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Instructed in new medication Toprol and in S/E such as fatigue, dizziness, depression, bradycardia, hypotension, heart failure, AV block, nausea, diarrhea, dyspnea and rash.
Instructed patient on S/S of high blood pressure, such as, fatigue, palpitations, dizziness, headaches, nosebleeds, blurring of vision.
Instructed patient about proper subcutaneous injection technique using asepsis.
Instructed patient about the use of NTG for chest pain or pressure. Beginning pain or pressure episode take 1 tablet every 5 minutes, and up to 3 tablets over 15 minutes. If complete pain relief is not achieved after taking the 3rd tablet, call 911.
Patient was instructed on the importance of an appropriate nutrition to keep blood sugar levels as near to normal as possible. Read Nutrition Facts on food labels and if the serving has too much carbohydrate, the size of serving will need to be adjusted.
Instructed patient about foods high in cholesterol, such as, organ meats, read meats, fatty poultry, shrimp, bacon, cold cuts, hot dogs, saturated fats (found in animal fats and coconut oil), palm kernel, cocoa butter, hydrogenated fats, chocolate, margarine, nondairy substitutes, whole milk, egg yolks, fried foods, and others.
Patient was instructed on measures to prevent outdoor falls. Use a cane or walker as needed. Walk on grass when the sidewalks are slippery. Wear well fitting shoes. Wear glasses as prescribed.
Patient was instructed on breathing methods. Breathe properly. Lie down on a rug or blanket on the floor with the legs straight and slightly apart, the toes pointed comfortably outwards, arms at the sides not touching the body, the palms up, and the eyes closed. This is called a "relaxed body" position. Take time to relax the body and breathe freely.
Patient was instructed on hand-eye coordination description. Vision is the process of understanding what is seen by the eyes. It involves more than simple visual acuity (ability to distinguish fine details). Vision also involves fixation and eye movement abilities, accommodation (focusing) convergence (eye aiming) binocularity (eye teaming) and the control of hand-eye coordination.
SN instructed patient and caregiver to maintain adequate fluid intake and avoid dehydration during drug therapy, as this may increase risk for toxicity. Caregiver verbalized understanding of instructions given.