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Instructed in new medication Protonix to manage esophagitis. In addition, warned of possible S/E such as headache, insomnia, asthenia, dizziness, chest pain, pharyngitis, rhinitis, sinusitis, diarrhea, flatulence, abdominal pain, eructation, constipation, nausea, vomiting, urinary frequency, hyperglycemia, back pain, neck pain, hypertonia, rash, bronchitis, increased cough, etc. The drug can be taken without regard to meal.
Instructed patient about dehydration. Common symptoms are: dry mouth, poor skin tugor, dry, flushed skin, decreased urine output, sunken eyes and weak, rapid pulse.
Instructed patient not to pile up items on the floor, stairway or pathways between rooms.
Instructed that a tracheostomy is used to bypass an upper airway obstruction, prevent aspiration, manage tracheobronchial secretions, or allow for prolonged mechanical ventilation.
Patient was instructed on hypertension. Factors that are linked to high blood pressure include, aging, drinking more than 2 alcohol drinks a day, eating a lot of sodium (salt), being overweight or obese, having high cholesterol, being under a lot of stress.
Instructed on the importance of staying fully upright (sitting, standing or walking) for at least 30 minutes after taking Fosamax; also, advised patient not to lie down until after his/her first food of the day after its intake.
Instructed on some factors that may increase the risk of developing/exacerbating Osteoporosis, such as: high intake of caffeine and certain medications, among others.
SN instructed patient on s/e of Zosyn such as diarrhea, nausea, vomiting, and headache.
The patient was instructed in lyme disease to evade tick infested areas. The patient was advised to dress shirt inserted into pants and long pants inserted into boots when going into a wooden area. The patient was recommended to put on repellent before going into the wood.
SN instructed patient on diabetes and kidney problem, that diabetes mellitus ( DM ) is one of the leading cause of kidney failure in the United States. Approximately one-half of people who need dialysis have kidney disease from diabetes.With that, tight control of blood sugar must be done by avoiding concentrated sweets and high-carbohydrate content foods.Diabetic patients with hypertension have a special lower blood pressure target of less than 130 / 80 mmHg to reduce cardiovascular risk and delay progression of kidney disease.