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Instructed in management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Instructed patient about Atenolol. How it may be crushed, chewed or swallowed whole; preferably taken with food to prevent gastrointestinal discomfort.
Instructed on Anemia. Pernicious anemia is a disease where large, immature circulate in the blood, and do not function as blood cells; it is a disease caused by impaired uptake of vitamin B-12 due to the lack of intrinsic factor in the gastric mucosa.
Patient was instructed on Osteoporosis. Lifestyle changes to avoid fractures. Get enough calcium. This is one of the first steps in treating this disease. Calcium is found in many foods, including dairy products such as milk or yogurt. Calcium and vitamin D supplements are recommended. Eat a nutritious diet to keep your body healthy.
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 about the importance of remaining seated for at least minutes after each meal in order to prevent aspiration and accelerate gastric emptying.
Instructed to store NTG in cool, dark place, in tightly closed container. To assure freshness replace supply of sublingual tablets every 3 months.
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: increased fatigue and shortness of breath, among others.
Advise patient to never share insulin pens or cartridges, sharing needles or pens can result in transmission of hepatitis viruses, HIV, or other blood-borne pathogens.
SN advised patient most common side effects from the use of Lovenox are mild pain, irritation, bruising, or redness of the skin at the site of injection. Other common side effects include bleeding, anemia, diarrhea, and nausea.