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Instructed in possible factors that increase risk of the angina pectoris such as sudden physical exertion, emotional stress, consumption of a heavy meal, temperature extremes, nicotine, hypertension, obesity, constipation accompained by excessive straining.
Instructed in measures important in foot care of the diabetic: wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, etc.
Instructed patient about skin infection signs, such as redness, skin breakdown, discharge, and blisters with purulent exudates. Contact MD immediately if any of these symptoms appear.
Instructed patient to sit or lie down prior to taking NTG, as this medication dilates arteries increasing blood supply to the heart, and dizziness or fainting may occur.
Instructed patient about foods high in cholesterol, such as, organ meats, read meats, fatty poultry, shrimp, bacon, cold cuts, hot dogs, saturated fats (found in animal fats and coconut oil), palm kernel, cocoa butter, hydrogenated fats, chocolate, margarine, nondairy substitutes, whole milk, egg yolks, fried foods, and others.
Patient was instructed on the importance of a good foot care. Calluses indicate that areas of the feet are receiving too much pressure. If the increased pressure continues, the skin may break down and it is possible to get a foot ulcer.
Instructed on some measures aimed to controlling/managing depression, such as: encourage verbalization of feelings and allow patient some degree of control, among others.
Encouraged patient the importance of evading allergens by food or insect venom. Advised patient for early and late symptoms.
SN instructed patient / caregiver that the combination preparation fluticasone/salmeterol (Advair diskus) is a formulation containing fluticasone propionate and salmeterol xinafoate, used in the management of asthma and chronic obstructive pulmonary disease. Commun side effect / adverse reaction may include: Body aches or pain, choking, congestion, dryness of the throat, high-pitched noise when breathing, hoarseness, runny nose, sneezing, trouble with swallowing, voice changes. Less common side effect / adverse reaction: Cough-producing mucus, flu-like symptoms, irritation or inflammation of the eye, muscle pain, pain or tenderness around the eyes and cheekbones, sleep disorders, stuffy nose, white patches in the mouth or throat or on the tongue.
SN instructed patient on liver failure. The early symptoms of liver failure are similar to symptoms of many other conditions. Because of this, liver failure may initially difficult to diagnose. Some of the most common initial symptoms of liver failure are: Nausea, Loss of appetite, fatigue, diarrhea. As liver failure progresses, the symptoms become more serious. The most common symptoms of advanced liver failure include: Skin itchiness, jaundice, bleeding easily, bruising easily, swollen abdomen, mental disorientation or confusion, sweet or foul smelling breath, sleepiness, coma. Educated patient that the liver filters the Ammonia out the blood and that liver failure causes Ammonia levels to increase, which cause change of mental status, confusion, and sleepiness or fatigue.