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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.
Patient was instructed on the several structures involved in pain transmission, such as nerve ending: located throughout the body, externally in the skin and internally in the body
Patient was instructed on the signs and symptoms of hypotension that may happen in a few seconds or minutes of standing up after been sitting or lying down. It feel like fainting. Signs include: dizziness, blurry vision, confusion, weakness and nausea. Those symptoms go away if sitting or lying down for few minutes until the blood pressure adjusts to normal.
Patient was instructed on the importance of not miss any meals during the day. It is better to eat at regular intervals, having 3 meals per day and 3 snacks and to avoid consuming sweet / high carbohydrate foods content.
Instructed on the importance, when taking Hyzaar, of using sunscreen and wearing protective clothing when outdoors as this medication may make the skin more sensitive to the sun.
SN instructed patient and family on how to change the colostomy bag. Patient also educated on to drink more water and fruit juices, up to six to eight glasses per day. Include fresh fruits and vegetables in your diet, as well as fibrous foods such as whole-grain breads and cereals to prevent constipation
Instructed patient a really important part of planning patients for stomas is to ensure the site is appropriate. Poor siting leads to a stoma which the patient has difficulty in changing and cleaning. This leads to increased risk of skin, and other, complications.
SN instructed patient to take pain medication before pain becomes severe to achieve better pain control. Always refill your meds before you run out of them. SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, positioning ,etc. SN instructed to report to physician if experiencing pain level not acceptable , pain level greater than 6/10, pain medications not effective, unable to tolerate pain medications, and pain affecting ability to perform normal activities
SN instructed patient / caregiver regarding medication Diltiazem. Explained that Diltiazem is a calcium channel blocker that is used in the treatment of hypertension, angina pectoris, and some types of arrhythmia. Explained that the side effects of this medication includes stuffy nose, skin rash or itching, dizziness, headache, tired feeling, nausea or warmth, itching, redness, or tingly feeling under your skin. Instructed to notify Physician if experiencing persistence or worsening of medication side effects.
SN instructed patient / caregiver on medication Azor. Explained that azor is a medication used to lower blood pressure. Explained that it is a combination medication of Amlodipine and Olmesartan and it works by dilating the blood vessels causing a decrease in blood pressure. Explained that the side effects include edema, orthostatic hypotension, rash, itching, palpitation and nocturia. SN instructed patient / caregiver to notify physician ( MD ) if experiencing headache, dizziness or flushing.