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Instructed in new medication Actos to improve glycemic control. In addition, warned of possible S/E such as headache, edema, heart failure, sinusitis, pharyngitis, tooth disorder, anemia, hypoglycemia (with combination therapy), aggravated diabetes mellitus, weight gain, myalgia and upper respiratory tract infection.
Instructed patient that during a hurricane he/she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to his/her house. In the event that the patient has no family or friends he/she should go to the closest shelter for proper assistance.
Instructed patient on monitoring DM, for example: testing blood sugar levels at least 3 times a day.
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: rapid heart rate and edema (fluid retention), among others.
Taught patient that this conditions its causes and related involvement of other body organs. The patient was instructed how to care for skin lesions.
The patient was instructed in hyperthyroidism to care for eyes from sunny lights, corneal ulcerations, and infections and to wear sunglasses or eye patches. The patient was advised to put on calm compresses to the eyes if irritated. The patient was reviewed to apply lubricants to protect the cornea.
instructed patient about importance of taking all her/his prescribed medications at the same time each day in order to get the most benefits is to prevent further hospitalizations. Instructed patient your pain medication makes you feel tired, drowsy, or dizzy, call your doctor. If your pain medication causes constipation, drink 8-10 glasses of water a day and eat a well-balanced diet that includes fruits and vegetables.
Instructed patient in some cases of colostomy, skin irritation or infection can result from stool that leaks under the bag. A hernia can develop around a colostomy, and the bowel may become narrow. Taking good care of your stoma and eating a balanced diet can help you avoid these problems. Pouching systems are waterproof. However, you may feel more secure if you wear an ostomy belt or put tape around the edges of your skin barrier when you are in the water.
SN instructed patient / caregiver about Methylprednisolone ( Medrol ), it is a corticosteroid used to treat severe allergies, arthritis, asthma, and skin conditions. It may also be used to treat other conditions as determined by your doctor. Possible side effects, that may go away during treatment, include difficulty sleeping, mood changes, nervousness, increased appetite, or indigestion. If they continue or are bothersome, check with your doctor. Check with your doctor as soon as possible if you experience swelling of feet or legs unusual weight gain black, tarry stools vomiting material that looks like coffee grounds severe nausea or vomiting changes in menstrual periods headache muscle weakness or prolonged sore throat, cold or fever. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. DO NOT stop taking this medicine without checking with your doctor. Stopping this medicine suddenly may cause serious side effects. Keep all doctor and laboratory appointments while you are using this medicine. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using this medicine. This medicine makes you more susceptible to illnesses, especially if you take it for an extended period of time. Prevent infection by avoiding contact with people who have colds or other infections. Report any injuries or signs of infection (fever, sore throat, pain during urination, or muscle aches) that occur during treatment and within 12 months after stopping this medicine.
SN instructed that should be call your doctor right away if you notice any of the following signs and symptoms of an infection: Fever ( this is sometimes the only sign of an infection ), chills and sweats, change in cough or a new cough, sore throat or new mouth sore, shortness of breath, nasal congestion, stiff neck, burning or pain with urination, unusual vaginal discharge or irritation, increased urination, redness, soreness, or swelling in any area, including surgical wounds and ports, diarrhea, vomiting, pain in the abdomen or rectum, new onset of pain.