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Instructed in new medication Aspirin to manage rheumatoid arthritis. In addition, warned of possible S/E such as tinnitus, hearing loss, nausea, GI distress, occult bleeding, dyspepsia, GI bleeding, leukopenia, hepatitis, rash, urticaria and others.
Instructed in complication requiring medical intervention associated with hypertension such as SOB, blurred vision, headache and extreme weakness.
Instructed patient/ caregiver not to use the barbeque inside the house due to risk of intoxication.
Patient was instructed on hypoglycemia. If having hypoglycemia during the night, people may wake up tired or with a headache. And it
Instructed on some factors that may increase the risk of developing/exacerbating Osteoporosis, such as: decreased estrogen levels in post-menopausal women.
Advised the patient receives complete instructions in the care of the prosthesis. Instructed patient how to apply the elastic sleeve or wrap the stump for molding and shaping. Encouraged patient that the stump should not be wrapped too strongly, since this will prejudice circulation. Encouraged the importance of daily hygiene to prevent infection and skin breakdown.
SN instructed patient and caregiver about Clonidine, it is used alone or with other medications to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood vessels so blood can flow more easily. Possible SE/AR may include: dizziness, lightheadedness, drowsiness, dry mouth, or constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. Tell your doctor right away if you have any serious side effects, including: fainting, slow/irregular heartbeat, mental/mood changes like, irritability, depression.
Instructed patient when should you contact your caregiver?, The skin around the nephrostomy tube is red, swollen, itches, or has a rash, you have a fever, you have lower back or hip pain, There are changes in how your urine looks or smells, a large amount of urine is draining into the drainage bag over a short period of time.
Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure the trach is getting enough humidity. Humidity will keep the mucus loose and decrease the chances of a mucus plug. If you hear a whistling sound from the trach, this might mean that the airway is dry. Always make sure the trach ties are securely fastened and are tight enough around the neck.
SN advised patient don't rub the injection site. This could cause bruising. Don't push air bubbles out of the syringe unless your doctor tells you to. Each syringe comes with air bubbles. Call 911 anytime you think you may need emergency care. For example, call if: You cough up blood.You vomit blood or what looks like coffee grounds.You pass maroon or very bloody stools.