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Instructed in other S/S of cardiac complications requiring medical intervention, such as, increased SOB, palpitations, uneven heart beat, faintness, and weakness.
Instructed patient about foods that can be used freely, such as tea or decaffeinated coffee, lime juice, spices, sour or dill pickles, raw vegetables, sugar free soft drinks, sugarless gum and others.
Instructed patient to contact doctor if any of the following occur: an illness lasting one or two days without improvement; vomiting/diarrhea that continue longer than 6 hours, blood tests that continue to run higher that 240 after taking medications, S/S of high blood sugar.
Instructed patient on how to recognize S/S low blood sugar, such as, fatigue, headache, drowsiness, tremors, paleness, moist skin, hunger, anxiety, and impared vision.
Patient was instructed on precautions regarding medications: Do not drink alcohol while taking medications. If the mouth becomes dry, sipping cool beverages or eating a hard candy may help.
Instructed on some measures aimed to controlling/managing constipation, such as: increase fluid intake to at least eight (8) glasses per day, among others.
SN instructed patient on Vancomycin adverse effects such as: erythroderrma, thrombocytopenia, neutropenia, ototoxicity, and nephrotoxicity. Patient verbalized understanding of instructions given.
SN instructed caregiver on some measures aimed to controlling/managing Angina Pectoris, such as: have blood pressure monitored, eat a diet high in fiber, exercise regularly (as directed by MD) and take stool softeners, as needed, dress warmly in cold weather, avoid sleeping in cold rooms and avoid becoming overheated, eat small, frequent meals and rest after meals, learn stress management techniques.
SN instructed caregiver that Amiodarone is a class of antiarrhythmic agent used for various types of cardiac dysrhythmias, both ventricular and atrial. Despite relatively common side-effects, it is used in arrhythmias that are otherwise difficult to treat with medication. The most serious reaction that is due to amiodarone is interstitial lung disease. Hypothyroidism and hyperthyroidism. Corneal micro-deposits . Abnormal liver enzyme results. Much rarer are jaundice, hepatomegaly, and hepatitis. Low-dose amiodarone has been reported to cause pseudo-alcoholic cirrhosis. Long-term administration of amiodarone is associated with a light-sensitive blue-grey discoloration of the skin, and peripheral neuropathies. Gynecomastia and an association between amiodarone and an increased risk of cancer, especially in males
RN instructed patient about medication Famotidine that is used to treat gastroesophageal reflux disease, a condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus. RN instructed patient to swallow the tablets and capsules with a full glass of water. RN also explained about side effects of treatment such as: hives, skin rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs. RN instructed to call Physician immediately if any of these signs or symptoms appear. Patient and caregiver voiced understanding of all instructions given.