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Instructed in that Osteoarthritis is a degenerative noninflammatory joint disease and it can affect all mobile joints, especially weight-bearing joints.
Instructed in possible complications of diabetes such as kidney and bladder disorders, strokes, heart disorders, eye complications, peripheral vascular disorders, nervous system disorders.
Instructed patient to keep feet dry, especially between toes, to use lotion to keep skin soft and moist and to keep feet clean. Wash daily with lukewarm water.
Instructed on the importance of having her feet inspected on a daily basis, as directed by MD.
SN instructed patient to rise slowly from sitting/supine position, as Atenolol may cause orthostatic hypotension and to avoid sudden discontinuation of this drug, as this may cause rebound hypertension. Patient verbalized understanding of instructions given.
The patient was instructed in supraventricular dysrhythmia the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
SN instructed in new medication Apresoline ( Hydralazine ), its uses as a vasodilator to decrease BP and common side effects such as; Headache, anorexia, dizziness, hypotension, nausea, vomiting, diarrhea, palpitations, tachycardia, angina pectoris. Patient was instructed on the signs and symptoms of hypotension that may happen in a few seconds or minutes of standing up after been sitting or lying down. It feel like fainting. Signs include: dizziness, blurry vision, confusion, weakness and nausea. Those symptoms go away if sitting or lying down for few minutes until the blood pressure adjusts to normal.
Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your health care provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it or call your health care team right away.
SN instructed patient on Lobectomy Care. The deep breathing and coughing will decrease your risk for a lung infection. Take a deep breath and hold it for as long as you can. Let the air out and then cough strongly. Deep breaths help open your airway. You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece in your mouth and take a slow, deep breath. Then let the air out and cough. Repeat these steps 10 times every hour.
SN instructed patient / caregiver regarding medication Coumadin / Warfarin. SN explained to patient / caregiver that Coumadin / Warfarin is an anticoagulant which is prescribed to people with an increased tendency for thrombosis or as secondary prophylaxis ( prevention of further episodes ) in those individuals that have already formed a blood clot ( thrombus ). Explained that Warfarin treatment can help prevent formation of future blood clots and help reduce the risk of embolism. Informed that Warfarin will prolong bleeding time, instructed to avoid activities that increase risks of trauma. SN explained to patient / caregiver that the adverse effects of this medication includes: hemorrhage, nosebleeds and blood in urine or stool ( black tarry stools ). Instructed to notify physician if experiencing unusual bleeding while on this medication.