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Instructed in new medication Aricept to manage moderate dementia of the Alzheimer type. In addition, warned of possible S/E such as headache, insomnia, dizziness, fatigue, depression, abnormal dreams, somnolence, seizures, tremor, irritability, paresthesia, aggression, vertigo, ataxia, restlessness, abnormal crying, nervousness, aphasia, syncope, pain, chest pain, hypertension, vasodilation, atrial fibrillation, hot flashes, hypotension, cataract, blurred vision, eye irritation, sore throat, nausea, diarrhea, vomiting, anorexia, fecal incontinence, GI bleeding, bloating, epigastric pain, frequent urination, ecchymosis, weight loss, dehydration, muscle cramps, arthritis, toothache, bone fracture, dyspnea, bronchitis, pruritus, urticaria, diaphoresis, influenza, and increased libido. The drug does not alter the underlying degenerative disease but can temporarily stabilize or relieve symptoms. Effective therapy depends on taking drug at regular intervals. Instructed to take drug in the evening, just before bedtime. Immediately report significant adverse effects or changes in overall health status. Inform health care team that patient is taking drug before he receives anesthesia. Avoid OTC cold or sleep remedies because of the potential for increased anticholinergic effects.
Instructed patient about basic tips to help prevent infections in people with diabetes: wear shoes or slippers at all times, wear comfortable shoes; get used to new shoes slowly and always wear 'heavy' soft cotton socks.
Patient instructed to contact primary physician if current pain treatment stops working or pain begins to get worse over time.
Taught that nicotine inhaling may constitute as a precipitating factor of Angina Pectoris.
Instructed on some measures aimed to managing/controlling hypertension, such as: have blood pressure monitored regularly and take corresponding medications exactly as directed by MD.
Taught that lack of insulin leads to elevated blood glucose levels.
SN instructed patient to try eating the main dinner meal at noon and a smaller meal in the evening. This helps to reduce the stool output at night.
Instructed patient high-fiber and gas-producing foods can also cause some people discomfort after gallbladder surgery, so you may want to introduce them slowly back into your diet. These include: Brussels sprouts, Broccoli, Cauliflower and Cabbage.
Instructed patient when skin redness where the tape or dressing was the nurse may need to change the dressing size or the type of tape or dressing used. Call home care nurse.
SN instructed patient about Linzess (linaclotide) which is indicated in adults for the treatment of irritable bowel syndrome with constipation. It can cause serious side effects, including diarrhea, the most common side effect, which can be severe. Diarrhea often begins within the first 2 weeks of treatment. Stop taking Linzess and call your doctor asap if you get severe diarrhea during treatment with Linzess. Other common side effect may include gas, stomach-area (abdominal) pain, swelling, or a feeling of fullness or pressure in your abdomen (distension). Tell your doctor if you have any side effect that bothers you or that does not go away. Call your doctor or go to the nearest hospital emergency room right away if you develop unusual or severe stomach-area (abdominal) pain, especially if you also have bright red, bloody stools or black stools that look like tar.