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Instructed patient Don't lavage with 0.9% sodium chloride solution during suctioning unless you need to clear a blockage of clots or mucus.
Patient was instructed on the importance to have a good blood sugar control to avoid future diabetes complications. A great diabetes management plan includes
Taught that Labetalol is to be taken by mouth, usually twice a day, either with or without food.
Taught that Folic Acid is used to treat certain anemias caused by poor diet, liver disease, certain stomach/intestinal problems or other conditions.
Taught that observing joint protection principles is a measure aimed to controlling/managing Rheumatoid Arthritis.
Instructed on some signs/symptoms of activity intolerance in response to physical activity, such as: shortness of breath and/or increased weakness, among others.
The patient was instructed in bone marrow suppression that will be more susceptible to infection, bleeding, and anemia. The patient was encouraged in the prevention of the infection by eating healthy meals, keep mouth, teeth and gums clean, avoid people who are sick. The patient was encouraged in the prevention of the bleeding avoiding physical activities that could cause injuries. The patient was encouraged in the prevention in the anemia by eating a high-protein diet, and multivitamin supplement with minerals.
SN instructed on new medication Spiriva is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Instructed that common side effects include, dry mouth, constipation, or dizziness.
Instructed instructed call your doctor if you notice if around your stoma any redness, swelling, irritation, bleeding, green discharge or food.
SN instructed patient and caregiver that Apixaban ( Eliquis ) is a anticoagulant for the treatment of venous thromboembolic events. It is indicated for the following: to lower the risk of stroke and embolism in patients with nonvalvular atrial fibrillation, deep vein thrombosis ( DVT ) prophylaxis. DVT's may lead to pulmonary embolism ( PE ) in knee or hip replacement surgery patients, treatment of both DVT and PE, to reduce the risk of recurrent DVT and PE after initial therapy. Apixaban can increase the risk of bleeding and may cause serious, potentially fatal, bleeding. Concurrent use with drugs affecting hemostasis ( e.g. other anticoagulants, heparin, aspirin and other antiplatelet drugs, selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, and non steroidal anti-inflammatory drugs ( NSAIDs ) can further increase the risk of bleeding.