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Instructed in new medication Calcium and in S/E such as headache, weakness, dizziness, paresthesia, chest pressure, facial flushing, edema of feet, eye pain, nasal congestion, transient nausea, unusual taste, diarrhea, anorexia, vomiting, epigastric discomfort, abdominal pain, increased urinary frequency, nocturia, shortness of breath, rash, pruritus of ear lobes, inflammation at injection site, hypersensitivity reactions (anaphylaxis), chills and tender palms and soles.
Instructed in new medication Pred Forte to manage inflammation of palpebral and bulbar conjunctiva, cornea and anterior segment of globe. In addition, warned of possible S/E, such as, increased intraocular pressure, thinning of cornea, interference with corneal wound healing, increased susceptibility to viral or fungal corneal infections, corneal ulceration, discharge, discomfort, foreign body sensation, glaucoma exacerbation, cataracts, visual acuity and visual field defects, optic nerve damage with excessive or long-term use, systemic effects, and adrenal suppression with excessive or long-term use. Instructed to wash hands before and after installation and warned not to touch tip of dropper to eye or surrounding area. Apply light finger pressure on lacrimal sac for 1 minute after installation. On long-term therapy, have frequent tests of intraocular pressure. Instructed not to share drug, washcloths, or towels with family members, and notify MD if anyone develops same signs or symptoms. Stress importance of compliance with recommended therapy. Notify MD if improvement does not occur within several days or if pain, itching, or swelling of eye occurs. Instructed not to use leftover drug for new eye inflammation because serious problems may occur.
Instructed in diagnosis of Diabetes. This occurs when the pancreas has partial or total lack of insulin production.
Instructed patient not to use a generator inside the house, carbon monoxide poisoning may occur and it is usually fatal.
Instructed patient to choose a diet that emphasizes eating vegetables, fruits and whole grains.
Instructed patient on measures to protect skin, such as, keeping skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible craking and irritation, etc.
Taught that the systolic reading (the top number) represents the pressure exerted on the blood vessel wall when the heart is contracting.
Avoid any head, chest or abdominal trauma, to avoid any falls, to avoid sharp objects such as razor, scissors, and nail clippers. You may carefully use an electric razor. Blow your nose gently and avoid forceful blowing of the nose. Do not take rectal temperature. Do not strain for bowel movements. Consider using stool softeners or laxatives if you are straining during bowel movements. Do not use any rectal suppositories or enemas. Avoid tight clothing such as girdles and tight undergarments or pants.
SN instructed patient's CG about Quetiapine (Seroquel), it is an atypical antipsychotic approved for the treatment of schizophrenia, bipolar disorder, and along with an antidepressant to treat major depressive disorder. Possible SE/AR may include, dry mouth, dizziness, headache, somnolence. Some common adverse effects, high blood pressure, orthostatic hypotension, high pulse rate, high blood cholesterol, elevated serum triglycerides, abdominal pain, constipation, increased appetite, vomiting, among others.
SN instructed patient that eliquis could cause bruising, internal bleeding, increased bleeding time so if any falls, severe cuts or unexplained pain or pain pressure call 911 anytime you think you may need emergency care. For example, call if: You cough up blood, you vomit blood or what looks like coffee grounds, you pass maroon or very bloody stools. Patient was able to be taught back.