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Taught that Labetalol slows the heartbeat, lowers blood pressure and reduces strain on the heart.
Instructed on some signs/symptoms of depression, such as: withdrawal, isolation and self-neglect, among others.
Taught that stages of Atherosclerosis can range from a fatty streak to a complicated lesion.
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: increased shortness of breath and edema (fluid retention), among others.
Instructed on some signs/symptoms of high blood sugar (hyperglycemia), such as: headache, weakness and fatigue, among others.
The patient was instructed in hemorrhoid the necessity to eat a diet high in fiber to encourage regular bowel movements and soft seats. The patient was advised to drink sufficiently of fluids. The patient was reviewed to use chair softeners and unpackaged laxatives to prevent constipation. The patient was recommended to do daily minor exercise to improve peristalsis and help elimination. The patient was encouraged to defecate on time after the impulse so that compression in the rectum will be prevented. The patient was taught to evade long sitting, squatting, or standing. The patient was instructed to evade pulling during defecation. The patient was advised to sit on thick foam pillows or pads. The patient was taught to use warm place bath for short-lived periods to evade hypotension secondary and vasodilation of pelvic blood vessels. The patient was encouraged the importance of perianal hygiene at all times. The patient was instructed to wipe softly after a bowel movements. The patient was taught to use warm bandages to encourage circulation.
Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you will be encouraged to cough and deep breathe. You may be given a spirometer, a device for breathing exercises to keep fluid out of your lung, once all your tubes have been removed, you will be encouraged to shower daily and wash your incision with a mild soap to prevent infection.
SN instructed caregiver about Hydrocodone. Hydrocodone is used to treat moderate to severe pain and as an antitussive to treat cough. Common side effects of hydrocodone may include, nausea, vomiting, constipation, drowsiness, dizziness, lightheadedness, fuzzy thinking, anxiety, abnormally happy or sad mood, dry throat, difficulty urinating, rash, itching, and narrowing of the pupils. Serious side effects include slowed or irregular breathing and chest tightness. Symptoms of hydrocodone overdose include narrowed or widened pupils, slow, shallow, or stopped breathing, slowed or stopped heartbeat, cold, clammy, or blue skin, excessive sleepiness, loss of consciousness, seizures, or death. Hydrocodone can be habit-forming, causing physical and psychological dependence.
SN instructed patient to take pain medication before pain becomes severe to achieve better pain control. Always refill your meds before you run out of them. SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, positioning ,etc. SN instructed to report to physician if experiencing pain level not acceptable , pain level greater than 6/10, pain medications not effective, unable to tolerate pain medications, and pain affecting ability to perform normal activities
SN instructed patient / caregiver on medication Amikacin. SN explained that Amikacin is an anti - infective in the aminoglycoside family which is indicated as part of combination therapy for mycobacterium avium complex. SN explained that side effects include ototoxicity, nephrotoxicity, apnea and hypersensitivity. SN instructed patient / caregiver that call your physician ( MD ) if you experience to signs of hypersensitivity, tinnitus ( ringing of the ears ), vertigo ( dizziness ), muscle weakness, twitching, feeling of fullness in the head or hearing loss.