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Instructed in possible adverse reactions to Vasotec, including headache, dizziness, fatigue, drop in B/P, diarrhea, and nausea. Instructed to report any adverse reactions to MD.
Instructed patient to immediately report to MD when having suicidal thoughts.
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.
Instructed on the importance of undergoing examinations (e.g., thyroid test), at least yearly, to monitor effectiveness of therapy.
Instructed on some potential complications of Congestive Heart Failure (CHF), such as: acute pulmonary edema and pneumonia, among others.
SN instructed patient on s/e of Zosyn such as diarrhea, nausea, vomiting, and headache.
Instructed in factors that increase the risk of COPD such as respiratory infections, respiratory irritants (dust, smoking, cold, damp air, etc), possible family history, and poor defense system.
Instructed patient to eat healthy food, as people with diabetes do not need special foods. The foods on your diabetes eating plan are the same foods that are good for everyone in your family. Try to eat foods that are low in fat, salt, and sugar and high in fiber such as beans, fruits and vegetables, and grains. Eating right will help you reach and stay at a weight that is good for your body, keep your blood sugar in a good range and prevent heart and blood vessel disease.
Instructed caregiver to keep patient's ulcer from becoming infected, it is important to: keep blood glucose levels under tight control; keep the ulcer clean and bandaged; cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.
SN instructed patient on arthropathy: Encouraged frequent changes of position. Assisted patient to move in bed, supporting affected joints above and below, instructed her to avoid jerky movements. Recommend that patient take warm bath or shower upon arising or at bedtime. Apply warm, moist compresses to affected joints several times a day. Monitor water temperature of compress, baths, and so on. Encouraged patient on stress management techniques such as progressive relaxation, biofeedback, visualization, guided imagery, self-hypnosis, and controlled breathing.Verbalized understanding.