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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 how lifestyle and daily routine can affect blood sugar levels. Coordinating the meals with the medications can be a fine balance. Too little insulin in comparison to the medication may result in very low blood sugar (hypoglycemia). Too much food may cause the blood sugar to climb too high (hyperglycemia).
Taught that Lyrica is to be taken by mouth, with or without food.
Instructed on some measures aimed to controlling/managing Coronary Artery Disease (CAD), such as: avoid/decrease sodium intake and exercise regularly, as directed by MD.
Taught that gradually increasing exercise with planned, scheduled rest periods, is a measure aimed to increasing tolerance in response to increased physical activity.
The patient was instructed in bone marrow harvest to keep the sites clean and covered with a bandage for 3 days.
The patient was instructed in implantable cardioverter defibrillator the moods and feelings when the device delivers a countershock, a blow, thump, or kick in the chest. The patient was advised that someone touching the patient will not feel the shock or will feel only a tingle. The patient was taught not to wear close-fitting, restrictive clothing like belts and girdles. The patient was reviewed to evade strong magnets and magnetic fields as a radio or TV transmitting towers, spark plugs or running motor like lawn mower or car, handheld airport detectors, microwave ovens, hair dryers.
The patient was instructed in testicular cancer in the importance of performing testicular self-examination monthly to identify new or repeated tumors. The patient was instructed that the examination is best done after a warm shower or bath when the scrotum is relaxed. The patient was instructed to do the examination in standing position.
Patient was educated about potassium 10 meq 1 tablet oral daily and the importance to report dark, tarry, or bloody stools; weakness; unusual fatigue; or tingling of extremities. Notify if nausea, vomiting, diarrhea, or stomach discomfort persists. Dosage may require adjustment. Emphasize the importance of regular follow-up exams to monitor serum levels and progress.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Nasal flaring (which is seen when the nostril flares out when a person breaths in) Change in skin color from normal to pale or blue Changes in activity, such as if a child is upset or inconsolable, or appears to be sleepy Increased coughing.