking (nicotine decreases diskal circulation).
Instructed patient / caregiver inspect the site daily for any irregularities, such as swelling, redness, leakage or pain. If any irregularities or complications are noted, report them to a healthcare professional immediately.
Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure the trach is getting enough humidity. Humidity will keep the mucus loose and decrease the chances of a mucus plug. If you hear a whistling sound from the trach, this might mean that the airway is dry. Always make sure the trach ties are securely fastened and are tight enough around the neck.
SN instructed patient / caregiver that valacyclovir is an antiviral drug used in the management of herpes simplex, herpes zoster, and herpes B. Common adverse drug reactions are the same as for valacyclovir and include: nausea, vomiting, diarrhea and headache. Infrequent adverse effects may include: agitation, vertigo, confusion, dizziness, edema, arthralgia, sore throat, constipation, abdominal pain, rash, weakness and/or renal impairment. Rare adverse effects include: coma, seizures, neutropenia, leukopenia, tremor, ataxia, encephalopathy, psychotic symptoms, crystalluria, anorexia, fatigue, hepatitis, Stevens–Johnson syndrome, toxic epidermal necrolysis and/or anaphylaxis.